Assistant Professor of Practice, Director, (
K-12 Education Program Coordinator, (
J Sch Health. 2020 Dec;90(12):964-975. doi: 10.1111/josh.12961.
Frameworks such as the WSCC model provide evidence-based guidance for addressing school health at the school, district, and regional level. However, frameworks do not implement themselves; they require the mobilization and collaboration of stakeholders within communities and an understanding of the unique resources and barriers within each context. Furthermore, addressing school health presents a complex systems problem.
Community-based system dynamics (CBSD) is a participatory approach for engaging communities in understanding and changing complex systems. We used a descriptive multiple case study design to evaluate how and why CBSD was used as a tool for stakeholders to engage with the complexity of school health.
We analyzed 3 cases to understand how these methods were used to enhance collaboration, analysis, and community action at multiple levels, including in 2 school districts, with a city-wide stakeholder committee, and with a group of high school students.
Community-based system dynamics presents a promising approach for building shared language and ownership among stakeholders, tailoring to local community contexts, and mobilizing stakeholders for action based on new system insights. We close with a discussion of unique opportunities and challenges of expanding the use of CBSD in the field of school health.
WSCC 模型等框架为在学校、地区和区域层面解决学校健康问题提供了循证指导。然而，框架本身并不能实施；它们需要在社区内调动和协调利益相关者，并了解每个背景下独特的资源和障碍。此外，解决学校健康问题提出了一个复杂的系统问题。
基于社区的系统动力学（CBSD）是一种参与式方法，用于让社区参与理解和改变复杂系统。我们使用描述性的多案例研究设计来评估 CBSD 如何以及为何被用作工具，使利益相关者能够应对学校健康的复杂性。
我们分析了 3 个案例，以了解这些方法如何用于在多个层面上增强协作、分析和社区行动，包括在 2 个学区、一个全市利益相关者委员会以及一组高中生中。
基于社区的系统动力学为利益相关者之间建立共同语言和所有权、适应当地社区背景以及根据新的系统见解动员利益相关者采取行动提供了一种有前途的方法。最后，我们讨论了在学校健康领域扩大 CBSD 使用的独特机会和挑战。
