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The need for a complex systems model of evidence for public health
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“Traditionally, many action researchers in school interventions have followed the cycle of needs assessment, development, implementation, monitoring, and evaluation of change [23,24]. However, the limitation of following these steps is that they suggest a logical, causal process, which is difficult to identify in a complex school system initiative [25], where changes are interacting with each other”
From The Healthy Primary School of the Future: A Contextual Action-Oriented Research Approach (2018) · cites this paper as [26]
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“Since randomization is neither desirable nor feasible here [26], a quasi-experimental study design is used.”
From The Healthy Primary School of the Future: A Contextual Action-Oriented Research Approach (2018) · cites this paper as [26]
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“Thinking about systems helps us understand the interaction between an intervention and the context in which it is implemented in a dynamic way.22”
From A new framework for developing and evaluating complex interventions: update of Medical Research Council guidance (2021) · cites this paper as [22]
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Self-citationNorthcott, R. (2025) · doi:10.1093/9780191944352.001.0001 · Cited by 4
Navigating complexity: systems thinking insights on deploying the PSS for circular economy housing
Ghafoor, S., Kocatürk, T., Hosseini, M. R., Weiss, M., & Barnett, M. R. (2025) · Architectural Engineering and Design Management · doi:10.1080/17452007.2025.2529418 · Cited by 3
Metadata
- Authors
- Rutter, H., Savona, N., Glonti, K., Bibby, J., Cummins, S., Finegood, D. T., Greaves, F., Harper, L., Hawe, P., Moore, L., Petticrew, M., Rehfuess, E., Shiell, A., Thomas, J., & White, M.
- Affiliations
- London School of Hygiene & Tropical Medicine (GB)
- Health Foundation (GB)
- Simon Fraser University (CA)
- Public Health England (GB)
- The University of Sydney (AU)
- MRC/CSO Social and Public Health Sciences Unit (GB)
- Ludwig-Maximilians-Universität München (DE)
- La Trobe University (AU)
- University College London (GB)
- University of Cambridge (GB)
- Corresponding author
- Rutter, Harry
- ORCID
- Venue
- The Lancet
- Publisher
- Elsevier BV
- Published
- 2017-12
- Volume
- 390
- Issue
- 10112
- Pages
- 2602-2604
- ISSN
- 0099-5355 (ISSN-L)
- 0140-6736
- OpenAlex
- W2626277945
- Cited by
- 1,260
- References
- 33
- Citations by year
- 2026: 107 · 2025: 139 · 2024: 147 · 2023: 150 · 2022: 148 · 2021: 149 · 2020: 193 · 2019: 112 · 2018: 90 · 2017: 24
- FWCI
- 102.22
- Type
- journal article
- Language
- en
- Open access
- green
- doi.org
- Locations
- The Lancet (publishedVersion)
- PubMed (publishedVersion)
- ENLIGHTEN (Jurnal Bimbingan dan Konseling Islam) (acceptedVersion)
- LSHTM Research Online (London School of Hygiene and Tropical Medicine) (acceptedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Pure (University of Bath) (submittedVersion, cc-by-nc-nd)
- Spiral (Imperial College London) (submittedVersion, cc-by-nc-nd)
- Apollo (University of Cambridge) (submittedVersion, cc-by-nc-nd)
- Apollo
- Funders
- UK Medical Research Council (MC_UU_12017/14)
- Chief Scientist Office (SPHSU14)
- Topics
- Social Sciences › Public Administration › Evaluation and Performance Assessment
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Public Health Policies and Education
- Keywords
- complex systems, public health evidence, evidence-based public health, causal inference, public health interventions, intervention implementation
- MeSH terms
- Humans, Models, Theoretical, Public Health, Public Health Administration, Systems Analysis, Evidence-Based Practice
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