The effectiveness of community engagement in public health interventions for disadvantaged groups: a meta-analysis.
Alison O'Mara-Eves,Ginny Brunton,Sandy Oliver,Jennifer M. Kavanagh,Farah Jamal,Jay C. Thomas +5 more
TLDR
There is solid evidence that community engagement interventions have a positive impact on a range of health outcomes across various conditions.Abstract:
Inequalities in health are acknowledged in many developed countries, whereby disadvantaged groups systematically suffer from worse health outcomes such as lower life expectancy than non-disadvantaged groups. Engaging members of disadvantaged communities in public health initiatives has been suggested as a way to reduce health inequities. This systematic review was conducted to evaluate the effectiveness of public health interventions that engage the community on a range of health outcomes across diverse health issues. We searched the following sources for systematic reviews of public health interventions: Cochrane CDSR and CENTRAL, Campbell Library, DARE, NIHR HTA programme website, HTA database, and DoPHER. Through the identified reviews, we collated a database of primary studies that appeared to be relevant, and screened the full-text documents of those primary studies against our inclusion criteria. In parallel, we searched the NHS EED and TRoPHI databases for additional primary studies. For the purposes of these analyses, study design was limited to randomised and non-randomised controlled trials. Only interventions conducted in OECD countries and published since 1990 were included. We conducted a random effects meta-analysis of health behaviour, health consequences, self-efficacy, and social support outcomes, and a narrative summary of community outcomes. We tested a range of moderator variables, with a particular emphasis on the model of community engagement used as a potential moderator of intervention effectiveness. Of the 9,467 primary studies scanned, we identified 131 for inclusion in the meta-analysis. The overall effect size for health behaviour outcomes is d = .33 (95% CI .26, .40). The interventions were also effective in increasing health consequences (d = .16, 95% CI .06, .27); health behaviour self-efficacy (d = .41, 95% CI .16, .65) and perceived social support (d = .41, 95% CI .23, .65). Although the type of community engagement was not a significant moderator of effect, we identified some trends across studies. There is solid evidence that community engagement interventions have a positive impact on a range of health outcomes across various conditions. There is insufficient evidence to determine whether one particular model of community engagement is more effective than any other.read more
Citations
More filters
Journal ArticleDOI
A System Dynamics and Participatory Action Research Approach to Promote Healthy Living and a Healthy Weight among 10-14-Year-Old Adolescents in Amsterdam : The LIKE Programme
Wilma Waterlander,Angie Luna Pinzon,Arnoud P. Verhoeff,Karen den Hertog,Teatske M. Altenburg,Coosje Dijkstra,Jutka Halberstadt,Roel C.J. Hermans,Carry M. Renders,Jacob C. Seidell,A.S. Singh,Manou Anselma,Vincent Busch,Helga Emke,Emma van den Eynde,Lieke van Houtum,Wilma J. Nusselder,Meredith L. Overman,Susan van de Vlasakker,Tanja G. M. Vrijkotte,Erica L T van den Akker,Stef P. J. Kremers,Mai J. M. Chinapaw,Karien Stronks +23 more
TL;DR: The design of the LIKE programme is described, which aims to tackle the complex problem of childhood overweight and obesity in 10–14-year-old adolescents using a systems dynamics and participatory approach and is supported by a developmental systems evaluation and the Intervention Level Framework.
Journal ArticleDOI
Community-based participatory research (CBPR): Towards equitable involvement of community in psychology research.
Susan E. Collins,Seema L. Clifasefi,Joey Stanton,Kee J. E. Straits,Eleanor Gil-Kashiwabara,Patricia Rodriguez Espinosa,Andel Nicasio,Michele P. Andrasik,Starlyn M. Hawes,Kimberly A. Miller,Lonnie A. Nelson,Victoria E. Orfaly,Bonnie Duran,Nina Wallerstein +13 more
TL;DR: CBPR is a relevant, important, and promising research framework that may guide the implementation of more effective, culturally appropriate, socially just, and sustainable community-based psychology research.
Journal ArticleDOI
Characteristics of healthcare organisations struggling to improve quality: results from a systematic review of qualitative studies.
Valerie M. Vaughn,Sanjay Saint,Sarah L. Krein,Jane Forman,Jennifer Meddings,Jessica M. Ameling,Suzanne Winter,Whitney Townsend,Vineet Chopra +8 more
TL;DR: Struggling healthcare organisations share characteristics that may affect their ability to provide optimal care and understanding and identifying these characteristics may provide a first step to helping low performers address organisational challenges to improvement.
Journal ArticleDOI
Narratives of community engagement: a systematic review-derived conceptual framework for public health interventions
TL;DR: A conceptual framework which informs understanding about what makes an effective (or ineffective) community engagement intervention, and three overarching models of effective engagement which either: utilised peer-led delivery; employed varying degrees of collaboration between communities and health services; or built on empowerment philosophies are developed.
References
More filters
Journal Article
Cochrane Handbook for Systematic Reviews of Interventions
Journal ArticleDOI
A Ladder of Citizen Participation
TL;DR: Beskriver ulike grader av brukermedvirkning, og regnes som en klassiker innenfor temaet Brukermedveirkning og psykisk helsearbeid as discussed by the authors.
Book
Practical Meta-Analysis
Mark W. Lipsey,David B. Wilson +1 more
TL;DR: This paper presents a meta-analysis procedure called “Meta-Analysis Interpretation for Meta-Analysis Selecting, Computing and Coding the Effect Size Statistic and its applications to Data Management Analysis Issues and Strategies.
Journal ArticleDOI
Using Community-Based Participatory Research to Address Health Disparities
Nina Wallerstein,Bonnie Duran +1 more
TL;DR: This article provides examples of these paradoxes from work in tribal communities, discusses the evidence that CBPR reduces disparities, and recommends transforming the culture of academia to strengthen collaborative research relationships.
Related Papers (5)
Community-Based Participatory Research Contributions to Intervention Research: The Intersection of Science and Practice to Improve Health Equity
Nina Wallerstein,Bonnie Duran +1 more
Using Community-Based Participatory Research to Address Health Disparities
Nina Wallerstein,Bonnie Duran +1 more