Novel participatory methods for co-building an agent-based model of physical activity with youth

Public health scholarship has increasingly called for the use of system science approaches to understand complex problems, including the use of participatory engagement to inform the modeling process. Some system science traditions, specifically system dynamics modeling, have an established participatory practice tradition. Yet, there remains limited guidance on engagement strategies using other modeling approaches like agent-based models. Our objective is to describe how we engaged adolescent youth in co-building an agent-based model about physical activity. Specifically, we aim to describe how we communicated technical aspects of agent-based models, the participatory activities we developed, and the resulting visual diagrams that were produced. We implemented six sessions with nine adolescent participants. To make technical aspects more accessible, we used an analogy that linked core components of agent-based models to elements of storytelling. We also implemented novel, facilitated activities that engaged youth in the development, annotation, and review of graphs over time, geographical maps, and state charts. The process was well-received by the participants and helped inform the basic structure of an agent-based model. The resulting visual diagrams created space for deeper discussion among participants about patterns of daily activity, important places for physical activity, and interactions between social and built environments. This work lays a foundation to develop and refine engagement strategies, especially for translating qualitative insights into quantitative model specifications such as ‘decision rules’.

[1]  Shawn T Brown,et al.  Simulating the Impact of Crime on African-American Women’s Physical Activity and Obesity , 2017, Obesity.

[2]  Ana V Diez Roux,et al.  Complex systems thinking and current impasses in health disparities research. , 2011, American journal of public health.

[3]  Kristen Hassmiller Lich,et al.  Moving alcohol prevention research forward—Part II: new directions grounded in community‐based system dynamics modeling , 2018, Addiction.

[4]  G. Colditz,et al.  Combining Community-Engaged Research with Group Model Building to Address Racial Disparities in Breast Cancer Mortality and Treatment. , 2018, Journal of health disparities research and practice.

[5]  Tiffany L. Young,et al.  Development of a Systems Science Curriculum to Engage Rural African American Teens in Understanding and Addressing Childhood Obesity Prevention , 2018, Health education & behavior : the official publication of the Society for Public Health Education.

[6]  Khary Bridgewater,et al.  A Community-Based Systems Learning Approach to Understanding Youth Violence in Boston , 2011, Progress in community health partnerships : research, education, and action.

[7]  George P. Richardson,et al.  Teamwork in group model building , 1995 .

[8]  J. Vader,et al.  A checklist for model credibility, salience, and legitimacy to improve information transfer in environmental policy assessments , 2016, Environ. Model. Softw..

[9]  B. Swinburn,et al.  Improving low fruit and vegetable intake in children: Findings from a system dynamics, community group model building study , 2019, PloS one.

[10]  François Bousquet,et al.  Role-playing games for opening the black box of multi-agent systems: method and lessons of its application to Senegal River Valley irrigated systems , 2001, J. Artif. Soc. Soc. Simul..

[11]  S. Allender,et al.  Generating political commitment for ending malnutrition in all its forms: A system dynamics approach for strengthening nutrition actor networks , 2019, Obesity reviews : an official journal of the International Association for the Study of Obesity.

[12]  Kristen Hassmiller Lich,et al.  Using Behavior Over Time Graphs to Spur Systems Thinking Among Public Health Practitioners , 2018, Preventing chronic disease.

[13]  A. Roux,et al.  Complex Systems Thinking and Current Impasses in Health Disparities Research , 2011 .

[14]  M. Weeks,et al.  Using Participatory System Dynamics Modeling to Examine the Local HIV Test and Treatment Care Continuum in Order to Reduce Community Viral Load. , 2017, American journal of community psychology.

[15]  François Bousquet,et al.  Companion modeling and multi-agent systems for integrated natural resource management in Asia , 2005 .

[16]  François Bousquet,et al.  Modelling with stakeholders within a development project , 2010, Environ. Model. Softw..

[17]  P. Mabry,et al.  A Call to Address Complexity in Prevention Science Research , 2013, Prevention Science.

[18]  Waleska Teixeira Caiaffa,et al.  Using community-based system dynamics modeling to understand the complex systems that influence health in cities: The SALURBAL study , 2019, Health & place.

[19]  Nathaniel D Osgood,et al.  Turning conceptual systems maps into dynamic simulation models: An Australian case study for diabetes in pregnancy , 2019, PloS one.

[20]  P. Arlien‐Søborg,et al.  Science of the Total Environment , 2018 .

[21]  George P. Richardson,et al.  Scripts for group model building , 1997 .

[22]  Jean-Francois Trani,et al.  Community based system dynamic as an approach for understanding and acting on messy problems: a case study for global mental health intervention in Afghanistan , 2016, Conflict and Health.

[23]  D. Andersen,et al.  Using Visual Representations as Boundary Objects to Resolve Conflict in Collaborative Model-Building Approaches , 2012 .

[24]  Gábor Király,et al.  Dynamics of participation: System dynamics and participation-An empirical review , 2019, Systems Research and Behavioral Science.

[25]  K. Stange,et al.  A Participatory Model of the Paradox of Primary Care , 2015, The Annals of Family Medicine.

[26]  François Bousquet,et al.  Modelling with stakeholders , 2010, Environ. Model. Softw..

[27]  Ann Marie White,et al.  Applying Critical Race Theory to Group Model Building Methods to Address Community Violence , 2016, Progress in community health partnerships : research, education, and action.

[28]  Ayaz Hyder,et al.  Designing an Agent-Based Model Using Group Model Building: Application to Food Insecurity Patterns in a U.S. Midwestern Metropolitan City , 2018, Journal of Urban Health.

[29]  M. Davies,et al.  Household air pollution in Nairobi's slums: A long-term policy evaluation using participatory system dynamics , 2019, The Science of the total environment.

[30]  George P. Richardson,et al.  Group Model-Building 'Scripts' as a Collaborative Planning Tool , 2012 .

[31]  Takeru Igusa,et al.  Incorporating Systems Science Principles into the Development of Obesity Prevention Interventions: Principles, Benefits, and Challenges , 2015, Current Obesity Reports.

[32]  Nishesh Chalise,et al.  Dynamics of sustained use and abandonment of clean cooking systems: study protocol for community-based system dynamics modeling , 2016, International Journal for Equity in Health.

[33]  Kristen Hassmiller Lich,et al.  Integrating Systems Science and Community-Based Participatory Research to Achieve Health Equity. , 2016, American journal of public health.