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Related Experiment Video

Updated: Jul 23, 2025

Methodology for Establishing a Community-Wide Life Laboratory for Capturing Unobtrusive and Continuous Remote Activity and Health Data
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Implementing online group model building to unravel complex geriatric problems, a methodological description.

Oscar S Smeekes1, Hanna C Willems2, Ilse Blomberg2

  • 1Internal Medicine, section of Geriatric Medicine, Amsterdam UMC location University of Amsterdam, Meibergdreef 9, Amsterdam, 1105 AZ, The Netherlands. o.s.smeekes@amsterdamumc.nl.

BMC Geriatrics
|July 12, 2023
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Summary

Group model building (GMB) offers a structured approach to understanding complex geriatric issues. This method helps experts create conceptual models, improving insights into patient care and health system challenges.

Keywords:
Complex problemsGeriatricsGroup model buildingImplementationOnlineSystem dynamics

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Area of Science:

  • Geriatric Medicine
  • System Dynamics
  • Health Services Research

Background:

  • Group model building (GMB) is a qualitative methodology for experts to collaboratively develop conceptual models of complex problems.
  • GMB provides a structured approach to understanding intricate issues, complementing traditional research methods.
  • Geriatric syndromes and care organization present complex challenges, making GMB a potentially valuable methodology.

Purpose of the Study:

  • To describe the methodology of online Group Model Building (GMB).
  • To apply GMB in a geriatric case study context.
  • To explore the utility of GMB for addressing complex issues in geriatrics.

Main Methods:

  • Four online GMB sessions were designed using adapted Scriptapedia scripts.
  • A GMB methodology expert was consulted for optimal online session design.
  • Purposely recruited experts included healthcare professionals, a patient representative, and a data analyst.

Main Results:

  • Sessions were adjusted with two additional non-scripted sessions due to challenges in defining contributing factors.
  • Techniques like paraphrasing, categorizing, and iterative reflection were employed to aid experts.
  • The study successfully developed a conceptual model of older adults' emergency department visits.

Conclusions:

  • GMB effectively unravels complex pathophysiological and organizational problems in geriatrics by creating step-wise overviews.
  • GMB serves as a valuable tool for clinicians, researchers, and policymakers to understand geriatric challenges.
  • This paper offers insights into overcoming implementation challenges of GMB in the geriatric field.