ArticlePreventing chronic disease2018
Using Behavior Over Time Graphs to Spur Systems Thinking Among Public Health Practitioners.
Article in Preventing chronic disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
What it found
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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.
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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.
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Who cites it
16 citing papers in PubMed, 33 citations in OpenAlex.
- Evaluating the use of participatory system dynamics group model building for expanding systems thinking capacity among community-based stakeholders.Journal of prevention & intervention in the community · 2026Article
- FERTILITY CARE IN LOW AND MIDDLE INCOME COUNTRIES: Implementing fertility care: insights from a participatory workshop in The Gambia.Reproduction & fertility · 2024Review
- Use of systems thinking and adapted group model building methods to understand patterns of technology use among older adults with type 1 diabetes: a preliminary process evaluation.BMC medical research methodology · 2024Article
- Assessing the implementation of a multi-component hypertension program in a Guatemalan under-resourced dynamic context: an application of the RE-AIM/PRISM extension for sustainability and health equity.Implementation science communications · 2024Article
- Participatory Causal Loop Diagrams Building for Supporting Decision-Makers Integrating Flood Risk Management in an Urban Regeneration Process.Earth's future · 2024Article
- Strengthening the System Supporting Perinatal People with Substance Use Disorder in the Midwest Using Group Model Building.Maternal and child health journal · 2023Article
- Measuring Shifts in Mental Models in the Prevention of Childhood Obesity in Rural Australia.Health education & behavior : the official publication of the Society for Public Health Education · 2023Article
- Understanding health-related quality of life trajectories among older adults with diabetes mellitus: Mixed methods research.Nursing open · 2023Article
- Making the invisible visible: Using a qualitative system dynamics model to map disparities in cumulative environmental stressors and children's neurodevelopment.Environmental research · 2023Article
- Development of the Systems Thinking for Health Actions framework: a literature review and a case study.BMJ global health · 2023Review
- Review
- Designing for Dissemination and Sustainability to Promote Equitable Impacts on Health.Annual review of public health · 2022Review
- Community-based Systems Dynamics for Reproductive Health: An Example from Urban Ohio.Progress in community health partnerships : research, education, and action · 2022Article
- Defining and Intervening on Cumulative Environmental Neurodevelopmental Risks: Introducing a Complex Systems Approach.Environmental health perspectives · 2021Article
- Integrating complex systems science into road safety research and practice, part 1: review of formative concepts.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2020Review
- Novel participatory methods for co-building an agent-based model of physical activity with youth.PloS one · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Public health practitioners can use Behavior Over Time (BOT) graphs to spur discussion and systems thinking around complex challenges. Multiple large systems, such as health care, the economy, and education, affect chronic disease rates in the United States. System thinking tools can build public health practitioners' capacity to understand these systems and collaborate within and across sectors to improve population health. BOT graphs show a variable, or variables (y axis) over time (x axis). Although analyzing trends is not new to public health, drawing BOT graphs, annotating the events and systemic forces that are likely to influence the depicted trends, and then discussing the graphs in a diverse group provides an opportunity for public health practitioners to hear each other's perspectives and creates a more holistic understanding of the key factors that contribute to a trend. We describe how BOT graphs are used in public health, how they can be used to generate group discussion, and how this process can advance systems-level thinking. Then we describe how BOT graphs were used with groups of maternal and child health (MCH) practitioners and partners (N = 101) during a training session to advance their thinking about MCH challenges. Eighty-six percent of the 84 participants who completed an evaluation agreed or strongly agreed that they would use this BOT graph process to engage stakeholders in their home states and jurisdictions. The BOT graph process we describe can be applied to a variety of public health issues and used by practitioners, stakeholders, and researchers.
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Registered trials
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.