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Complex Interventions for a Complex System? Using Systems Thinking to Explore Ways to Address Unhealthy Commodity

Adam Bertscher1, Britta Katharina Matthes2, James Nobles3

  • 1Department of Social and Policy Sciences, Faculty of Humanities & Social Sciences, University of Bath, Bath, UK.

International Journal of Health Policy and Management
|August 5, 2024
PubMed
Summary

Effective strategies to counter unhealthy commodity industry (UCI) influence on public health policy require coordinated, systemic interventions. Addressing UCI requires collective action across multiple governance levels and stakeholder support.

Keywords:
Commercial Determinants of HealthComplex ProblemIndustry InfluenceParticipatory ResearchSystems Thinking InterventionsUnhealthy Commodities

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Area of Science:

  • Public Health Policy
  • Systems Thinking
  • Intervention Science

Background:

  • Unhealthy commodity industry (UCI) influence on public health policy is a significant challenge.
  • Existing interventions lack consideration of systemic complexities, potentially limiting effectiveness.
  • Systems thinking offers a framework to understand and address UCI influence holistically.

Purpose of the Study:

  • To apply systems thinking to identify and explore interventions against UCI influence on public health policy.
  • To understand the interdependencies between various interventions.
  • To identify challenges and supporting actions for intervention implementation.

Main Methods:

  • Online participatory workshops with UCI experts.
  • Utilized a systems map and Action Scales Model for intervention identification.
  • Employed codebook thematic analysis for data interpretation.

Main Results:

  • Identified 27 interconnected interventions to reduce UCI policy influence.
  • Examples include reforming financing, regulating partnerships, and reframing narratives.
  • Identified key challenges (e.g., implementation difficulty) and supporting actions (e.g., stakeholder coordination).

Conclusions:

  • Interventions must be aligned, collective, and synchronous across system levels for effectiveness.
  • Intermediary actions and strengthened alliances are crucial for successful implementation.
  • Urgent action is needed to implement coordinated interventions against UCI influence.