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evaluation (4)

Evaluating systems change using REM .docx

Nobles et al. (2022) Ripple Effects Mapping.pdf

Systems approaches are currently being advocated and implemented to address complex challenges in Public Health. These approaches work by bringing multi-sectoral stakeholders together to develop a collective understanding of the system, and then to identify places where they can leverage change across the system. Systems approaches are unpredictable, where cause-and-effect cannot always be disentangled, and

Middle-aged to older adults given pedometers and a walking programme as part of two NIHR trials continued to be active three years later. In one trial they were walking around 650 extra steps a day. In both trials, they spent about 30 minutes per week extra in moderate-to-vigorous physical activity compared to controls. https://discover.dc.nihr.ac.uk/content/signal-00594/people-maintain-increases-in-physical-activity-three-years-after-receiving-pedometers (May 2018)