TY - JOUR
T1 - Applying a systems perspective to understand the health effects of holistic housing renovation in a deprived neighbourhood in the Netherlands
T2 - Development of a causal loop diagram
AU - Koops-Van Hoffen, H. E.
AU - Kamphuis, C. B.M.
AU - Vendrig-De Punder, Y. M.R.
AU - Jambroes, M.
AU - Van Lenthe, F. J.
N1 - Publisher Copyright:
© 2024 The Authors
PY - 2025/3
Y1 - 2025/3
N2 - Whereas ‘systems thinking’ rapidly becomes popular in public health, and whereas many housing interventions have been evaluated in ‘traditional ways’, we aim at moving the field further by describing the application of a Causal Loop Diagram for the purpose of the evaluation of a complex public health intervention: holistic housing renovation. Holistic housing renovations have the potential to reduce health inequalities by addressing physical housing issues and socioeconomic problems of residents in social housing in deprived neighbourhoods. We developed a Causal Loop Diagram, combining perspectives from stakeholders and scientific literature, visualizing the complex dynamics via which holistic housing renovations can impact health of residents in social housing. We identified six interconnected mechanisms which potentially generate health effects in different time frames, with negative effects primarily occurring in the short term, while positive health effects may take longer to manifest. Our paper shows how constructing a CLD can help to assess effectiveness of housing interventions by formulating hypotheses about their impact.
AB - Whereas ‘systems thinking’ rapidly becomes popular in public health, and whereas many housing interventions have been evaluated in ‘traditional ways’, we aim at moving the field further by describing the application of a Causal Loop Diagram for the purpose of the evaluation of a complex public health intervention: holistic housing renovation. Holistic housing renovations have the potential to reduce health inequalities by addressing physical housing issues and socioeconomic problems of residents in social housing in deprived neighbourhoods. We developed a Causal Loop Diagram, combining perspectives from stakeholders and scientific literature, visualizing the complex dynamics via which holistic housing renovations can impact health of residents in social housing. We identified six interconnected mechanisms which potentially generate health effects in different time frames, with negative effects primarily occurring in the short term, while positive health effects may take longer to manifest. Our paper shows how constructing a CLD can help to assess effectiveness of housing interventions by formulating hypotheses about their impact.
KW - Causal loop diagrams
KW - Complex systems thinking
KW - Health inequalities
KW - Holistic housing renovation
KW - Stakeholder evaluation
UR - http://www.scopus.com/inward/record.url?scp=85210976017&partnerID=8YFLogxK
U2 - 10.1016/j.cities.2024.105635
DO - 10.1016/j.cities.2024.105635
M3 - Article
AN - SCOPUS:85210976017
SN - 0264-2751
VL - 158
JO - Cities
JF - Cities
M1 - 105635
ER -