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The impact on health inequalities of approaches to community engagement in the New Deal for Communities regeneration initiative: a mixed-methods evaluation |
Popay J, Whitehead M, Carr-Hill R, Dibben C, Dixon P, Halliday E, Nazroo J, Peart E, Povall S, Stafford M, Turner J, Walthery P |
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Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Popay J, Whitehead M, Carr-Hill R, Dibben C, Dixon P, Halliday E, Nazroo J, Peart E, Povall S, Stafford M, Turner J, Walthery P. The impact on health inequalities of approaches to community engagement in the New Deal for Communities regeneration initiative: a mixed-methods evaluation. Public Health Research 2015; 3(12) Authors' conclusions Our results are consistent with a theory that the greater the levels of control that residents have over decisions affecting their lives the more likely there are to be positive impacts. It is plausible that an empowerment approach to CE would help build trust and community cohesion, and that having a greater influence over NDC decisions could lead to more people feeling that the NDC initiative had improved an area. Conversely, our results are also consistent with a theoretical position which suggests that instrumental approaches, which try to engage residents in agendas that are not theirs, will have relatively little positive impact and that community cohesion and well-being may be undermined. The study has not produced firm evidence on the effectiveness of different approaches to CE. However, the findings do suggest that programmes involving CE will be more likely to have positive impacts if the approaches to CE are experienced as more empowering and less instrumental (i.e. less focused on the agendas of external agencies). Future methodological research is needed to develop better measures of empowerment at the collective level and more robust approaches to empowerment on health and well-being at the population level. Indexing Status Subject indexing assigned by CRD MeSH Community Health Services; Community Networks; Community-Institutional Relations; England; Health Policy; Health Promotion; Health Services Accessibility; Health Status Disparities; Humans; Poverty Areas; Program Evaluation; Public Health; State Medicine Country of organisation England English summary An English language summary is available. Address for correspondence PHR Programme, National Institute for Health Research, Evaluation, Trials and Studies Coordinating Centre, University of Southampton, Alpha House, Enterprise Road, Southampton SO16 7NS, UK Tel +44 (0)23 8059 9697
Email: info@phr.ac.uk AccessionNumber 32015001036 Date abstract record published 06/10/2015 |
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