“…As systems-change initiatives are complex and relational in nature, those looking to gauge readiness to initiate, implement, or evaluate systems building often adopt various frameworks to guide activities and create a shared understanding of how to design, replicate, and sustain an EC system (Coffman, 2015; Halle, Zazlow, Martinez-Beck, & Metz, 2013; Tullis, Sutherland, Uyeda, & Halfon, 2004). Those aiming to create an EC system may also look to methods such as collective impact to align key actors in order to meaningfully drive change in children's health outcomes (Schaffer et al, 2022; Tilhou, Eckhoff, & Rose, 2021). However, although extant implementation frameworks provide a roadmap for the various stages of systems-building work, these frameworks do not fully consider the recursive nature and nonlinearity of systems-building initiatives (Coffman, 2015).…”