Evidence map›Paper›PMID 35564331›Full record

ArticleInternational journal of environmental research and public health2022

Community Co-Design of Regional Actions for Children's Nutritional Health Combining Indigenous Knowledge and Systems Thinking.

Pippa McKelvie-Sebileau, David Rees, David Tipene-Leach, Erica D'Souza, Boyd Swinburn, Sarah Gerritsen

Open access · goldAbstract read
In one paragraph

Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
9.2field-weighted citation impact, top 2% of its field
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

16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. Systems Science in Nutrition and Dietetics Research: A Practical Lens for Applying Systems Approaches in Research.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2026
    Review
  5. Article
  6. 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 · 2025
    Article
  7. Article
  8. Article
  9. Towards Regional Food Security and Food System Sustainability: Findings From a Stakeholder Cognitive Mapping Study.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Article
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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

6 authors at 4 institutions in 1 country.

Pippa McKelvie-SebileauSchool of Population Health, University of Auckland, Auckland 1023, New Zealand.ORCID 0000-0002-4337-7321
David ReesSynergia Consulting Ltd., Auckland 1011, New Zealand.ORCID 0000-0002-2167-0375
David Tipene-LeachResearch and Innovation Centre, Eastern Institute of Technology, Napier 4112, New Zealand.
Erica D'SouzaSchool of Future Environments, AUT University, Auckland 1141, New Zealand.
Boyd SwinburnSchool of Population Health, University of Auckland, Auckland 1023, New Zealand.
Sarah GerritsenSchool of Population Health, University of Auckland, Auckland 1023, New Zealand.ORCID 0000-0002-8365-5023
Eastern Institute of Technology · NZUniversity of Auckland · NZAuckland University of Technology · NZStatistics New Zealand · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Children's nutrition is highly influenced by community-level deprivation and socioeconomic inequalities and the health outcomes associated, such as childhood obesity, continue to widen. Systems Thinking using community-based system dynamics (CBSD) approaches can build community capacity, develop new knowledge and increase commitments to health improvement at the community level. We applied the formal structure and resources of a Group Model Building (GMB) approach, embedded within an Indigenous worldview to engage a high deprivation, high Indigenous population regional community in New Zealand to improve children's nutrition. Three GMB workshops were held and the youth and adult participants created two systems map of the drivers and feedback loops of poor nutrition in the community. Māori Indigenous knowledge (mātauranga) and approaches (tikanga) were prioritized to ensure cultural safety of participants and to encourage identification of interventions that take into account social and cultural environmental factors. While the adult-constructed map focused more on the influence of societal factors such as cost of housing, financial literacy in communities, and social security, the youth-constructed map placed more emphasis on individual-environment factors such as the influence of marketing by the fast-food industry and mental wellbeing. Ten prioritized community-proposed interventions such as increasing cultural connections in schools, are presented with the feasibility and likely impact for change of each intervention rated by community leaders. The combination of community-based system dynamics methods of group model building and a mātauranga Māori worldview is a novel Indigenous systems approach that engages participants and highlights cultural and family issues in the systems maps, acknowledging the ongoing impact of historical colonization in our communities.

Indexed as

Pediatric ObesityAdolescentAdultChildFast FoodsHumansIndigenous PeoplesSystems Analysischild nutritionfood environmentfood systemsgroup model buildingIndigenous knowledgesystem dynamics

Identifiers

PMID35564331
PMCPMC9106006
OpenAlexW4224274956

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.