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Published on: July 24, 2016
Participatory System Dynamics Modeling: Increasing Stakeholder Engagement and Precision to Improve Implementation
Lindsey Zimmerman1,2, David W Lounsbury3, Craig S Rosen4,5
1National Center for PTSD, Dissemination and Training Division, Veteran Affairs Palo Alto Health Care System, 795 Willow Rd. Bldg. 334 (NC-PTSD), Menlo Park, CA, 94025, USA. lindsey.zimmerman@va.gov.
Abstract:
Implementation planning typically incorporates stakeholder input. Quality improvement efforts provide data-based feedback regarding progress. Participatory system dynamics modeling (PSD) triangulates stakeholder expertise, data and simulation of implementation plans prior to attempting change. Frontline staff in one VA outpatient mental health system used PSD to examine policy and procedural "mechanisms" they believe underlie local capacity to implement evidence-based psychotherapies (EBPs) for PTSD and depression. We piloted the PSD process, simulating implementation plans to improve EBP reach. Findings indicate PSD is a feasible, useful strategy for building stakeholder consensus, and may save time and effort as compared to trial-and-error EBP implementation planning.
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