Within the field of chronic disease prevention, research efforts have moved to better understand, describe, and address the complex drivers of various health conditions. Change-making is prominent in this paper, and systems thinking and systems change are prioritised as core elements of prevention research. We report how the process of developing a theory of systems change can assist prevention research to progress from understanding systems, towards impactful action within those systems. Based on Foster-Fishman and Watson’s ABLe change framework, a Prevention Systems Change Framework (PSCF) was adapted and applied to an Australian case study of the drivers of healthy and equitable eating as a structured reflective practice. The PSCF comprises four components: building a systemic lens on prevention, holding a continual implementation focus, integrating the systemic lens and implementation focus, and developing a theory of change. Application of the framework as part of a systemic evaluation process enabled a detailed and critical assessment of the healthy and equitable eating project goals and culminated in the development of a theory of prevention systems change specific to that project, to guide future research and action. Arguably, if prevention research is to support improved health outcomes, it must be more explicitly linked to creating systems change.

中文翻译：

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从理解到有影响力的行动：慢性病预防研究中系统变革的系统思考

在慢性病预防领域，研究工作已转向更好地理解、描述和解决各种健康状况的复杂驱动因素。本文突出变革，将系统思维和系统变革作为预防研究的核心要素。我们报告了发展系统变化理论的过程如何帮助预防研究从理解系统发展到在这些系统内采取有影响力的行动。基于 Foster-Fishman 和 Watson 的 ABLe 变革框架，预防系统变革框架 (PSCF) 被改编并应用于澳大利亚案例研究，将健康和公平饮食的驱动因素作为结构化的反思实践。PSCF 包括四个组成部分：建立一个关于预防的系统视角，保持持续的实施重点，整合系统视角和实施重点，发展变革理论。将该框架应用为系统评估过程的一部分，可以对健康和公平饮食项目目标进行详细和批判性的评估，并最终发展出针对该项目的预防系统变化理论，以指导未来的研究和行动。可以说，如果预防研究要支持改善健康结果，它必须更明确地与系统变革相关联。将该框架应用为系统评估过程的一部分，可以对健康和公平饮食项目目标进行详细和批判性的评估，并最终发展出针对该项目的预防系统变化理论，以指导未来的研究和行动。可以说，如果预防研究要支持改善健康结果，它必须更明确地与系统变革相关联。将该框架应用为系统评估过程的一部分，可以对健康和公平饮食项目目标进行详细和批判性的评估，并最终发展出针对该项目的预防系统变化理论，以指导未来的研究和行动。可以说，如果预防研究要支持改善健康结果，它必须更明确地与系统变革相关联。