Exploring the value Australian community leaders see in a system dynamics model calibrated with local data: social norms and childhood obesity

Objectives Systems approaches (SAs) seek to understand the dynamics behind system behaviour and formulate effective actions given these dynamics. In public health, SAs often rely on qualitative systems maps visualising factors and their interconnections, frequently developed through group model buil...

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Main Authors: Karien Stronks, Loes Crielaard, Steven Allender, Mary Nicolaou, Andrew D Brown, Joshua Hayward
Format: Article
Language:English
Published: BMJ Publishing Group 2025-02-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/15/2/e087195.full
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author Karien Stronks
Loes Crielaard
Steven Allender
Mary Nicolaou
Andrew D Brown
Joshua Hayward
author_facet Karien Stronks
Loes Crielaard
Steven Allender
Mary Nicolaou
Andrew D Brown
Joshua Hayward
author_sort Karien Stronks
collection DOAJ
description Objectives Systems approaches (SAs) seek to understand the dynamics behind system behaviour and formulate effective actions given these dynamics. In public health, SAs often rely on qualitative systems maps visualising factors and their interconnections, frequently developed through group model building. Quantitative system dynamics models (SDMs) can offer additional insights: SDMs can simulate how system behaviour would change if we were to make an adjustment to the system, in what-if scenarios. We explored what (added) value Australian community leaders involved in SAs see in an SDM for understanding a system and its behaviour.Setting The Whole of Systems Trial of Prevention Strategies for Childhood Obesity (WHOSTOPS), a community-level collaboration between researchers and community leaders in South-Western Victoria, Australia.Design We calibrated an existing small and high-level SDM with local data from the WHOSTOPS communities, so that the simulations pertained to their local context. The SDM was developed to simulate potential interventions addressing either social norms regarding body weight or individual weight-related behaviour. We presented the SDM to the community leaders via an interactive interface in an online workshop.Participants We calibrated the SDM using WHOSTOPS’ baseline measurement (2015), with an 80% participation rate among eligible children (1792/2516). 11 community leaders participated in the workshop.Results The community leaders’ first impression of the SDM was that it could be a valuable additional tool, particularly because of its ability to compare what-if scenarios resembling individual vs systems perspectives, intuitive presentation of simulation results, and use of local data.Conclusions Our preliminary exploration showed that the small and high-level SDM, using what-if scenarios reflecting interventions on different system levels, could contribute to the understanding and communication of (community-based) SAs.
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spelling doaj-art-e8be238a63704e7a99c873131d3096062025-08-20T02:14:28ZengBMJ Publishing GroupBMJ Open2044-60552025-02-0115210.1136/bmjopen-2024-087195Exploring the value Australian community leaders see in a system dynamics model calibrated with local data: social norms and childhood obesityKarien Stronks0Loes Crielaard1Steven Allender2Mary Nicolaou3Andrew D Brown4Joshua Hayward51 Department of Public and Occupational Health, Amsterdam University Medical Centres, Amsterdam, The Netherlands1 Department of Clinical Neuroscience, Karolinska Institute, Stockholm, SwedenGlobal Obesity Centre, School of Health and Social Development, Institute for Health Transformation, Deakin University, Geelong, Victoria, Australia1 Public Health, AMC, Amsterdam, The NetherlandsUniversity of Arkansas for Medical Sciences, Little Rock, Arkansas, USAGlobal Centre for Preventive Health and Nutrition, Institute for Health Transformation, Deakin University, Geelong, Victoria, AustraliaObjectives Systems approaches (SAs) seek to understand the dynamics behind system behaviour and formulate effective actions given these dynamics. In public health, SAs often rely on qualitative systems maps visualising factors and their interconnections, frequently developed through group model building. Quantitative system dynamics models (SDMs) can offer additional insights: SDMs can simulate how system behaviour would change if we were to make an adjustment to the system, in what-if scenarios. We explored what (added) value Australian community leaders involved in SAs see in an SDM for understanding a system and its behaviour.Setting The Whole of Systems Trial of Prevention Strategies for Childhood Obesity (WHOSTOPS), a community-level collaboration between researchers and community leaders in South-Western Victoria, Australia.Design We calibrated an existing small and high-level SDM with local data from the WHOSTOPS communities, so that the simulations pertained to their local context. The SDM was developed to simulate potential interventions addressing either social norms regarding body weight or individual weight-related behaviour. We presented the SDM to the community leaders via an interactive interface in an online workshop.Participants We calibrated the SDM using WHOSTOPS’ baseline measurement (2015), with an 80% participation rate among eligible children (1792/2516). 11 community leaders participated in the workshop.Results The community leaders’ first impression of the SDM was that it could be a valuable additional tool, particularly because of its ability to compare what-if scenarios resembling individual vs systems perspectives, intuitive presentation of simulation results, and use of local data.Conclusions Our preliminary exploration showed that the small and high-level SDM, using what-if scenarios reflecting interventions on different system levels, could contribute to the understanding and communication of (community-based) SAs.https://bmjopen.bmj.com/content/15/2/e087195.full
spellingShingle Karien Stronks
Loes Crielaard
Steven Allender
Mary Nicolaou
Andrew D Brown
Joshua Hayward
Exploring the value Australian community leaders see in a system dynamics model calibrated with local data: social norms and childhood obesity
BMJ Open
title Exploring the value Australian community leaders see in a system dynamics model calibrated with local data: social norms and childhood obesity
title_full Exploring the value Australian community leaders see in a system dynamics model calibrated with local data: social norms and childhood obesity
title_fullStr Exploring the value Australian community leaders see in a system dynamics model calibrated with local data: social norms and childhood obesity
title_full_unstemmed Exploring the value Australian community leaders see in a system dynamics model calibrated with local data: social norms and childhood obesity
title_short Exploring the value Australian community leaders see in a system dynamics model calibrated with local data: social norms and childhood obesity
title_sort exploring the value australian community leaders see in a system dynamics model calibrated with local data social norms and childhood obesity
url https://bmjopen.bmj.com/content/15/2/e087195.full
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