title: Participatory System Dynamics Modeling: Increasing Stakeholder Engagement and Precision to Improve Implementation Planning in Systems.
abstract: Implementation planning typically incorporates stakeholder input. Quality improvement efforts provide data-based feedback regarding progress. Participatory system dynamics modeling (PSD) triangulates stakeholder expertise, data and simulation of implementation plans prior to attempting change. Frontline staff in one VA outpatient mental health system used PSD to examine policy and procedural "mechanisms" they believe underlie local capacity to implement evidence-based psychotherapies (EBPs) for PTSD and depression. We piloted the PSD process, simulating implementation plans to improve EBP reach. Findings indicate PSD is a feasible, useful strategy for building stakeholder consensus, and may save time and effort as compared to trial-and-error EBP implementation planning.
authors.affiliation: National Center for PTSD, Dissemination and Training Division, Veteran Affairs Palo Alto Health Care System, 795 Willow Rd. Bldg. 334 (NC-PTSD), Menlo Park, CA, 94025, USA. lindsey.zimmerman@va.gov.|University of Washington School of Medicine, Seattle, WA, USA. lindsey.zimmerman@va.gov.
authors.forename: Lindsey
authors.initials: L
authors.lastname: Zimmerman
authors.affiliation: Department of Epidemiology and Population Health, Department of Family and Social Medicine, Albert Einstein College of Medicine, Bronx, NY, USA.
authors.forename: David W
authors.initials: DW
authors.lastname: Lounsbury
authors.affiliation: National Center for PTSD, Dissemination and Training Division, Veteran Affairs Palo Alto Health Care System, 795 Willow Rd. Bldg. 334 (NC-PTSD), Menlo Park, CA, 94025, USA.|Stanford University School of Medicine, Palo Alto, CA, USA.
authors.forename: Craig S
authors.initials: CS
authors.lastname: Rosen
authors.affiliation: National Center for PTSD, Dissemination and Training Division, Veteran Affairs Palo Alto Health Care System, 795 Willow Rd. Bldg. 334 (NC-PTSD), Menlo Park, CA, 94025, USA.
authors.forename: Rachel
authors.initials: R
authors.lastname: Kimerling
authors.affiliation: Stanford University School of Medicine, Palo Alto, CA, USA.|Program Evaluation Resource Center, Center for Innovation to Implementation, Veteran Affairs Palo Alto Health Care System, Menlo Park, CA, USA.
authors.forename: Jodie A
authors.initials: JA
authors.lastname: Trafton
authors.affiliation: Stanford University School of Medicine, Palo Alto, CA, USA.|Veteran Affairs Palo Alto Health Care System, Menlo Park, CA, USA.
authors.forename: Steven E
authors.initials: SE
authors.lastname: Lindley
mesh_terms: D000553:Ambulatory Care / Q000458:organization & administration*; D003866:Depressive Disorder / Q000628:therapy*; D055317:Evidence-Based Practice / Q000458:organization & administration*; D006801:Humans; D008605:Mental Health Services / Q000458:organization & administration*; D016134:Organizational Policy; D010865:Pilot Projects; D011613:Psychotherapy; D013313:Stress Disorders, Post-Traumatic / Q000628:therapy*; D013597:Systems Analysis; D014481:United States; D014493:United States Department of Veterans Affairs
keywords: Evidence-based practices; Implementation science; Mental health; Participatory stakeholder engagement; System dynamics