Theory of systems change: An initial, middle-range theory of public health research impact

There is increasing attention on evidencing research impact and applying a systems thinking perspective in public health. However, there is limited understanding of the extent to which and how public health research that applies a systems thinking perspective contributes to changes in system behavio...

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Main Authors: Craike, M., Klepac, B., Mowle, Amy, Riley, T.
Format: Journal Article
Published: Oxford University Press 2023
Online Access:http://hdl.handle.net/20.500.11937/97919
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author Craike, M.
Klepac, B.
Mowle, Amy
Riley, T.
author_facet Craike, M.
Klepac, B.
Mowle, Amy
Riley, T.
author_sort Craike, M.
building Curtin Institutional Repository
collection Online Access
description There is increasing attention on evidencing research impact and applying a systems thinking perspective in public health. However, there is limited understanding of the extent to which and how public health research that applies a systems thinking perspective contributes to changes in system behaviour and improved population health outcomes. This paper addresses the theoretical limitations of research impact, theory-based evaluation and systems thinking, by drawing on their respective literature to develop an initial, middle-range Theory of Systems Change, focused on the contribution of public health research that takes a systems perspective on population health outcomes. The Theory of Systems Change was developed through four phases: (1) Preliminary activities, (2) Theory development, (3) Scripting into images, and (4) Examining against Merton’s criteria. The primary propositions are: that well-functioning systems create the conditions for improved population health outcomes; the inter-related properties of, and practices within, well-functioning systems include adaptation, alignment, collaboration and evidence-driven action and learning; and public health research contributes to population health outcomes by embedding capacity in the system. The Theory of Systems Change can guide researchers in developing project-specific theories of change and creates the theoretical architecture for the accumulation of learning. The Theory of Systems Change is necessarily incomplete and an initial attempt to develop a theory to be scrutinized and tested. Ultimately, it seeks to advance theory and provide evidence-based guidance to maximize the contribution of research. We provide examples of how we have applied the Theory of Systems Change to Pathways in Place.
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spelling curtin-20.500.11937-979192025-07-16T03:29:53Z Theory of systems change: An initial, middle-range theory of public health research impact Craike, M. Klepac, B. Mowle, Amy Riley, T. There is increasing attention on evidencing research impact and applying a systems thinking perspective in public health. However, there is limited understanding of the extent to which and how public health research that applies a systems thinking perspective contributes to changes in system behaviour and improved population health outcomes. This paper addresses the theoretical limitations of research impact, theory-based evaluation and systems thinking, by drawing on their respective literature to develop an initial, middle-range Theory of Systems Change, focused on the contribution of public health research that takes a systems perspective on population health outcomes. The Theory of Systems Change was developed through four phases: (1) Preliminary activities, (2) Theory development, (3) Scripting into images, and (4) Examining against Merton’s criteria. The primary propositions are: that well-functioning systems create the conditions for improved population health outcomes; the inter-related properties of, and practices within, well-functioning systems include adaptation, alignment, collaboration and evidence-driven action and learning; and public health research contributes to population health outcomes by embedding capacity in the system. The Theory of Systems Change can guide researchers in developing project-specific theories of change and creates the theoretical architecture for the accumulation of learning. The Theory of Systems Change is necessarily incomplete and an initial attempt to develop a theory to be scrutinized and tested. Ultimately, it seeks to advance theory and provide evidence-based guidance to maximize the contribution of research. We provide examples of how we have applied the Theory of Systems Change to Pathways in Place. 2023 Journal Article http://hdl.handle.net/20.500.11937/97919 https://doi.org/10.1093/reseval/rvad030 http://creativecommons.org/licenses/by-nc/4.0/ Oxford University Press fulltext
spellingShingle Craike, M.
Klepac, B.
Mowle, Amy
Riley, T.
Theory of systems change: An initial, middle-range theory of public health research impact
title Theory of systems change: An initial, middle-range theory of public health research impact
title_full Theory of systems change: An initial, middle-range theory of public health research impact
title_fullStr Theory of systems change: An initial, middle-range theory of public health research impact
title_full_unstemmed Theory of systems change: An initial, middle-range theory of public health research impact
title_short Theory of systems change: An initial, middle-range theory of public health research impact
title_sort theory of systems change: an initial, middle-range theory of public health research impact
url http://hdl.handle.net/20.500.11937/97919