Evidence map›Paper›PMID 41130738›Full record

ReviewBMJ global health2025

Towards a complex systems model of evidence for public health.

Karien Stronks, Morten Hulvej Rod, Harry Rutter, Naja Hulvej Rod

Abstract readReview
In one paragraph

Review in BMJ global health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Karien StronksDepartment of Public and Occupational Health, Amsterdam UMC/University of Amsterdam, Amsterdam, The Netherlands k.stronks@amsterdamumc.nl.ORCID 0000-0002-0921-2232
Morten Hulvej RodNational Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark.ORCID 0000-0003-0178-5885
Harry RutterCentre for 21st Century Public Health, University of Bath, Bath, UK.ORCID 0000-0002-9322-0656
Naja Hulvej RodDepartment of Public Health, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0002-6400-5105

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There has been growing interest in the adoption of complex systems approaches to tackle major public health challenges such as obesity. This perspective redirects focus from individually oriented and narrowly focused interventions towards strategies that reshape structural drivers of health and disease across multiple levels, offering novel avenues for enhancing population health and tackling health inequalities. Despite growing consensus on the use of a complex systems model of evidence to support these kinds of approaches, there remains limited agreement on the types of evidence required both to understand and to tackle complex public health problems. In this paper, we propose a complex systems model of evidence that combines three types of evidence-causal, intervention, implementation-across three dimensions of complex systems-mechanisms, dynamics and patterns. This model thus identifies nine categories of evidence:

Indexed as

Public HealthHumansglobal healthhealth systemsprevention strategiespublic health

Identifiers

PMID41130738
PMCPMC12551516

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.