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. 2025 May 31;40(3):cyaf022. doi: 10.1093/her/cyaf022

Table 1.

Description of scripts for each GMB session

Session (duration) Script title Aim of the script Participants
GMB1 (2 h) Introduction and evidence brief Introduction round; presentation of the GMB process and goals of GMB1; presentation of research related to systems approaches and the chosen complex problem.
  • Two facilitators

  • School managers, staff, and students

  • Municipal representatives

Graphs over time Engage participants in the GMB session by framing the problem, starting the mapping process, and identifying and prioritizing key factors.
Connection circles Map the prioritized factors and the connections and influences between them.
Closing Present the next steps and close the GMB session.
Between GMB1 and GMB2 Preparation of the CLD Transcribe the recorded session; the research team adjusts the CLD based on the transcripts from GMB1, categorize the factors into meaningful themes, and highlight leverage points.
  • The research team

GMB2 (2 h) Introduction Present the goals of the sessions.
  • Two facilitators

  • School managers, staff, and students

  • Municipal representatives

Model review Show participants the revised CLD, themes, and leverage points; obtain their feedback on the changes made to the CLD.
Model update Discuss, qualify, and expand the CLD based on personal experiences and understandings, ensuring everyone shares a common understanding of the factors, themes, and leverage points.
Identifying relevant stakeholders Identify and discuss various stakeholders related to the CLD who can assist in the future development and implementation of changes.
Closing Present the next steps and close the GMB session.
Between GMB2 and GMB3 Preparation of the CLD and prepare the school to recruit participants for GMB3 Transcribe the recorded session; the research team adjusts the CLD based on the transcripts from GMB2, creates a list of possible stakeholders to invite for GMB3, and develops a template for the schools to use for recruitment.
  • The research team

GMB3 (3.5 h) Introduction and evidence brief Introduction round; presentation of the previous process in developing the CLD and goals of the session; presentation of research related to systems approaches and the chosen complex problem.
  • Two facilitators

  • One notetaker

  • School managers, staff, and students

  • Representation from the municipality

  • Relevant national and community level stakeholders

Action capture Identify what is already happening in the school, municipality, or community to address the chosen complex problem.
Model presentation and discussion Present and discuss the CLD; ensure that everyone shares a common understanding of the factors, themes, and leverage points; a notetaker takes notes on minor adjustments to be included in the CLD.
Generating action ideas Generate action ideas for system change on a post it; prioritize actions on a matrix based on their feasibility and potential impact.
Sharing action ideas The top action ideas are shared with everyone; all action ideas are clustered on a large area of wall space.
Action groups Establishment of action groups; each group completes a template with details about their action and creates a preliminary plan for upcoming work and meetings.
Closing Close the GMB session; everyone leaves the session with an awareness of what has been achieved and what will happen next.
After GMB3 Complete the CLD The research team adjusts the CLD based on the notes from GMB3, which schools and municipalities can use in future development and implementation of changes.
  • The research team

Notes: GMB: Group Model Building, CLD: Causal Loop Diagram.