TY  - JOUR
PY  - 2024//
TI  - The common drivers of children and young people's health and wellbeing across 13 local government areas: a systems view
JO  - BMC public health
A1  - O'Halloran, Siobhan A.
A1  - Hayward, Joshua
A1  - Valdivia Cabrera, Melissa
A1  - Felmingham, Tiana
A1  - Fraser, Penny
A1  - Needham, Cindy
A1  - Poorter, Jaimie
A1  - Creighton, Doug
A1  - Johnstone, Michael
A1  - Nichols, Melanie
A1  - Allender, Steven
SP  - e847
EP  - e847
VL  - 24
IS  - 1
N2  - BACKGROUND: System dynamics approaches, including group model building (GMB) and causal loop diagrams (CLDs), can be used to document complex public health problems from a community perspective. This paper aims to apply Social Network Analysis (SNA) methods to combine multiple CLDs created by local communities into a summary CLD, to identify common drivers of the health and wellbeing of children and young people. <br><br>METHODS: Thirteen community CLDs regarding children and young people health and wellbeing were merged into one diagram involving three steps: (1) combining variable names; (2) CLD merging, where multiple CLDs were combined into one CLD with a set of unique variables and connections; (3) paring, where the Decision-Making Trial and Evaluation Laboratory (DEMATEL) method was used to generate a cut-point to reduce the number of variables and connections and to rank the overall importance of each variable in the merged CLD. <br><br>RESULTS: Combining variable names resulted in 290 variables across the 13 CLDS. A total of 1,042 causal links were identified in the merged CLD. The DEMATEL analysis of the merged CLD identified 23 common variables with a net importance between 1.0 and 4.5 R + C values and 57 causal links. The variables with the highest net importance were 'mental health' and 'social connection & support' classified as high net receivers of influence within the system. <br><br>CONCLUSIONS: Combining large CLDs into a simple diagram represents a generalisable model of the drivers of complex health problems.<p />  <p>Language: en</p>
LA  - en
SN  - 1471-2458
UR  - http://dx.doi.org/10.1186/s12889-024-18354-8
ID  - ref1
ER  -