Using Participatory System Dynamics Modeling to Examine the Local HIV Test and Treatment Care Continuum in Order to Reduce Community Viral Load

Margaret R. Weeks, Jianghong Li, David W. Lounsbury, Helena Danielle Green, Maryann Abbott, Marcie Berman, Lucy Rohena, Rosely Gonzalez, Shawn Lang, Heather Mosher

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Achieving community-level goals to eliminate the HIV epidemic requires coordinated efforts through community consortia with a common purpose to examine and critique their own HIV testing and treatment (T&T) care system and build effective tools to guide their efforts to improve it. Participatory system dynamics (SD) modeling offers conceptual, methodological, and analytical tools to engage diverse stakeholders in systems conceptualization and visual mapping of dynamics that undermine community-level health outcomes and identify those that can be leveraged for systems improvement. We recruited and engaged a 25-member multi-stakeholder Task Force, whose members provide or utilize HIV-related services, to participate in SD modeling to examine and address problems of their local HIV T&T service system. Findings from the iterative model building sessions indicated Task Force members’ increasingly complex understanding of the local HIV care system and demonstrated their improved capacity to visualize and critique multiple models of the HIV T&T service system and identify areas of potential leverage. Findings also showed members’ enhanced communication and consensus in seeking deeper systems understanding and options for solutions. We discuss implications of using these visual SD models for subsequent simulation modeling of the T&T system and for other community applications to improve system effectiveness.

Original languageEnglish (US)
Pages (from-to)584-598
Number of pages15
JournalAmerican Journal of Community Psychology
Volume60
Issue number3-4
DOIs
StatePublished - Dec 1 2017

Fingerprint

Continuity of Patient Care
Viral Load
HIV
community
Advisory Committees
Therapeutics
Health Status
stakeholder

Keywords

  • Community viral load
  • Group model building
  • Human immunodeficiency virus
  • Participatory
  • System dynamics modeling
  • Test and treatment

ASJC Scopus subject areas

  • Health(social science)
  • Applied Psychology
  • Public Health, Environmental and Occupational Health

Cite this

Using Participatory System Dynamics Modeling to Examine the Local HIV Test and Treatment Care Continuum in Order to Reduce Community Viral Load. / Weeks, Margaret R.; Li, Jianghong; Lounsbury, David W.; Green, Helena Danielle; Abbott, Maryann; Berman, Marcie; Rohena, Lucy; Gonzalez, Rosely; Lang, Shawn; Mosher, Heather.

In: American Journal of Community Psychology, Vol. 60, No. 3-4, 01.12.2017, p. 584-598.

Research output: Contribution to journalArticle

Weeks, Margaret R. ; Li, Jianghong ; Lounsbury, David W. ; Green, Helena Danielle ; Abbott, Maryann ; Berman, Marcie ; Rohena, Lucy ; Gonzalez, Rosely ; Lang, Shawn ; Mosher, Heather. / Using Participatory System Dynamics Modeling to Examine the Local HIV Test and Treatment Care Continuum in Order to Reduce Community Viral Load. In: American Journal of Community Psychology. 2017 ; Vol. 60, No. 3-4. pp. 584-598.
@article{636829417ad24cf280bf67d361778981,
title = "Using Participatory System Dynamics Modeling to Examine the Local HIV Test and Treatment Care Continuum in Order to Reduce Community Viral Load",
abstract = "Achieving community-level goals to eliminate the HIV epidemic requires coordinated efforts through community consortia with a common purpose to examine and critique their own HIV testing and treatment (T&T) care system and build effective tools to guide their efforts to improve it. Participatory system dynamics (SD) modeling offers conceptual, methodological, and analytical tools to engage diverse stakeholders in systems conceptualization and visual mapping of dynamics that undermine community-level health outcomes and identify those that can be leveraged for systems improvement. We recruited and engaged a 25-member multi-stakeholder Task Force, whose members provide or utilize HIV-related services, to participate in SD modeling to examine and address problems of their local HIV T&T service system. Findings from the iterative model building sessions indicated Task Force members’ increasingly complex understanding of the local HIV care system and demonstrated their improved capacity to visualize and critique multiple models of the HIV T&T service system and identify areas of potential leverage. Findings also showed members’ enhanced communication and consensus in seeking deeper systems understanding and options for solutions. We discuss implications of using these visual SD models for subsequent simulation modeling of the T&T system and for other community applications to improve system effectiveness.",
keywords = "Community viral load, Group model building, Human immunodeficiency virus, Participatory, System dynamics modeling, Test and treatment",
author = "Weeks, {Margaret R.} and Jianghong Li and Lounsbury, {David W.} and Green, {Helena Danielle} and Maryann Abbott and Marcie Berman and Lucy Rohena and Rosely Gonzalez and Shawn Lang and Heather Mosher",
year = "2017",
month = "12",
day = "1",
doi = "10.1002/ajcp.12204",
language = "English (US)",
volume = "60",
pages = "584--598",
journal = "American Journal of Community Psychology",
issn = "0091-0562",
publisher = "Springer New York",
number = "3-4",

