Evidence map›Paper›PMID 40038671›Full record

ArticleHealth research policy and systems2025

Monitoring and adaptation of a system dynamics approach to prevent childhood overweight and obesity: findings from the LIKE programme.

Naomi de Pooter, Angie Luna Pinzon, Karen den Hertog, Teatske Altenburg, Vincent Busch, Coosje Dijkstra, Helga Emke, Meredith Overman, Carry Renders, Jacob Seidell and 4 more

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Article in Health research policy and systems, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. [Progress on the application of system dynamics model in the field of health management].Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences · 2025
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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

14 authors.

Naomi de PooterDepartment of Public and Occupational Health, Amsterdam UMC, Location Vrije Universiteit Amsterdam, De Boelelaan 1117, 1081BT, Amsterdam, The Netherlands.
Angie Luna PinzonDepartment of Public and Occupational Health, Amsterdam UMC, Location Vrije Universiteit Amsterdam, De Boelelaan 1117, 1081BT, Amsterdam, The Netherlands.
Karen den HertogAmsterdam Healthy Weight Approach, Public Health Service (GGD), City of Amsterdam, 1018WT, Amsterdam, The Netherlands.
Teatske AltenburgDepartment of Public and Occupational Health, Amsterdam UMC, Location Vrije Universiteit Amsterdam, De Boelelaan 1117, 1081BT, Amsterdam, The Netherlands.
Vincent BuschSarphati Amsterdam, Public Health Service (GGD), City of Amsterdam, Nieuwe Achtergracht 100, 1018 WT, Amsterdam, The Netherlands.
Coosje DijkstraDepartment of Public and Occupational Health, Amsterdam UMC, Location Vrije Universiteit Amsterdam, De Boelelaan 1117, 1081BT, Amsterdam, The Netherlands.
Helga EmkeDepartment of Public and Occupational Health, Amsterdam UMC, Location Vrije Universiteit Amsterdam, De Boelelaan 1117, 1081BT, Amsterdam, The Netherlands.
Meredith OvermanDepartment of Health Promotion, NUTRIM Institute of Nutrition and Translational Research in Metabolism, Maastricht University, 6229 HA, Maastricht, The Netherlands.
Carry RendersDepartment of Health Sciences, Faculty of Science, Vrije Universiteit Amsterdam, Amsterdam Public Health Research Institute, 1081HV, Amsterdam, The Netherlands.
Jacob SeidellDepartment of Health Sciences, Faculty of Science, Vrije Universiteit Amsterdam, Amsterdam Public Health Research Institute, 1081HV, Amsterdam, The Netherlands.
Arnoud VerhoeffSarphati Amsterdam, Public Health Service (GGD), City of Amsterdam, Nieuwe Achtergracht 100, 1018 WT, Amsterdam, The Netherlands.
Mai ChinapawDepartment of Public and Occupational Health, Amsterdam UMC, Location Vrije Universiteit Amsterdam, De Boelelaan 1117, 1081BT, Amsterdam, The Netherlands.
Karien StronksDepartment of Public and Occupational Health, Amsterdam UMC, Location Vrije Universiteit Amsterdam, De Boelelaan 1117, 1081BT, Amsterdam, The Netherlands.
Wilma WaterlanderDepartment of Public and Occupational Health, Amsterdam UMC, Location Vrije Universiteit Amsterdam, De Boelelaan 1117, 1081BT, Amsterdam, The Netherlands. w.waterlander@amsterdamumc.nl.

Funding

Netherlands Cardiovascular Research Initiative CVON2016-07 LIKE
6 · The paper itself

Abstract

backgroundThere are few examples of public health programmes rooted in system dynamics methodology. The aim of this paper was to broaden the evidence-base on the implementation and evaluation of a system dynamics programme for obesity prevention, using the Lifestyle Innovations based on youth's Knowledge and Experience (LIKE) Programme as a case study. In LIKE, system dynamics principles were operationalized around three central pillars: the action programme is (1) rooted in a system-based understanding; (2) integrated in the local context and (3) dynamic.

methodsThis study took place in an urban setting in Amsterdam, the Netherlands, as part of the LIKE programme. The action programme consisted of establishing thematic action groups around previously identified leverage points within the system of overweight-related behaviours among adolescents. An action monitoring register was used to monitor action development and implementation, including the targeted system level. To track action implementation and adaptation over time, we conducted an in-depth evaluation using ripple effects mapping and additional interviews for three action groups. This data was analysed by performing a thematic content analysis.

resultsDuring the 6-year course of LIKE, 63 action ideas were formulated by 12 action groups, and 22 of these actions were implemented. Most of these implemented actions targeted lower system levels. A total of 9 of the 22 implemented actions were incorporated in existing initiatives. We observed that operationalization of system dynamics principles influenced the form of the action programme. Action ideas were dynamic in the sense that they changed over time or were abandoned because of growing system insights and/or factors within the wider context. This required shifting the focus from individual actions to the programme as a whole and formulating action ideas in terms of their function in changing the system, instead of on its form.

conclusionsUsing LIKE as a case study, this study provides an example of the output of a system dynamics action programme. We show how leverage points can be used as a starting point to develop action ideas that target lower and higher system levels. This demands monitoring and evaluation that facilitates continuous customization of the programme.

Indexed as

Health PromotionOverweightPediatric ObesityAdolescentChildExerciseFemaleHealth BehaviorHumansLife StyleMaleNetherlandsProgram EvaluationPublic HealthSystems AnalysisAdolescentsComplex adaptive systemsEvaluationLeverage pointsOverweight and obesityWhole-of-systems approaches

Identifiers

PMID40038671
PMCPMC11881247

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LicenceCC BY-NC-ND
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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.