ArticleBMC medical research methodology2022
Using group model building to frame the commercial determinants of dietary behaviour in adolescence - proposed methods for online system mapping workshops.
Article in BMC medical research methodology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses 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.
The trial behind it
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Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Participatory systems mapping: a review of population health research practice.Health research policy and systems · 2026Pooled it
- Success of community-based system dynamics in prevention interventions: A systematic review of the literature.Frontiers in public health · 2023Pooled it
- Understanding Food Insecurity in Westminster, UK: A Community-Informed Systems Thinking Approach.Health expectations : an international journal of public participation in health care and health policy · 2026Article
- Applying a complex systems-informed approach to population health interventions: a methodological case-study example of traffic restriction schemes outside schools.BMC public health · 2026Article
- Using Expert Elicitation and Systems Mapping to Support Social Innovation in the (Blue) Food System: The Case of the UK's Plymouth Fish Finger.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2026Article
- Nurturing Care Systems Underlying Early Childhood Food Insecurity in Brazil: A Causal Loop Diagram Approach.Maternal & child nutrition · 2026Article
- An adaptive, youth-centred co-design methodology: place-based co-design centring youth and community participation.Research involvement and engagement · 2026Article
- Leveraging Community-Based System Dynamics to Understand Long Covid Disparities in African American Communities: A Model for Health Equity Research.Health expectations : an international journal of public participation in health care and health policy · 2025Article
- Causal Loop Diagrams of Food Systems, Diet, and Obesity: A Scoping Review of Methods, Contextual Factors, and Outcomes.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025Article
- Applying system dynamics methods for local obesity prevention: results from a group model building study in Amsterdam, the Netherlands.Health research policy and systems · 2025Article
- Expert insights into public health nutrition challenges: a rapid group model building demonstration workshop.Public health nutrition · 2025Article
- Study design of 'PASIBO' - co-creation and development of a physical activity intervention to patients with inflammatory bowel disease.BMC health services research · 2025Article
- Identifying areas for action to create healthier diets in the London Borough of Newham: systems mapping with residents.BMC public health · 2025Article
- Identifying mechanisms that shape the food environment in long-term healthcare facilities in the Netherlands: a participatory system dynamics approach.BMC public health · 2025Article
- Article
- Systems thinking for local food environments: a participatory approach identifying leverage points and actions for healthy and sustainable transformations.Health research policy and systems · 2024Article
- Building a Systems Map: Applying Systems Thinking to Unhealthy Commodity Industry Influence on Public Health Policy.International journal of health policy and management · 2024Article
- Complex Interventions for a Complex System? Using Systems Thinking to Explore Ways to Address Unhealthy Commodity Industry Influence on Public Health Policy.International journal of health policy and management · 2024Article
- Article
- Cultural adaptations and methodological innovations to group model building for the systems actions to reduce malnutrition in all its forms in Southeast Asian countries and China (SYSTAM CHINA-SEACS International Consortium) project.The international journal of behavioral nutrition and physical activity · 2023Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundGroup model building (GMB) is a participatory approach whereby diverse stakeholders can share their views about a problem to create a collective understanding of a complex system. In this article we report our methodological approach to adapt face-to-face GMB processes to an online format to explore the mechanisms by which commercial drivers influence adolescents' dietary behaviour. We use our experiences to make recommendations on how online GMB could be delivered.
methodsWe planned, adapted, piloted, delivered, and evaluated a series of online GMB workshops with adolescents, policymakers and public health practitioners to create a system map of the commercial determinants of dietary behaviour in adolescence. We adapted face-to-face GMB workshops to a series of 3 online GMB workshops with 11 adolescents (16-18 years) living in the Southwest of England, and one GMB workshop with policymakers and public health practitioners.
resultsIn our experience, adapting, and delivering GMB online is feasible, engaging, cost-saving and an enjoyable experience. Participants gave positive feedback in terms of engagement and enjoyment, and it allowed them to recognise different points of view about the same problem. Participants became familiarised with system thinking and system dynamics concepts, developed a shared understanding of a complex issue and portrayed it in a system map that depicted the most important factors in a causal structure as well as their interactions at various levels.
conclusionsWe recommend using process mapping to understand the overall GMB process in an online environment and piloting the workshops to test the timings and flow between online platforms. For facilitation and delivery, facilitators need to ensure they can create an inviting and engaging online environment, even for participants who decide to have their cameras off. Separating GMB activities into different workshops allowed participants to reflect on the problem being discussed and bring new ideas to subsequent workshops. Evaluating the workshops enabled us to build evidence on the trade-offs between the effectiveness, quality and efficiency of online GMB workshops, and how this might be enhanced to identify leverage points and achieve systemic changes in complex issues. ETHICAL APPROVAL: The research was approved by the University of Bristol's Faculty of Health Sciences Research Ethics Committee (Ref: 99,003) and written consent was received from all participants.
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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.