title: Simulation modelling as a tool for knowledge mobilisation in health policy settings: a case study protocol.
abstract: BACKGROUND
  Evidence-informed decision-making is essential to ensure that health programs and services are effective and offer value for money; however, barriers to the use of evidence persist. Emerging systems science approaches and advances in technology are providing new methods and tools to facilitate evidence-based decision-making. Simulation modelling offers a unique tool for synthesising and leveraging existing evidence, data and expert local knowledge to examine, in a robust, low risk and low cost way, the likely impact of alternative policy and service provision scenarios. This case study will evaluate participatory simulation modelling to inform the prevention and management of gestational diabetes mellitus (GDM). The risks associated with GDM are well recognised; however, debate remains regarding diagnostic thresholds and whether screening and treatment to reduce maternal glucose levels reduce the associated risks. A diagnosis of GDM may provide a leverage point for multidisciplinary lifestyle modification interventions. This research will apply and evaluate a simulation modelling approach to understand the complex interrelation of factors that drive GDM rates, test options for screening and interventions, and optimise the use of evidence to inform policy and program decision-making.
  
  
  METHODS
  The study design will use mixed methods to achieve the objectives. Policy, clinical practice and research experts will work collaboratively to develop, test and validate a simulation model of GDM in the Australian Capital Territory (ACT). The model will be applied to support evidence-informed policy dialogues with diverse stakeholders for the management of GDM in the ACT. Qualitative methods will be used to evaluate simulation modelling as an evidence synthesis tool to support evidence-based decision-making. Interviews and analysis of workshop recordings will focus on the participants' engagement in the modelling process; perceived value of the participatory process, perceived commitment, influence and confidence of stakeholders in implementing policy and program decisions identified in the modelling process; and the impact of the process in terms of policy and program change.
  
  
  CONCLUSIONS
  The study will generate empirical evidence on the feasibility and potential value of simulation modelling to support knowledge mobilisation and consensus building in health settings.
authors.affiliation: ACT Health, GPO Box 825, Canberra, ACT 2601, Australia. louise.freebairn@act.gov.au.|The Australian Prevention Partnership Centre, Sax Institute, PO Box K617, Haymarket, NSW, 1240, Sydney, Australia. louise.freebairn@act.gov.au.|School of Medicine, University of Notre Dame, PO Box 944, 2007, Sydney, Australia. louise.freebairn@act.gov.au.
authors.forename: L
authors.identifier: http://orcid.org/0000-0002-7434-870X
authors.initials: L
authors.lastname: Freebairn
authors.affiliation: The Australian Prevention Partnership Centre, Sax Institute, PO Box K617, Haymarket, NSW, 1240, Sydney, Australia.
authors.forename: J
authors.initials: J
authors.lastname: Atkinson
authors.affiliation: ACT Health, GPO Box 825, Canberra, ACT 2601, Australia.|The Australian Prevention Partnership Centre, Sax Institute, PO Box K617, Haymarket, NSW, 1240, Sydney, Australia.|Australian National University, Canberra, ACT 2601, Australia.
authors.forename: P
authors.initials: P
authors.lastname: Kelly
authors.affiliation: The Australian Prevention Partnership Centre, Sax Institute, PO Box K617, Haymarket, NSW, 1240, Sydney, Australia.|University of New South Wales, Sydney, NSW, 2052, Australia.
authors.forename: G
authors.initials: G
authors.lastname: McDonnell
authors.affiliation: The Australian Prevention Partnership Centre, Sax Institute, PO Box K617, Haymarket, NSW, 1240, Sydney, Australia.|School of Medicine, University of Notre Dame, PO Box 944, 2007, Sydney, Australia.
authors.forename: L
authors.initials: L
authors.lastname: Rychetnik
keywords: Evaluation; Gestational diabetes mellitus; Group model building; Health systems; Knowledge mobilisation; Participatory simulation modelling