Using a Stakeholder Analysis to Improve Systems Modelling of Health Issues: The Impact of Progesterone Therapy on Infant Mortality in Ohio

Hosseinichimeh, Niyousha; Kim, Hyun-Jung; Ebrahimvandi, Alireza; Iams, Jay D.; Andersen, David F.

doi:10.1002/sres.2563

Cited by 11 publications

(6 citation statements)

References 65 publications

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“…Furthermore, our proposed coding process can be used for coding responses to other systems thinking vignettes. Group model building researchers and practitioners can also benefit from the proposed coding procedure to better elicit mental models of stakeholders based on textual data, utilize archival data, and validate their models (Andersen et al ., 1997; McCardle‐Keurentjes et al ., 2018; Hosseinichimeh et al ., 2019). We invite scholars of systems thinking, system dynamics, education, and complexity sciences to consider LUV as a tool and contribute to its further development, testing, and application.…”

Section: Resultsmentioning

confidence: 99%

The Lake Urmia vignette: a tool to assess understanding of complexity in socio‐environmental systems

Davis

Ghaffarzadegan

Grohs

et al. 2020

System Dynamics Review

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We introduce the Lake Urmia Vignette (LUV) as a tool to assess individuals' understanding of complexity in socio‐environmental systems. LUV is based on a real‐world case and includes a short vignette describing an environmental catastrophe involving a lake. Over a few decades, significant issues have manifested themselves at the lake because of various social, political, economic, and environmental factors. We design a rubric for assessing responses to a prompt. A pilot test with a sample of 30 engineering graduate students is conducted. We compare responses to LUV with other measures. Our findings suggest that students' understanding of complexity is positively associated with their understanding of systems concepts such as feedback loops but not with other possible variables such as self‐reported systems thinking skills or systems‐related coursework. Based on the provided instructions, researchers can use LUV as a novel assessment tool to examine understanding of complexity in socio‐environmental systems. © 2020 System Dynamics Society

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Section: Resultsmentioning

confidence: 99%

The Lake Urmia vignette: a tool to assess understanding of complexity in socio‐environmental systems

Davis

Ghaffarzadegan

Grohs

et al. 2020

System Dynamics Review

Self Cite

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“…Working collaboratively, however, the meaning of the TB IPC problem gravitated towards a 'common goal' re-emphasizing Zimmermann and Black's (2015) claim that the use of participatory methods can change meaning-or in our case could reshape perceptions of which evidence was seen as relevant. Hosseinichimeh et al (2019) suggest that a power-by-interest grid be completed by the modelling team to identify GMB participants to systematically determine a wider range of stakeholders; however, a way to navigate potential bias in attention to particular issues or concerns in the views that emerge during GMB workshops is still required. Despite this, as in other literature (Luna-Reyes et al, 2019;Martin, 2021;Morais et al, 2021), we found that the GMB workshops enabled discussion and debate between a variety of different stakeholders, and in turn, facilitated a greater understanding of problems identified and their associated solutions.…”

Section: Discussionmentioning

confidence: 99%

Complexity and evidence in health sector decision-making: lessons from tuberculosis infection prevention in South Africa

Perera

Parkhurst

Diaconu

et al. 2022

Health Policy and Planning

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To better understand and plan health systems featuring multiple levels and complex causal elements, there have been increasing attempts to incorporate tools arising from complexity science to inform decisions. The utilization of new planning approaches can have important implications for the types of, and mechanisms through which, evidence informs health policymaking. This paper presents an empirical analysis of the application of one such tool – System Dynamics Modelling (SDM) within a tuberculosis (TB) control program in South Africa in order to explore how SDM was utilized, and to reflect on the implications for evidence-informed health policymaking. We observed group model building (GMB) workshops that served to develop the SDM process and undertook 19 qualitative interviews with policymakers and practitioners who partook in these workshops. We analyzed the relationship between the SDM process and the use of evidence for policymaking through four conceptual perspectives: (1) a rationalist knowledge-translation view that considers how previously-generated research can be taken up into policy; (2) a programmatic approach that considers existing goals and tasks of decision makers, and how evidence might address them; (3) a social constructivist lens exploring how the process of using an evidentiary planning tool like SDM can shape the understanding of problems and their solutions; and (4) a normative perspective that recognizes that stakeholders may have different priorities, and thus considers which groups are included and represented in the process. Each perspective can provide useful insights into the SDM process and the political nature of evidence use. In particular, SDM can provide technical information to solve problems, potentially leave out other concerns, and influence how problems are conceptualized by formalizing the boundaries of the policy problem and delineating particular solution sets. Undertaking the process further involves choices on stakeholder inclusion affecting whose interests may be served as evidence to inform decisions.

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“…This stakeholder analysis aims to improve understandings of the unique programmatic and policy challenges and specific applications of technology in harm reduction settings. Stakeholder analyses have emerged as critical tools in policymaking, across political arenas and academic disciplines, and have become a particularly rich method within health policy research [23][24][25][26][27][28]. After agreeing to participate in the present study, stakeholders were interviewed either in person or over the telephone by two of the team's experienced qualitative researchers.…”

Section: Domains Of Inquirymentioning

confidence: 99%

Toward a human-centered use of technology: a stakeholder analysis of harm reduction and CBO staff

2020

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Background Technology can enable syringe service programs (SSPs) and other community-based organizations (CBOs) operating under a harm reduction framework to work with an increased number of clients and can also enable organizations to offer services more effectively (e.g., offering HIV testing in ways participants may be more likely to accept). In the current time of COVID-19 social distancing, technology can also help organizations more safely provide services to people with compromised immune systems and to clients who might otherwise not be reached. However, technology projects implemented in harm reduction settings are frequently conceptualized and developed by researchers or technology specialists rather than by SSP staff or clients. Methods To more effectively meet the needs of SSPs and other CBOs across the USA, our team conducted qualitative interviews with 16 individuals who have extensive backgrounds working in the field of harm reduction. Interviews were digitally recorded and professionally transcribed, and the transcripts were checked for accuracy by the interviewers. The resulting transcripts were coded and analyzed to determine emerging themes. Results Interviewees mentioned the ability of technology to deliver consistent quality messaging to multiple clients at the same time and the potential to customize or tailor technology-based messaging to specific client populations as positive benefits. Clear barriers to technology use also emerged, in particular regarding privacy, data security, and the need to maintain client trust when discussing sensitive issues (e.g., illicit drug use). Conclusions Technology offers the potential to deliver consistently high-quality health communication and maintain contact with clients who may have no other access to care. If designed and managed effectively, technology can also address issues related to providing services during times when physical contact is limited due to COVID-19 social distancing measures.

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Using a Stakeholder Analysis to Improve Systems Modelling of Health Issues: The Impact of Progesterone Therapy on Infant Mortality in Ohio

Cited by 11 publications

References 65 publications

The Lake Urmia vignette: a tool to assess understanding of complexity in socio‐environmental systems

The Lake Urmia vignette: a tool to assess understanding of complexity in socio‐environmental systems

Complexity and evidence in health sector decision-making: lessons from tuberculosis infection prevention in South Africa

Toward a human-centered use of technology: a stakeholder analysis of harm reduction and CBO staff

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