A system dynamics approach to understand Dutch adolescents' sleep health using a causal loop diagram.

IF 5.6 1区 医学 Q1 NUTRITION & DIETETICS
Danique M Heemskerk, Vincent Busch, Jessica T Piotrowski, Wilma E Waterlander, Carry M Renders, Maartje M van Stralen
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Abstract

Background: Healthy sleep is crucial for the physical and mental wellbeing of adolescents. However, many adolescents suffer from poor sleep health. Little is known about how to effectively improve adolescent sleep health as it is shaped by a complex adaptive system of many interacting factors. This study aims to provide insights into the system dynamics underlying adolescent sleep health and to identify impactful leverage points for sleep health promotion interventions.

Methods: Three rounds of single-actor workshops, applying Group Model Building techniques, were held with adolescents (n = 23, 12-15 years), parents (n = 14) and relevant professionals (n = 26). The workshops resulted in a multi-actor Causal Loop Diagram (CLD) visualizing the system dynamics underlying adolescent sleep health. This CLD was supplemented with evidence from the literature. Subsystems, feedback loops and underlying causal mechanisms were identified to understand overarching system dynamics. Potential leverage points for action were identified applying the Action Scales Model (ASM).

Results: The resulting CLD comprised six subsystems around the following themes: (1) School environment; (2) Mental wellbeing; (3) Digital environment; (4) Family & Home environment; (5) Health behaviors & Leisure activities; (6) Personal system. Within and between these subsystems, 16 reinforcing and 7 balancing feedback loops were identified. Approximately 60 potential leverage points on different levels of the system were identified as well.

Conclusions: The multi-actor CLD and identified system dynamics illustrate the complexity of adolescent sleep health and supports the need for developing a coherent package of activities targeting different leverage points at all system levels to induce system change.

采用系统动力学方法,利用因果循环图了解荷兰青少年的睡眠健康状况。
背景:健康的睡眠对青少年的身心健康至关重要。然而,许多青少年的睡眠健康状况不佳。由于青少年睡眠健康是由许多相互作用的因素组成的复杂适应系统决定的,因此人们对如何有效改善青少年睡眠健康知之甚少。本研究旨在深入了解青少年睡眠健康背后的系统动态,并确定促进睡眠健康干预措施的影响杠杆点:方法:采用小组模型构建技术,与青少年(23 人,12-15 岁)、家长(14 人)和相关专业人员(26 人)举办了三轮单角色研讨会。研讨会的成果是绘制了一个多行为者因果循环图(CLD),将青少年睡眠健康背后的系统动态可视化。该因果循环图得到了文献证据的补充。确定了子系统、反馈回路和基本因果机制,以了解总体系统动态。运用行动尺度模型(ASM)确定了潜在的行动杠杆点:结果:围绕以下主题,CLD 由六个子系统组成:(1) 学校环境;(2) 心理健康;(3) 数字环境;(4) 家庭环境;(5) 健康行为与休闲活动;(6) 个人系统。在这些子系统内部和子系统之间,确定了 16 个强化反馈回路和 7 个平衡反馈回路。此外,还在系统的不同层面上确定了约 60 个潜在的杠杆点:结论:多行为主体CLD和已确定的系统动态说明了青少年睡眠健康的复杂性,并支持有必要针对所有系统层面的不同杠杆点制定一揽子连贯的活动,以促成系统变革。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
13.80
自引率
3.40%
发文量
138
审稿时长
4-8 weeks
期刊介绍: International Journal of Behavioral Nutrition and Physical Activity (IJBNPA) is an open access, peer-reviewed journal offering high quality articles, rapid publication and wide diffusion in the public domain. IJBNPA is devoted to furthering the understanding of the behavioral aspects of diet and physical activity and is unique in its inclusion of multiple levels of analysis, including populations, groups and individuals and its inclusion of epidemiology, and behavioral, theoretical and measurement research areas.
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