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One Month, Two Projects, Many Lessons: Insights From Concurrent System Dynamics Group Model Building Approaches.
Michael K Lemke1, Kyrah K Brown2, Saeideh Fallah-Fini3
1Department of Environmental & Occupational Health Sciences, School of Public Health, The University of Texas Health Science Center at Houston - San Antonio Campus, San Antonio, Texas, USA.
System Dynamics Review
|June 1, 2026
Summary
This study explores maternal health outcomes using system dynamics group model building (SD GMB). It offers five lessons learned from applying this complex systems approach to public health challenges.
Area of Science:
- Public Health
- Complex Systems Science
- Community-Based Participatory Research
Background:
- Maternal morbidity and mortality remain significant public health issues in the U.S.
- Few studies have examined maternal health outcomes through a complex systems lens.
- Community-based system dynamics group model building (SD GMB) offers a novel approach to understanding these complex issues.
Purpose of the Study:
- To describe the conceptualization, planning, and implementation of two concurrent SD GMB projects focused on maternal health.
- To reflect on the effectiveness of the SD GMB approach by identifying successes, failures, and challenges.
- To offer practical insights and lessons learned for researchers engaging in the formative phase of SD GMB projects.
Main Methods:
- Two parallel system dynamics group model building (SD GMB) projects were conducted.
- Community participants were actively involved in core GMB meetings.
- Reflexivity principles were applied to analyze the project processes and outcomes.
Main Results:
- The close timing of the projects facilitated rapid learning and adaptation of methodologies by the research team.
- The paper outlines five key 'lessons' derived from the practical application of SD GMB.
- Insights gained cover the successes, failures, and enigmatic aspects encountered during the formative phase.
Conclusions:
- SD GMB is a valuable methodology for exploring complex public health issues like maternal morbidity and mortality.
- Reflective practice is crucial for refining SD GMB approaches during project formation.
- The lessons learned can guide future community-based system dynamics modeling initiatives.
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