The Intervention Level Framework: Using systems thinking to address the complexity of childhood obesity prevention

Johnston, Lee M.; Matteson, Carrie L.; Finegood, Diane T.

doi:10.1016/s1499-2671(11)52238-5

Cited by 2 publications

(2 citation statements)

References 26 publications

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“…Six members of the core research team (consisting of academic professors, implementation specialists, practice-based researchers, implementation practitioners and a systems dynamicist) initially reviewed the literature and compared the application and evaluation of existing public health system dynamics frameworks [ 25 , 26 ]. We purposefully included expertise from both system dynamics and public health to maintain fidelity to both disciplines.…”

Section: Methodsmentioning

confidence: 99%

The Public Health 12 framework: interpreting the ‘Meadows 12 places to act in a system’ for use in public health

et al. 2022

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Background Systems science approaches have demonstrated effectiveness in identifying underlying drivers of complex problems and facilitating the emergence of potential interventions that are locally tailored, feasible, sustainable and evidence informed. Despite the potential usefulness of system dynamics simulation modelling and other systems science modelling techniques in guiding implementation, time and cost constraints have limited its ability to provide strong guidance on how to implement complex interventions in communities. Guidance is required to ensure systems interventions lead to impactful systems solutions, implemented utilising strategies from the intersecting fields of systems science and implementation science. To provide cost-effective guidance on how and where to implement in systems, we offer a translation of the ‘Meadows 12 places to act in a system’ (Meadows 12) into language useful for public health. Methods This translation of Meadows 12 was informed by our experience in working with 31 communities across two complex large scale randomised control trials and one large whole of community case study. These research projects utilised systems science and implementation science to co-create childhood obesity prevention interventions. The team undertaking this translation comprised research academics, implementation specialists and practitioners, practice-based researchers and a systems dynamicist. Our translation of each of the Meadows 12 levels to act in the system maintains the fidelity and nuance of the 12 distinct levels. We provide examples of each level of the Public Health 12 framework (PH12) drawn from 31 communities. All research was conducted in Victoria, Australia between 2016 and 2020. Results PH12 provides a framework to guide both research and practice in real world contexts to implement targeted system level interventions. PH12 can be used with existing implementation science theory to identify relevant strategies for implementation of these interventions to impact the system at each of the leverage points. Conclusion To date little guidance for public health practitioners and researchers exists regarding how to implement systems change in community-led public health interventions. PH12 enables operationalisation Meadows 12 systems theory into public health interventions. PH12 can help research and practice determine where leverage can be applied in the system to optimise public health systems level interventions and identify gaps in existing efforts. Trial registration WHO STOPS: ANZCTR: 12616000980437. RESPOND: ANZCTR: 12618001986268p.

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Section: Methodsmentioning

confidence: 99%

The Public Health 12 framework: interpreting the ‘Meadows 12 places to act in a system’ for use in public health

et al. 2022

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“…The ILF was used to sort ideas presented in the data set 22 and also identified gaps in strategic planning. The ILF was also found useful when applied to a subset of recommendations to prevent and address childhood obesity (69). In this case, the ILF helped researchers move away from a detailed dissection of the system parts and move towards understanding the problem as a whole through a complex systems lens (69).…”

Section: Structural Elementsmentioning

confidence: 99%

A Complex Systems Approach to Perceptions of Obesity in Service Users, Health Care Practitioners and Policy Makers

Frood

Matteson

Kirk

et al. 2013

Canadian Journal of Diabetes

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Current research supports the complexity of obesity and the need for collaboration between sectors to create change, yet there is still a pervasive perception that individuals are to blame for their weight.The Applied Research Collaborations for Health Research group, Dalhousie University, Halifax, Nova Scotia conducted key informant interviews to examine the beliefs of service users, health practitioners and policy makers regarding obesity. These data were used to conduct a secondary analysis using qualitative analysis methodology to explore perceptions of obesity within a complex systems framework.Three major themes were common among participant groups. There was a desire for immediate results, a focus on individual blame and a resultant tension for change.Exploring these themes using a complex system lens demonstrated the importance of engaging contradictory groups to work together in a collaborative framework. Aligning paradigms across the treatment spectrum is crucial to working towards solutions that embrace complexity.

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The Intervention Level Framework: Using systems thinking to address the complexity of childhood obesity prevention

Cited by 2 publications

References 26 publications

The Public Health 12 framework: interpreting the ‘Meadows 12 places to act in a system’ for use in public health

The Public Health 12 framework: interpreting the ‘Meadows 12 places to act in a system’ for use in public health

A Complex Systems Approach to Perceptions of Obesity in Service Users, Health Care Practitioners and Policy Makers

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