Evidence map›Paper›PMID 42091186›Full record

ArticleBMJ open quality2026

Participatory system dynamics in implementation science practice: a scoping review of methods, contexts and outcomes.

Lauren Caton, Lindsey Zimmerman, Anna Kahkoska, Benjamin A Goldstein, Nina Sperber

Abstract readScoping Review
In one paragraph

Article in BMJ open quality, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

5 authors.

Lauren CatonGillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA catonlauren@gmail.com.ORCID 0000-0002-4376-1251
Lindsey ZimmermanOffice of Mental Health, National Center for PTSD, Veterans Health Administration, Washington, District of Columbia, USA.
Anna KahkoskaGillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Benjamin A GoldsteinDepartment of Population Health Sciences, Duke University School of Medicine, Durham, North Carolina, USA.
Nina SperberDepartment of Population Health Sciences, Duke University School of Medicine, Durham, North Carolina, USA.

Funding

NIH HHS K01-AG084971NIH HHS R01-DA046651NIH National Library of Medicine 5R21-LM013649-02
6 · The paper itself

Abstract

backgroundThis scoping review documents participatory system dynamics (PSD) applications in implementation science (IS) studies following a recent, increased integration of the two fields in the USA. It aims to illustrate 'how' and 'why' PSD modelling improves understanding of determinants of implementation outcomes for quality improvement.

methodsWe queried PubMed and PsycInfo for PSD, IS and their synonyms (community-based system dynamics or group model building, dissemination, quality improvement, translational research or knowledge translation). USA-based empirical studies were included when they described synchronous participatory activities to define a modelling problem over time. Studies were included when PSD was used as an implementation research method or implementation practice strategy. Fifty-eight studies on concept mapping were excluded, as were 65 intervention mapping studies. Nine articles remained after full-text review.

resultsMost studies (n=7) investigated PSD itself as the intervention for understanding an implementation problem or use it as a tool to understand how to implement an evidence-based practice (n=4) or select an IS strategy (n=3). Most articles were case studies, investigating feasibility and knowledge translation during the preparation phase.

conclusionsWe recommend that implementation research and practice clarify whether PSD is used as a method to uncover contextual determinants or strategy to do so. PSD has strong potential to use enhanced participant buy-in and problem definition to understand 'how' implementation strategies account for cyclical and temporal determinants. Greater alignment between PSD activities, participatory theory, implementation phases and outcomes is needed to strengthen evaluation of PSD's applications in IS. REGISTRATION: The protocol for this paper is listed in the UNC Libraries repository (https://cdr.lib.unc.edu/concern/scholarly_works/6682xg09r).

Indexed as

Implementation ScienceHumansQuality ImprovementCommunity-Based Participatory ResearchDecision makingFocus GroupsHealth services researchImplementation science

Identifiers

PMID42091186
PMCPMC13150893

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.