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Promoting knowledge to policy translation for urban health using community-based system dynamics in Brazil

BACKGROUND: Effectively bridging the knowledge–policy gap to support the development of evidence-based policies that promote health and well-being remains a challenge for both the research and policy communities. Community-based system dynamics (CBSD) is a participatory modelling approach that aims...

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Autores principales: Morais, Lidia Maria de Oliveira, Kuhlberg, Jill, Ballard, Ellis, Indvik, Katherine, Rocha, Solimar Carnavalli, Sales, Denise Marques, de Oliveira Cardoso, Letícia, Gouveia, Nelson, de Lima Friche, Amélia Augusta, Caiaffa, Waleska Teixeira
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8015032/
https://www.ncbi.nlm.nih.gov/pubmed/33794907
http://dx.doi.org/10.1186/s12961-020-00663-0
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author Morais, Lidia Maria de Oliveira
Kuhlberg, Jill
Ballard, Ellis
Indvik, Katherine
Rocha, Solimar Carnavalli
Sales, Denise Marques
de Oliveira Cardoso, Letícia
Gouveia, Nelson
de Lima Friche, Amélia Augusta
Caiaffa, Waleska Teixeira
author_facet Morais, Lidia Maria de Oliveira
Kuhlberg, Jill
Ballard, Ellis
Indvik, Katherine
Rocha, Solimar Carnavalli
Sales, Denise Marques
de Oliveira Cardoso, Letícia
Gouveia, Nelson
de Lima Friche, Amélia Augusta
Caiaffa, Waleska Teixeira
author_sort Morais, Lidia Maria de Oliveira
collection PubMed
description BACKGROUND: Effectively bridging the knowledge–policy gap to support the development of evidence-based policies that promote health and well-being remains a challenge for both the research and policy communities. Community-based system dynamics (CBSD) is a participatory modelling approach that aims to build stakeholders’ capacity to learn and address complex problems collaboratively. However, limited evidence is available about the contributions of CBSD to knowledge-generating and policy processes across sectors and policy spheres. In the context of a multi-country research project focused on creating an evidence base to inform urban health policies across Latin America, a series of CBSD workshops convened stakeholders from research, policy-making, and other backgrounds working in food and transportation systems. Diverse participants were selected aiming to incorporate multiple perspectives relevant to understanding complex urban systems linked to food and transportation. This study focuses on one of these workshops, whose avenue was São Paulo, Brazil, assembling country-based participants representing local, regional, national, and international institutions with multidisciplinary backgrounds linked to food and transportation systems. OBJECTIVE: The aim of this case study is to explore the perceived influence of one of these workshops on attendees’ understandings of food and transportation systems and their relationship to healthy urban environments, with attention to the role of the workshop in supporting knowledge to policy translation for urban health. METHODS: We conducted 18 semi-structured qualitative interviews with attendees one year after their participation in a CBSD workshop held in São Paulo, Brazil. A framework method approach was used to code participants’ responses and identify emerging themes. RESULTS: Participants reported that the workshop’s group model-building activities influenced their understanding of the knowledge–policy process as it relates to food and transport systems. Workshop contributed to participants’ (1) abilities to engage with multisectoral stakeholders, (2) construct a shared language and understanding of urban challenges, (3) improve understanding of the interconnectedness across food and transportation systems, (4) facilitate dialogue across sectors, and (5) apply a systems thinking approach within their sector and professional context. Participants continued to draw on the tools developed during the workshop, and to apply systems thinking to their research and policy-making activities. CONCLUSIONS: CBSD may offer valuable opportunities to connect the research sector to the policy-making process. This possibility may contribute to knowledge to policy translation in the interconnection between the urban context, food and transportation systems, and health. SUPPLEMENTARY INFORMATION: Supplementary information accompanies this paper at 10.1186/s12961-020-00663-0.
