应用系统动态方法来预防局部肥胖:来自荷兰阿姆斯特丹的一个小组建模型研究的结果
Wilma Waterlander1, Angie Luna Pinzon2, Coosje Dijkstra3
1Amsterdam UMC, Department of Public and Occupational Health, Location University of Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, the Netherlands. w.waterlander@amsterdamumc.nl.
Health research policy and systems
|October 15, 2025
概括
参与式系统动态组建模型 (GMB) 有效地将系统理解转化为预防儿童肥胖的可操作策略. 实现深层次的系统变革需要大量的利益相关者参与和结构化的方法.
科学领域:
- 公共卫生 公共卫生
- 系统科学 系统科学
- 社区健康 社区健康
背景情况:
- 儿童肥胖是一个复杂的公共卫生问题,需要多方面的预防策略.
- 地方政策和社区层面的干预对于有效预防肥胖至关重要.
- 系统动态为理解复杂的健康问题提供了一个框架.
研究的目的:
- 评估一个参与式的系统动态组建模型 (GMB) 过程,用于当地预防肥胖和制定政策.
- 探索将系统理解转化为可操作的杆点和干预策略.
- 评估GMB在促进基本系统变化以减少肥胖的有效性.
主要方法:
- 在阿姆斯特丹,员工组建模型 (GMB) 研讨会与9-31位当地利益相关者.
- 将GMB扩展到五个研讨会,以增强系统理解和行动开发.
- 利用因果循环图 (CLD),干预水平框架和利益相关者访谈进行数据三角化.
主要成果:
- 开发了一个CLD,详细介绍了肥胖问题的30种机制.
- 确定了五个潜在的杆点和16个针对不同系统级别 (元素,反,结构,目标) 的行动想法.
- 利益相关者采访强调了超越表面解决方案以实现根本的系统变革所面临的挑战.
结论:
- 这项研究证明了GMB的潜力,将系统理解转化为预防肥胖的可行的策略.
- 实现系统性变革,特别是在更高的层面上,如系统目标或范式,需要深入的利益相关者参与和专门的过程.
- 这些发现为制定更有效和可持续的基于社区的肥胖预防政策提供了见解.
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