Improving health in deprived communities: What can residents teach us?

Parry, Jonathan; Mathers, Jonathan; Laburn-Peart, Catherine; Orford, Jim; Dalton, Susan

doi:10.1080/09581590601045253

Cited by 25 publications

(51 citation statements)

References 11 publications

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“…Certain environmental factors warrant consideration (Cavill and Watkins, 2007++;Lawrence et al, 2009+;Parry et al, 2007+;Peerbhoy et al, 2008+). Perceived lack of local shopping amenities and accessing shops with children could be prohibitive to healthy eating.…”

Section: Barriers and Facilitators To Behaviour Changementioning

confidence: 98%

“…Many barriers centred around affordability (Dibsdall et al, 2002++;Kennedy et al, 1998+;Lawrence et al, 2009+;Parry et al, 2007+;Peerbhoy et al, 2008+;Price, 2007+;Whelan et al, 2002 +;Withall et al, 2009+), including the cost of buying healthy food, perceived lack of affordable food locally, public transport costs, the cost of cooking different meals to suit different preferences, marketing strategies promoting unhealthy foods and wasting money buying food that the family would not eat. Health professionals felt that healthy food could be prioritised when shopping, and budgeting could be covered in nutritional education programmes.…”

Section: Barriers and Facilitators To Behaviour Changementioning

confidence: 99%

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Community-based dietary and physical activity interventions in low socioeconomic groups in the UK: A mixed methods systematic review

Everson-Hock

Johnson

Jones

et al. 2013

Preventive Medicine

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Section: Barriers and Facilitators To Behaviour Changementioning

confidence: 98%

Section: Barriers and Facilitators To Behaviour Changementioning

confidence: 99%

Community-based dietary and physical activity interventions in low socioeconomic groups in the UK: A mixed methods systematic review

Everson-Hock

Johnson

Jones

et al. 2013

Preventive Medicine

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“…Parry et al 312 found that they conceptualised health in both physical and non-physical (e.g. being happy, peace of mind) terms.…”

Section: Community Participationmentioning

confidence: 99%

“…[310][311][312][313][314][315] For example, Daykin and Naidoo 310 explored the views of health professionals on promoting health in areas of poverty with low-income clients. They questioned the assumption that primary health care is the best setting for health promotion; several constraints are identified as limiting its effectiveness.…”

Section: Community Participationmentioning

confidence: 99%

The organisation and delivery of health improvement in general practice and primary care: a scoping study

Peckham

Falconer

Gillam

et al. 2015

Health Serv Deliv Res

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BackgroundThis project examines the organisation and delivery of health improvement activities by and within general practice and the primary health-care team. The project was designed to examine who delivers these interventions, where they are located, what approaches are developed in practices, how individual practices and the primary health-care team organise such public health activities, and how these contribute to health improvement. Our focus was on health promotion and ill-health prevention activities.AimsThe aim of this scoping exercise was to identify the current extent of knowledge about the health improvement activities in general practice and the wider primary health-care team. The key objectives were to provide an overview of the range and type of health improvement activities, identify gaps in knowledge and areas for further empirical research. Our specific research objectives were to map the range and type of health improvement activity undertaken by general practice staff and the primary health-care team based within general practice; to scope the literature on health improvement in general practice or undertaken by health-care staff based in general practice and identify gaps in the evidence base; to synthesise the literature and identify effective approaches to the delivery and organisation of health improvement interventions in a general practice setting; and to identify the priority areas for research as defined by those working in general practice.MethodsWe undertook a comprehensive search of the literature. We followed a staged selection process involving reviews of titles and abstracts. This resulted in the identification of 1140 papers for data extraction, with 658 of these papers selected for inclusion in the review, of which 347 were included in the evidence synthesis. We also undertook 45 individual and two group interviews with primary health-care staff.FindingsMany of the research studies reviewed had some details about the type, process or location, or who provided the intervention. Generally, however, little attention is paid in the literature to examining the impact of the organisational context on the way services are delivered or how this affects the effectiveness of health improvement interventions in general practice. We found that the focus of attention is mainly on individual prevention approaches, with practices engaging in both primary and secondary prevention. The range of activities suggests that general practitioners do not take a population approach but focus on individual patients. However, it is clear that many general practitioners see health promotion as an integral part of practice, whether as individual approaches to primary or secondary health improvement or as a practice-based approach to improving the health of their patients. Our key conclusion is that there is currently insufficient good evidence to support many of the health improvement interventions undertaken in general practice and primary care more widely.Future ResearchFuture research on health improvement in general practice and by the primary health-care team needs to move beyond clinical research to include delivery systems and be conducted in a primary care setting. More research needs to examine areas where there are chronic disease burdens – cancer, dementia and other disabilities of old age. Reviews should be commissioned that examine the whole prevention pathway for health problems that are managed within primary care drawing together research from general practice, pharmacy, community engagement, etc.FundingThe National Institute for Health Research Health Services and Delivery Research programme.

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“…It is not the purpose of this paper to revisit this discussion; suffice to say that we believe in, and have ourselves adopted, a plurality of methods in our theory-based evaluation of the health impacts of the NDC programme in the WM (Parry et al 2004, 2007, Parry 2005, Wright et al 2006, 2007, Dalton et al 2008, Mathers et al 2008, drawing substantially on Pawson andTilley's (1997, 2006) critical 'realistic evaluation' frameworks. More, the purpose of this paper is to demonstrate a method for constructing control populations and to assess its utility through the application of routinely-collected outcome data.…”

Section: Introductionmentioning

confidence: 97%

Quasi-experimental evaluation of the health impacts of the New Deal for Communities Urban Regeneration scheme

Cotterill

Parry

Richardson

et al. 2008

Critical Public Health

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The challenge of measuring outcomes associated with area-based regeneration initiatives has been discussed extensively in the literature. Key issues relate to the availability of appropriate data and the need to have some indication of the counter-factual -that is, what would have happened in the absence of the initiative. In this paper, we offer an assessment of the utility of a method to construct virtual area models that can be used as 'controls' in the quasi-experimental evaluation of an urban regeneration initiative and comment on the availability of appropriate health outcome data to populate such models.

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Improving health in deprived communities: What can residents teach us?

Cited by 25 publications

References 11 publications

Community-based dietary and physical activity interventions in low socioeconomic groups in the UK: A mixed methods systematic review

Community-based dietary and physical activity interventions in low socioeconomic groups in the UK: A mixed methods systematic review

The organisation and delivery of health improvement in general practice and primary care: a scoping study

Quasi-experimental evaluation of the health impacts of the New Deal for Communities Urban Regeneration scheme

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