PMID- 35255970
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220311
IS  - 0778-7367 (Print)
IS  - 2049-3258 (Electronic)
IS  - 0778-7367 (Linking)
VI  - 80
IP  - 1
DP  - 2022 Mar 7
TI  - The Public Health 12 framework: interpreting the 'Meadows 12 places to act in a 
      system' for use in public health.
PG  - 72
LID - 10.1186/s13690-022-00835-0 [doi]
LID - 72
AB  - BACKGROUND: Systems science approaches have demonstrated effectiveness in 
      identifying underlying drivers of complex problems and facilitating the emergence 
      of potential interventions that are locally tailored, feasible, sustainable and 
      evidence informed. Despite the potential usefulness of system dynamics simulation 
      modelling and other systems science modelling techniques in guiding 
      implementation, time and cost constraints have limited its ability to provide 
      strong guidance on how to implement complex interventions in communities. 
      Guidance is required to ensure systems interventions lead to impactful systems 
      solutions, implemented utilising strategies from the intersecting fields of 
      systems science and implementation science. To provide cost-effective guidance on 
      how and where to implement in systems, we offer a translation of the 'Meadows 12 
      places to act in a system' (Meadows 12) into language useful for public health. 
      METHODS: This translation of Meadows 12 was informed by our experience in working 
      with 31 communities across two complex large scale randomised control trials and 
      one large whole of community case study. These research projects utilised systems 
      science and implementation science to co-create childhood obesity prevention 
      interventions. The team undertaking this translation comprised research 
      academics, implementation specialists and practitioners, practice-based 
      researchers and a systems dynamicist. Our translation of each of the Meadows 12 
      levels to act in the system maintains the fidelity and nuance of the 12 distinct 
      levels. We provide examples of each level of the Public Health 12 framework 
      (PH12) drawn from 31 communities. All research was conducted in Victoria, 
      Australia between 2016 and 2020. RESULTS: PH12 provides a framework to guide both 
      research and practice in real world contexts to implement targeted system level 
      interventions. PH12 can be used with existing implementation science theory to 
      identify relevant strategies for implementation of these interventions to impact 
      the system at each of the leverage points. CONCLUSION: To date little guidance 
      for public health practitioners and researchers exists regarding how to implement 
      systems change in community-led public health interventions. PH12 enables 
      operationalisation Meadows 12 systems theory into public health interventions. 
      PH12 can help research and practice determine where leverage can be applied in 
      the system to optimise public health systems level interventions and identify 
      gaps in existing efforts. TRIAL REGISTRATION: WHO STOPS: ANZCTR: 12616000980437 . 
      RESPOND: ANZCTR: 12618001986268p .
CI  - (c) 2022. The Author(s).
FAU - Bolton, Kristy A
AU  - Bolton KA
AD  - Institute for Physical Activity and Nutrition, School of Exercise and Nutrition 
      Sciences, Deakin University, Geelong, Australia.
AD  - Institute of Health Transformation, School of Health and Social Development, 
      Global Obesity Centre, Deakin University, Geelong, Australia.
FAU - Whelan, Jillian
AU  - Whelan J
AUID- ORCID: 0000-0001-9434-109X
AD  - Institute of Health Transformation, School of Medicine, Global Obesity Centre, 
      Deakin University, Geelong, Australia. jill.whelan@deakin.edu.au.
FAU - Fraser, Penny
AU  - Fraser P
AD  - Institute of Health Transformation, School of Health and Social Development, 
      Global Obesity Centre, Deakin University, Geelong, Australia.
FAU - Bell, Colin
AU  - Bell C
AD  - Institute of Health Transformation, School of Medicine, Global Obesity Centre, 
      Deakin University, Geelong, Australia.
FAU - Allender, Steven
AU  - Allender S
AD  - Institute of Health Transformation, School of Health and Social Development, 
      Global Obesity Centre, Deakin University, Geelong, Australia.
FAU - Brown, Andrew D
AU  - Brown AD
AD  - Institute of Health Transformation, School of Health and Social Development, 
      Global Obesity Centre, Deakin University, Geelong, Australia.
LA  - eng
GR  - GNT1114118/National Health and Medical Research Council/
GR  - GNT 1151572/National Health and Medical Research Council/
PT  - Journal Article
DEP - 20220307
PL  - England
TA  - Arch Public Health
JT  - Archives of public health = Archives belges de sante publique
JID - 9208826
PMC - PMC8900091
OTO - NOTNLM
OT  - Implementation
OT  - Leverage points
OT  - Public health
OT  - Systems science
OT  - Systems thinking
COIS- The authors declare that they have no competing interests.
EDAT- 2022/03/09 06:00
MHDA- 2022/03/09 06:01
PMCR- 2022/03/07
CRDT- 2022/03/08 05:33
PHST- 2021/11/07 00:00 [received]
PHST- 2022/02/20 00:00 [accepted]
PHST- 2022/03/08 05:33 [entrez]
PHST- 2022/03/09 06:00 [pubmed]
PHST- 2022/03/09 06:01 [medline]
PHST- 2022/03/07 00:00 [pmc-release]
AID - 10.1186/s13690-022-00835-0 [pii]
AID - 835 [pii]
AID - 10.1186/s13690-022-00835-0 [doi]
PST - epublish
SO  - Arch Public Health. 2022 Mar 7;80(1):72. doi: 10.1186/s13690-022-00835-0.