Ter Bogt Maud J J, Bevelander Kirsten E, Scholte Iris E, Huttenhuis Tessa, de Rooij Allia C, Molleman Gerard R M, van den Muijsenbergh Maria E T C, Fransen Gerdine A J
Primary and Community Care, Radboud University Medical Centre, Nijmegen, The Netherlands.
AMPHI Academic Collaborative Centre, Nijmegen, The Netherlands.
Eval Health Prof. 2025 Aug 14:1632787251368438. doi: 10.1177/01632787251368438.
Learning communities (LCs) stimulate the learning and cross-sectoral collaboration that are essential in multidisciplinary challenges, such as healthy weight approaches (HWAs). Previous research on two multidisciplinary LCs about HWAs devised a causal loop diagram (CLD) identifying dynamics (i.e., mechanisms) that describe the functioning of LCs during their starting phase (first 6 months after LC start). As LCs are likely to develop over project phases, this study aimed to ascertain whether and how the LC system dynamics were perceived to develop over time. Qualitative interviews conducted with the LC members at a second juncture were processed to be able to update the initial CLD. The updated diagram indeed illustrated how the multidisciplinary LCs were perceived to develop. The CLD became more extensive and consequently further explained three aspects: the complexity and interrelatedness of group dynamics, gaining insights through exchange, and conditions to execute actions. To ensure adequate group dynamics, learning, and action execution, LC stakeholders can regularly use the CLD as a blueprint to identify solutions for LC bottlenecks, such as members limitedly arranging the LC jointly. Future research is needed to investigate whether such developments are caused by different LC project phases and/or by the number of LC meetings and reflections.
学习社区（LCs）促进了学习和跨部门合作，而这在多学科挑战中至关重要，比如健康体重管理方法（HWAs）。先前关于两个HWAs多学科学习社区的研究设计了一个因果循环图（CLD），以识别描述学习社区在启动阶段（学习社区启动后的前6个月）运作的动态过程（即机制）。由于学习社区可能会在项目阶段不断发展，本研究旨在确定学习社区系统动态是否以及如何随时间推移而发展。对学习社区成员在第二个时间节点进行的定性访谈经过处理，以便能够更新最初的因果循环图。更新后的图表确实展示了多学科学习社区是如何被认为在发展的。因果循环图变得更加详尽，从而进一步解释了三个方面：群体动态的复杂性和相互关联性、通过交流获得见解以及执行行动的条件。为确保有足够的群体动态、学习和行动执行，学习社区的利益相关者可以定期使用因果循环图作为蓝图，来确定解决学习社区瓶颈问题的方案，比如成员联合安排学习社区活动的机会有限。未来需要开展研究，以调查这些发展是由不同的学习社区项目阶段和/或学习社区会议及反思的次数所导致的。
