ArticleBulletin of the World Health Organization2021
Systems science for developing policy to improve physical activity, the Caribbean.
Article in Bulletin of the World Health Organization, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Participatory systems mapping: a review of population health research practice.Health research policy and systems · 2026Pooled it
- Using Collaborative Model Building to Better Understand the Mechanisms of Alcohol-Involved Sexual Violence on College Campuses: Post Hoc Protocol.JMIR research protocols · 2026Article
- Article
- Process evaluation of a participatory systems approach to promote health and well-being among students at vocational schools.Health education research · 2025Article
- 'It's about collaboration': a whole-systems approach to understanding and promoting movement in Suffolk.The international journal of behavioral nutrition and physical activity · 2025Article
- Collective learning for resilience in Global South cities: a community-based systems mapping approach to integrated climate and health action.Frontiers in public health · 2025Article
- A systems thinking framework for understanding rising childhood obesity in the Caribbean.Health research policy and systems · 2024Article
- Elusive boundaries: using an attribute framework to describe systems for population physical activity promotion.Health promotion international · 2024Article
- The use of participatory systems mapping as a research method in the context of non-communicable diseases and risk factors: a scoping review.Health research policy and systems · 2023Article
- A scoping review of complex systems methods used in population physical activity research: do they align with attributes of a whole system approach?Health research policy and systems · 2023Article
- A scoping review of systems approaches for increasing physical activity in populations.Health research policy and systems · 2022Article
- Exploring ways to respond to rising obesity and diabetes in the Caribbean using a system dynamics model.PLOS global public health · 2022Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
The World Health Organization (WHO) Global Action Plan on Physical Activity recommends adopting a systems approach to implementing and tailoring actions according to local contexts. We held group model-building workshops with key stakeholders in the Caribbean region to develop a causal loop diagram to describe the system driving the increasing physical inactivity in the region and envision the most effective ways of intervening in that system to encourage and promote physical activity. We used the causal loop diagram to inform how the WHO Global Action Plan on Physical Activity might be adapted to a local context. Although the WHO recommendations aligned well with our causal loop diagram, the diagram also illustrates the importance of local context in determining how interventions should be coordinated and implemented. Some interventions included creating safe physical activity spaces for both sexes, tackling negative attitudes to physical activity in certain contexts, including in schools and workplaces, and improving infrastructure for active transport. The causal loop diagram may also help understand how policies may be undermined or supported by key actors or where policies should be coordinated. We demonstrate how, in a region with a high level of physical inactivity and low resources, applying systems thinking with relevant stakeholders can help the targeted adaptation of global recommendations to local contexts.
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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.