ArticleSocial science & medicine (1982)2019
Dynamics of intervention adoption, implementation, and maintenance inside organizations: The case of an obesity prevention initiative.
Article in Social science & medicine (1982), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
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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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Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.
- Qualitative process evaluation from a complex systems perspective: A systematic review and framework for public health evaluators.PLoS medicine · 2020Pooled it
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- Implementation Components of Diabetes Prevention Programs after Gestational Diabetes Mellitus: A Scoping Review.Current diabetes reports · 2025Article
- Enhancing noncommunicable public health programs: A system dynamics approach to understanding reach, maintenance, and implementation costs.Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2025Article
- Simulated retail food environments: A literature review of systems science approaches to advance equity in access to healthy diets.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025Review
- Developing Group Model-Building Workshops for Children's Healthy Living Food Systems.Current developments in nutrition · 2025Article
- A co-designed conceptual model for implementing falls prevention programmes for community-dwelling older adults in Singapore: a systems thinking approach.Age and ageing · 2025Article
- Considerations for using participatory systems modeling as a tool for implementation mapping in chronic disease prevention.Annals of epidemiology · 2025Article
- Factors influencing adoption of sexual and reproductive health intervention for adolescents in Ebonyi, Nigeria.BMC health services research · 2024Article
- Elusive boundaries: using an attribute framework to describe systems for population physical activity promotion.Health promotion international · 2024Article
- Planning, implementing and governing systems-based co-creation: the DISCOVER framework.Health research policy and systems · 2024Article
- Design of theFrontiers in public health · 2024Article
- Constructing causal loop diagrams from large interview data sets.System dynamics review · 2024Article
- Modeling Supply and Demand Dynamics of Vaccines against Epidemic-Prone Pathogens: Case Study of Ebola Virus Disease.Vaccines · 2023Article
- Applications of Complex Systems Models to Improve Retail Food Environments for Population Health: A Scoping Review.Advances in nutrition (Bethesda, Md.) · 2022Article
- Assessing the Dynamic Outcomes of Containment Strategies against COVID-19 under Different Public Health Governance Structures: A Comparison between Pakistan and Bangladesh.International journal of environmental research and public health · 2022Article
- The Public Health 12 framework: interpreting the 'Meadows 12 places to act in a system' for use in public health.Archives of public health = Archives belges de sante publique · 2022Article
- Critical factors that affect the functioning of a research and evaluation capacity building partnership: A causal loop diagram.PloS one · 2022Article
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Corrections and comments
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Authors and funding
6 authors at 4 institutions in 2 countries.
Funding
Abstract
Overall impact of public health prevention interventions relies not only on the average efficacy of an intervention, but also on the successful adoption, implementation, and maintenance (AIM) of that intervention. In this study, we aim to understand the dynamics that regulate AIM of organizational level intervention programs. We focus on two well-documented obesity prevention interventions, implemented in food carry-outs and stores in low-income urban areas of Baltimore, Maryland, which aimed to improve dietary behaviour for adults by providing access to healthier foods and point-of-purchase promotions. Building on data from field observations, in-depth interviews, and data discussed in previous publications, as well as the strategy and organizational behaviour literature, we developed a system dynamics model of the key processes of AIM. With simulation analysis, we show several reinforcing mechanisms that span stakeholder motivation, communications, and implementation quality and costs can turn small changes in the process of AIM into big difference in the overall impact of the intervention. Specifically, small changes in the allocation of resources to communication with stakeholders of intervention could have a nonlinear long-term impact if those additional resources can turn stakeholders into allies of the intervention, reducing the erosion rates and enhancing sustainability. We present how the dynamics surrounding communication, motivation, and erosion can create significant heterogeneity in the overall impact of otherwise similar interventions. Therefore, careful monitoring of how those dynamics unfold, and timely adjustments to keep the intervention on track are critical for successful implementation and maintenance.
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Registered trials
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