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spelling pubmed-80150322021-04-01 Promoting knowledge to policy translation for urban health using community-based system dynamics in Brazil Morais, Lidia Maria de Oliveira Kuhlberg, Jill Ballard, Ellis Indvik, Katherine Rocha, Solimar Carnavalli Sales, Denise Marques de Oliveira Cardoso, Letícia Gouveia, Nelson de Lima Friche, Amélia Augusta Caiaffa, Waleska Teixeira Health Res Policy Syst Research BACKGROUND: Effectively bridging the knowledge–policy gap to support the development of evidence-based policies that promote health and well-being remains a challenge for both the research and policy communities. Community-based system dynamics (CBSD) is a participatory modelling approach that aims to build stakeholders’ capacity to learn and address complex problems collaboratively. However, limited evidence is available about the contributions of CBSD to knowledge-generating and policy processes across sectors and policy spheres. In the context of a multi-country research project focused on creating an evidence base to inform urban health policies across Latin America, a series of CBSD workshops convened stakeholders from research, policy-making, and other backgrounds working in food and transportation systems. Diverse participants were selected aiming to incorporate multiple perspectives relevant to understanding complex urban systems linked to food and transportation. This study focuses on one of these workshops, whose avenue was São Paulo, Brazil, assembling country-based participants representing local, regional, national, and international institutions with multidisciplinary backgrounds linked to food and transportation systems. OBJECTIVE: The aim of this case study is to explore the perceived influence of one of these workshops on attendees’ understandings of food and transportation systems and their relationship to healthy urban environments, with attention to the role of the workshop in supporting knowledge to policy translation for urban health. METHODS: We conducted 18 semi-structured qualitative interviews with attendees one year after their participation in a CBSD workshop held in São Paulo, Brazil. A framework method approach was used to code participants’ responses and identify emerging themes. RESULTS: Participants reported that the workshop’s group model-building activities influenced their understanding of the knowledge–policy process as it relates to food and transport systems. Workshop contributed to participants’ (1) abilities to engage with multisectoral stakeholders, (2) construct a shared language and understanding of urban challenges, (3) improve understanding of the interconnectedness across food and transportation systems, (4) facilitate dialogue across sectors, and (5) apply a systems thinking approach within their sector and professional context. Participants continued to draw on the tools developed during the workshop, and to apply systems thinking to their research and policy-making activities. CONCLUSIONS: CBSD may offer valuable opportunities to connect the research sector to the policy-making process. This possibility may contribute to knowledge to policy translation in the interconnection between the urban context, food and transportation systems, and health. SUPPLEMENTARY INFORMATION: Supplementary information accompanies this paper at 10.1186/s12961-020-00663-0. BioMed Central 2021-04-01 /pmc/articles/PMC8015032/ /pubmed/33794907 http://dx.doi.org/10.1186/s12961-020-00663-0 Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Morais, Lidia Maria de Oliveira
Kuhlberg, Jill
Ballard, Ellis
Indvik, Katherine
Rocha, Solimar Carnavalli
Sales, Denise Marques
de Oliveira Cardoso, Letícia
Gouveia, Nelson
de Lima Friche, Amélia Augusta
Caiaffa, Waleska Teixeira
Promoting knowledge to policy translation for urban health using community-based system dynamics in Brazil
title Promoting knowledge to policy translation for urban health using community-based system dynamics in Brazil
title_full Promoting knowledge to policy translation for urban health using community-based system dynamics in Brazil
title_fullStr Promoting knowledge to policy translation for urban health using community-based system dynamics in Brazil
title_full_unstemmed Promoting knowledge to policy translation for urban health using community-based system dynamics in Brazil
title_short Promoting knowledge to policy translation for urban health using community-based system dynamics in Brazil
title_sort promoting knowledge to policy translation for urban health using community-based system dynamics in brazil
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8015032/
https://www.ncbi.nlm.nih.gov/pubmed/33794907
http://dx.doi.org/10.1186/s12961-020-00663-0
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