Complexity in Health Improvement

健康改善的复杂性

• 批准号: MC_UU_12017/14
• 负责人: Laurence Moore
• 金额: $ 317.15万
• 依托单位: University of Glasgow
• 依托单位国家: 英国
• 项目类别: Intramural
• 财政年份: 2015
• 资助国家: 英国
• 起止时间: 2015 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=MC_UU_12017%2F14
• 关键词: Complexity; Health; Improvement

We know that many factors influence health and health inequalities and the work of this Unit covers social, economic, environmental and cultural determinants of health. This programme is designed to look across this and the multiple interdependent factors at play. We want to provide leadership on the development of new research methods to evaluate programmes that aim to improve health and reduce inequalities in health, and we want to identify how and why programme effectiveness may vary. This is important since decision makers and those designing services need to understand where to target effort and investment. It’s imperative that we can identify what works, for whom, under what circumstances and why; this is the focus of our work in this programme. We will prioritise evaluations of interventions that tackle obesity and alcohol use; use new technology; or target health behaviour among those with serious mental illness. There also needs to be a better understanding of whether specific interventions and programmes can be transferred to different settings, target groups, or the problem to be addressed, without losing their effectiveness. To do this we will need to identify what elements make it possible for a programme to be modified in order to work or indeed which elements means transferability may not be effective. We will further develop and apply methods to understand and simulate how multiple interdependent factors come together in complex adaptive systems that generate heath inequalities and are resistant to change. This will include a focus on social networks and on drinking behaviour.Staff training, developing advanced courses, and leading collaborative networks of fellow researchers will be delivered in order to improve our professional capacity to develop and evaluate complex public health programmes and understand complex systems.

我们知道，影响健康和健康不平等的因素很多，该股的工作涵盖健康的社会、经济、环境和文化决定因素。该计划旨在审视这一点以及起作用的多种相互依存的因素。我们希望在开发新的研究方法方面发挥领导作用，以评估旨在改善健康和减少健康不平等的方案，我们希望确定方案有效性如何以及为什么会有所不同。这一点很重要，因为决策者和服务设计者需要了解努力和投资的目标。我们必须确定什么是有效的，对谁有效，在什么情况下有效，为什么有效;这是我们在本方案中工作的重点。我们将优先评估解决肥胖和饮酒问题的干预措施;使用新技术;或针对严重精神疾病患者的健康行为。还需要更好地了解具体的干预措施和方案是否可以转移到不同的环境、目标群体或要解决的问题，而不失去其效力。要做到这一点，我们将需要确定哪些因素使方案能够进行修改，以便发挥作用，或者确实确定哪些因素意味着可转让性可能无效。我们将进一步开发和应用方法来理解和模拟多个相互依赖的因素如何在复杂的适应系统中聚集在一起，这些系统会产生健康不平等并抵抗变化。这将包括对社交网络和饮酒行为的关注。将提供员工培训，开发高级课程，并领导研究人员的合作网络，以提高我们开发和评估复杂公共卫生项目的专业能力，并了解复杂的系统。

项目成果

How can an agent-based model explore the impact of interventions on children's physical activity in an urban environment?

• DOI: 10.1016/j.healthplace.2021.102688
• 发表时间: 2021-11
• 期刊: Health & place
• 影响因子: 4.8
• 作者: Almagor J;Martin A;McCrorie P;Mitchell R
• 通讯作者: Mitchell R

'It's not 9 to 5 recovery': the role of a recovery community in producing social bonds that support recovery.

• DOI: 10.1080/09687637.2021.1933911
• 发表时间: 2021
• 期刊: Drugs (Abingdon, England)
• 作者: Anderson M;Devlin AM;Pickering L;McCann M;Wight D
• 通讯作者: Wight D

Time to address the double inequality of differences in dietary intake between Scotland and England.

• DOI: 10.1017/s0007114518001435
• 发表时间: 2018-07
• 期刊: The British journal of nutrition
• 作者: Barton KL;Chambers S;Anderson AS;Wrieden WL
• 通讯作者: Wrieden WL

Rewarding smoking cessation in pregnancy-will women cheat to gain incentives?

奖励怀孕期间戒烟——女性会作弊以获得奖励吗？

• DOI: 10.1111/add.12851
• 发表时间: 2015
• 期刊: Addiction (Abingdon, England)
• 作者: Bauld L

Exploring the effectiveness of a COVID-19 contact tracing app using an agent-based model.

使用基于代理的模型探索Covid-19触点跟踪应用程序的有效性。

• DOI: 10.1038/s41598-020-79000-y
• 发表时间: 2020-12-17
• 期刊: Scientific reports
• 影响因子: 4.6
• 作者: Almagor J;Picascia S
• 通讯作者: Picascia S