ORIGINAL PAPER Community, Culture and Sustainability in Multilevel Dynamic Systems Intervention Science

Abstract This paper addresses intertwined issues in the conceptualization, implementation and evaluation of mul-tilevel dynamic systems intervention science (MDSIS). Interventions are systematically planned, conducted and evaluated social science-based cultural products intercept-ing the lives of people and institutions in the context of multiple additional events and processes (which also may be referred to as interventions) that may speed, slow or reduce change towards a desired outcome. Multilevel interventions address change efforts at multiple social levels in the hope that effects at each level will forge synergistic links, facilitating movement toward desired change. This paper utilizes an ecological framework that identifies macro (policy and regulatory institutions), meso (organizations and agencies with resources, and power) and micro (individuals, families and friends living in commu-nities) interacting directly and indirectly. An MDSIS approach hypothesizes that change toward a goal will occur faster and more effectively when synchronized and sup-ported across levels in a social system. MDSIS approaches by definition involve ‘‘whole’ ’ communities and cannot be implemented without the establishments of working com-munity partnerships This paper takes a dynamic systems approach to science as conducted in communities, and discusses four concepts that are central to MDSIS—sci-ence, community, culture, and sustainability. These con-cepts are important in community based participatory research and to the targeting, refinement, and adaptation of enduring interventions. Consistency in their meaning and use can promote forward movement in the field of MDSIS, and in community-based prevention science