An evaluation of the feasibility, value and impact of using participatory modelling to inform the development of a regional system dynamics model for youth suicide prevention.

IF 3.6 2区 医学 Q1 HEALTH POLICY & SERVICES
Maria Michail, Justin Waring, Jo-An Occhipinti, Katrina Witt, Adam Skinner, Michelle Lamblin, Maria Veresova, Dzenana Kartal, Jo Robinson
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引用次数: 0

Abstract

Background: Suicide remains a leading cause of death for young Australians. We need robust analytical tools to help us understand and respond to the dynamic complexity underlying suicide and suicidal behaviour. Participatory systems modelling leverages empirical data together with the experiential knowledge of stakeholders to inform model building, evaluation, and implementation. Efforts to evaluate collaborative deliberative processes such as participatory system modelling remain sparse. The aim of this study was to evaluate the feasibility, value and impact of adopting a participatory systems modelling approach for developing a youth suicide prevention system dynamics model in North-West Melbourne, Australia.

Methods: Three participatory workshops were conducted with an expert stakeholder group including young people with lived and living experience of self-harm/suicidal behaviour, family members, healthcare professionals, and policy-makers. Data collection was informed by an evaluation framework, including (i) briefing questionnaires, (ii) workshop recordings and field notes and (iii) evaluation questionnaires. Data from each source were analysed separately, using codebook and reflexive thematic analysis, and synthesized to identify patterns in meaning and broad concepts under the evaluation categories of feasibility, value and impact.

Results: We found that the feasibility of undertaking an inclusive and accessible participatory systems modelling project was influenced by stakeholder cultural diversity, meaningful involvement of those with lived and living experience, accessibility of technical aspects of modelling and managing group dynamics. The value of adopting a participatory approach in developing a complex systems model was demonstrated in the collaborative learning that took place between the expert stakeholder group and the research team. Central to this was the experiential knowledge of young people who helped shape our understanding of the contextual drivers of self-harm and suicidal behaviour. Stakeholders' knowledge of the regional health system informed the structure, logic and assumptions of the systems model.

Conclusions: This is one of very few evaluations of a participatory systems modelling project involving young people with lived and living experience of self-harm/suicidal behaviour and bereaved families. Our study offers novel theoretical and practical insights into the processes adopted to ensure the safe and inclusive involvement of diverse perspectives in developing a youth suicide prevention system dynamics model.

评估使用参与式模型为青少年自杀预防区域系统动力学模型的发展提供信息的可行性、价值和影响。
背景:自杀仍然是澳大利亚年轻人死亡的主要原因。我们需要强大的分析工具来帮助我们理解和应对自杀和自杀行为背后的动态复杂性。参与式系统建模利用经验数据和利益相关者的经验知识,为模型的构建、评估和实施提供信息。评估协作审议过程(如参与式系统建模)的努力仍然很少。本研究的目的是评估采用参与式系统建模方法在澳大利亚墨尔本西北部开发青少年自杀预防系统动态模型的可行性、价值和影响。方法:与有自残/自杀行为生活经历的年轻人、家庭成员、医疗保健专业人员和政策制定者组成的专家利益相关者小组进行了三次参与式研讨会。数据收集是根据评价框架进行的,包括(i)简报调查表,(ii)讲习班记录和实地记录,(iii)评价调查表。利用代码本和反思性专题分析分别分析每个来源的数据,并综合确定可行性、价值和影响评价类别下意义和广义概念的模式。结果:我们发现,开展包容性和可访问的参与式系统建模项目的可行性受到利益相关者文化多样性、有生活经验的人的有意义参与、建模技术方面的可访问性和管理群体动力学的影响。采用参与式方法开发复杂系统模型的价值在专家利益相关者群体和研究团队之间的协作学习中得到了证明。这其中的核心是年轻人的经验知识,他们帮助我们理解了自残和自杀行为的背景驱动因素。利益攸关方对区域卫生系统的了解为系统模型的结构、逻辑和假设提供了信息。结论:这是参与性系统建模项目为数不多的评估之一,该项目涉及有自残/自杀行为生活经历的年轻人和失去亲人的家庭。我们的研究提供了新的理论和实践见解,以确保在制定青少年自杀预防系统动力学模型时,不同观点的安全和包容性参与所采用的过程。
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来源期刊
Health Research Policy and Systems
Health Research Policy and Systems HEALTH POLICY & SERVICES-
CiteScore
7.50
自引率
7.50%
发文量
124
审稿时长
27 weeks
期刊介绍: Health Research Policy and Systems is an Open Access, peer-reviewed, online journal that aims to provide a platform for the global research community to share their views, findings, insights and successes. Health Research Policy and Systems considers manuscripts that investigate the role of evidence-based health policy and health research systems in ensuring the efficient utilization and application of knowledge to improve health and health equity, especially in developing countries. Research is the foundation for improvements in public health. The problem is that people involved in different areas of research, together with managers and administrators in charge of research entities, do not communicate sufficiently with each other.
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