As explained in , multilevel, multisector strategies, often based on ecological models (e.g., in ), have gained widespread acceptance for understanding the determinants of obesity and for framing prevention and control activities (Glass and McAtee, 2006). While these models acknowledge the multiple levels of a system and show their interrelationships, however, they may not always be complex enough to capture the dynamic interactions and the short- and long-term feedback loops among the many influences on t
The Foresight Group identified as a key research challenge “the evaluation new policy initiatives at all levels (process audits, behaviors and biomarkers, long-term health and economic outcomes)” (Jebb, 2009, p. 39). These types of causal loops magnify the need for new ways of evaluating and incorporating evidence not only from research studies, but also from the real-world experience of obesity initiatives undertaken not just within a particular country but around the world. A promising new fro
Although it is true that designers do not always proceed through each of the three spaces in linear fashion, it is generally the case that the design process begins with the inspiration space—the problem or opportunity that motivates people to search for solutions. And the classic starting point for the inspiration phase is the brief. The brief is a set of mental constraints that gives the project team a framework from which to begin, benchmarks by which they can measure progress, and a set of objecti
A basic representation of a program or organizational learning process which could be integrated into a theory of change diagram is illustrated below. Here, a process of monitoring, reflection and learning serves to identify and amplify underlying causes of a successful program (R1), while simultaneously identifying and correcting the underlying causes of a program when it is ineffective at achieving its desired outcomes (B2).Stay tuned for Part 2 where we’ll cover these approaches in detail.
Several suggestions have been made for making ST concepts a common practice in the health field, though mainly derived from high-income countries (). They included revisiting traditional funding categories to explicitly encourage a more integrative, systems-based view of financing supporting diverse networks by encouraging collaborations and partnerships that span traditional disciplines and perspectives and addressing political and social factors that influence the use of ST such as bureaucracy, people&#
Milstein, B., and J. Homer. Atlanta, GA: CDC. (accessed February 3, 2010).