How do behavioral public policy experts see the role of complex systems perspectives? An expert interview study.

IF 3.6 3区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Translational Behavioral Medicine Pub Date : 2024-06-27 DOI:10.1093/tbm/ibae024
Sarmite Puukko, Matti T J Heino, Katri Kostamo, Kaisa Saurio, Falko F Sniehotta, Nelli Hankonen
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Abstract

Amidst the global momentum of behavioral insights (BI), there has been a shift from mostly nudge-based BI applications to systemic approaches. This is particularly pressing in public health, where interacting issues regularly produce unanticipated consequences. Regardless, little is known about adopting complex systems approaches in behavioral public policy. This study aims to capture current practices of international BI experts on the definition, application, drivers, and hindering factors in adopting complex systems approaches in public policy. Semi-structured individual expert interviews (n = 12) of international BI experts with extensive experience in educating, cooperating with, and/or advising public servants were analyzed with inductive content analysis. While the working definition of BI aligned with published definitions, experts varied in their descriptions of complex systems approaches and its significance for public policy, including socioecological aspects, systematic BI use across policy stages, recognizing intertwined behavior, and lack of ready-made solutions. They emphasized the importance of systems approaches, identifying drivers (e.g. need for a broader focus) and hindrances (e.g. pressure for quick results). Embracing complex systems in behavioral public policy provides a holistic perspective, extending beyond simple nudges, sometimes presumed as universally applicable. While complexity perspectives would align with policymakers' worldview, applications require more work to tailor to local situations and to evaluate. Recognizing that, given their distinct expertise content, BI expertise can be quite different from complex systems expertise. The field would benefit from clear descriptions and specialized training for effective integration and advocacy for these approaches.

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行为公共政策专家如何看待复杂系统视角的作用?专家访谈研究。
在行为洞察(BI)的全球发展势头中,BI 的应用已从主要基于劝告转向系统性方法。这一点在公共卫生领域尤为迫切,因为在公共卫生领域,相互影响的问题经常会产生意想不到的后果。然而,人们对在行为公共政策中采用复杂系统方法知之甚少。本研究旨在了解国际商业智能专家在公共政策中采用复杂系统方法的定义、应用、驱动因素和阻碍因素方面的现行做法。本研究采用归纳式内容分析法,对在教育公务员、与公务员合作和/或为公务员提供建议方面具有丰富经验的国际商业智能专家进行了半结构化个人专家访谈(n = 12)。虽然商业智能的工作定义与已公布的定义一致,但专家们对复杂系统方法及其对公共政策的意义的描述各不相同,包括社会生态方面、在各政策阶段系统地使用商业智能、认识到相互交织的行为以及缺乏现成的解决方案。他们强调了系统方法的重要性,确定了驱动因素(如需要更广泛的关注)和阻碍因素(如急功近利的压力)。在行为公共政策中采用复杂系统提供了一个整体视角,超越了有时被假定为普遍适用的简单提示。虽然复杂性视角与决策者的世界观相吻合,但其应用需要更多的工作来适应当地情况并进行评估。认识到鉴于其不同的专业知识内容,商业智能专业知识可能与复杂系统专业知识大相径庭。为有效整合和宣传这些方法,应进行明确说明和专门培训,这将使该领域受益匪浅。
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来源期刊
Translational Behavioral Medicine
Translational Behavioral Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH -
CiteScore
6.80
自引率
0.00%
发文量
87
期刊介绍: Translational Behavioral Medicine publishes content that engages, informs, and catalyzes dialogue about behavioral medicine among the research, practice, and policy communities. TBM began receiving an Impact Factor in 2015 and currently holds an Impact Factor of 2.989. TBM is one of two journals published by the Society of Behavioral Medicine. The Society of Behavioral Medicine is a multidisciplinary organization of clinicians, educators, and scientists dedicated to promoting the study of the interactions of behavior with biology and the environment, and then applying that knowledge to improve the health and well-being of individuals, families, communities, and populations.
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