Evidence map›Paper›PMID 26961081›Full record

ArticleEnvironmental health : a global access science source2016

Integrated decision-making about housing, energy and wellbeing: a qualitative system dynamics model.

Alexandra Macmillan, Michael Davies, Clive Shrubsole, Naomi Luxford, Neil May, Lai Fong Chiu, Evelina Trutnevyte, Yekatherina Bobrova, Zaid Chalabi

Abstract read
In one paragraph

Article in Environmental health : a global access science source, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Improving health in cities through systems approaches for urban water management.Environmental health : a global access science source · 2016
    Article
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Alexandra MacmillanComplex Built Environment Systems (CBES), UCL Institute for Environmental Design and Engineering, UCL, London, UK. alex.macmillan@otago.ac.nz.
Michael DaviesComplex Built Environment Systems (CBES), UCL Institute for Environmental Design and Engineering, UCL, London, UK. michael.davies@ucl.ac.uk.
Clive ShrubsoleComplex Built Environment Systems (CBES), UCL Institute for Environmental Design and Engineering, UCL, London, UK. clive.shrubsole.09@ucl.ac.uk.
Naomi LuxfordComplex Built Environment Systems (CBES), UCL Institute for Environmental Design and Engineering, UCL, London, UK. naomiluxford@hotmail.com.
Neil MayComplex Built Environment Systems (CBES), UCL Institute for Environmental Design and Engineering, UCL, London, UK. neil@natural-building.co.uk.
Lai Fong ChiuUCL Energy Institute, The Bartlett, UCL, London, UK. laifong.chiu@ucl.ac.uk.
Evelina TrutnevyteUCL Energy Institute, The Bartlett, UCL, London, UK. evelina.trutnevyte@alumni.ethz.ch.
Yekatherina BobrovaComplex Built Environment Systems (CBES), UCL Institute for Environmental Design and Engineering, UCL, London, UK. yekatherina.bobrova.12@ucl.ac.uk.
Zaid ChalabiDepartment of Social and Environmental Health Research, LSHTM, London, UK. Zaid.Chalabi@lshtm.ac.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe UK government has an ambitious goal to reduce carbon emissions from the housing stock through energy efficiency improvements. This single policy goal is a strong driver for change in the housing system, but comes with positive and negative "unintended consequences" across a broad range of outcomes for health, equity and environmental sustainability. The resulting policies are also already experiencing under-performance through a failure to consider housing as a complex system. This research aimed to move from considering disparate objectives of housing policies in isolation to mapping the links between environmental, economic, social and health outcomes as a complex system. We aimed to support a broad range of housing policy stakeholders to improve their understanding of housing as a complex system through a collaborative learning process.

methodsWe used participatory system dynamics modelling to develop a qualitative causal theory linking housing, energy and wellbeing. Qualitative interviews were followed by two interactive workshops to develop the model, involving representatives from national and local government, housing industries, non-government organisations, communities and academia.

resultsMore than 50 stakeholders from 37 organisations participated. The process resulted in a shared understanding of wellbeing as it relates to housing; an agreed set of criteria against which to assess to future policy options; and a comprehensive set of causal loop diagrams describing the housing, energy and wellbeing system. The causal loop diagrams cover seven interconnected themes: community connection and quality of neighbourhoods; energy efficiency and climate change; fuel poverty and indoor temperature; household crowding; housing affordability; land ownership, value and development patterns; and ventilation and indoor air pollution.

conclusionsThe collaborative learning process and the model have been useful for shifting the thinking of a wide range of housing stakeholders towards a more integrated approach to housing. The qualitative model has begun to improve the assessment of future policy options across a broad range of outcomes. Future work is needed to validate the model and increase its utility through computer simulation incorporating best quality data and evidence. Combining system dynamics modelling with other methods for weighing up policy options, as well as methods to support shifts in the conceptual frameworks underpinning policy, will be necessary to achieve shared housing goals across physical, mental, environmental, economic and social wellbeing.

Indexed as

Bioelectric Energy SourcesDecision MakingHousingLife StyleModels, TheoreticalHealth PolicyHumansPublic HealthUnited Kingdom

Identifiers

PMID26961081
PMCPMC4895316

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.