}

TY - JOUR

T1 - Using Participatory System Dynamics Modeling to Examine the Local HIV Test and Treatment Care Continuum in Order to Reduce Community Viral Load

AU - Weeks, Margaret R.

AU - Li, Jianghong

AU - Lounsbury, David W.

AU - Green, Helena Danielle

AU - Abbott, Maryann

AU - Berman, Marcie

AU - Rohena, Lucy

AU - Gonzalez, Rosely

AU - Lang, Shawn

AU - Mosher, Heather

PY - 2017/12/1

Y1 - 2017/12/1

N2 - Achieving community-level goals to eliminate the HIV epidemic requires coordinated efforts through community consortia with a common purpose to examine and critique their own HIV testing and treatment (T&T) care system and build effective tools to guide their efforts to improve it. Participatory system dynamics (SD) modeling offers conceptual, methodological, and analytical tools to engage diverse stakeholders in systems conceptualization and visual mapping of dynamics that undermine community-level health outcomes and identify those that can be leveraged for systems improvement. We recruited and engaged a 25-member multi-stakeholder Task Force, whose members provide or utilize HIV-related services, to participate in SD modeling to examine and address problems of their local HIV T&T service system. Findings from the iterative model building sessions indicated Task Force members’ increasingly complex understanding of the local HIV care system and demonstrated their improved capacity to visualize and critique multiple models of the HIV T&T service system and identify areas of potential leverage. Findings also showed members’ enhanced communication and consensus in seeking deeper systems understanding and options for solutions. We discuss implications of using these visual SD models for subsequent simulation modeling of the T&T system and for other community applications to improve system effectiveness.

AB - Achieving community-level goals to eliminate the HIV epidemic requires coordinated efforts through community consortia with a common purpose to examine and critique their own HIV testing and treatment (T&T) care system and build effective tools to guide their efforts to improve it. Participatory system dynamics (SD) modeling offers conceptual, methodological, and analytical tools to engage diverse stakeholders in systems conceptualization and visual mapping of dynamics that undermine community-level health outcomes and identify those that can be leveraged for systems improvement. We recruited and engaged a 25-member multi-stakeholder Task Force, whose members provide or utilize HIV-related services, to participate in SD modeling to examine and address problems of their local HIV T&T service system. Findings from the iterative model building sessions indicated Task Force members’ increasingly complex understanding of the local HIV care system and demonstrated their improved capacity to visualize and critique multiple models of the HIV T&T service system and identify areas of potential leverage. Findings also showed members’ enhanced communication and consensus in seeking deeper systems understanding and options for solutions. We discuss implications of using these visual SD models for subsequent simulation modeling of the T&T system and for other community applications to improve system effectiveness.

KW - Community viral load

KW - Group model building

KW - Human immunodeficiency virus

KW - Participatory

KW - System dynamics modeling

KW - Test and treatment

UR - http://www.scopus.com/inward/record.url?scp=85034663048&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85034663048&partnerID=8YFLogxK

U2 - 10.1002/ajcp.12204

DO - 10.1002/ajcp.12204

M3 - Article

VL - 60

SP - 584

EP - 598

JO - American Journal of Community Psychology

JF - American Journal of Community Psychology

SN - 0091-0562

IS - 3-4

ER -