Life Course Research Agenda (LCRA), Version 1.0

Halfon, Neal; Forrest, Christopher B.; Lerner, Richard M.; Faustman, Elaine M.; Tullis, Ericka; Son, John Bartholomew and

doi:10.1007/978-3-319-47143-3_26

Cited by 5 publications

(3 citation statements)

References 66 publications

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“…The Life Course Intervention Research Network, https://lcirn.ucla.edu is a collaborative network of researchers, service providers, family and community representatives and thought leaders committed to improving life course trajectories and outcomes for children. The group is working to apply the seven principles of life course health development: health development, unfolding, complexity, timing, plasticity and harmony to interventions in ways that will also reduce health disparities [ 35 , 36 ]. This will include more integrated, networked strategies for developing and implementing multi-level interventions that transcend divisions between individual and population health.…”

Section: Implications For Interventionsmentioning

confidence: 99%

Inequality and child health: dynamic population health interventions

Halfon

Russ

Kahn

2021

Current Opinion in Pediatrics

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Purpose of review Established social gradients across a wide range of child health issues including obesity, anxiety, infectious diseases, injuries, prematurity and low birth weight suggest that much illness is avoidable and there is an imperative to intervene in this whole of society issue. This review examines recent advances in understanding of the pathways to health and health inequalities and their application to interventions to improve health equity. Recent findings Children's health develops over the life course in ways that are profoundly influenced by their entire developmental ecosystem including individual, family, community and system-level factors. Interventions to address child health inequalities must include action on the structural determinants of health, a greater focus on family and community health development, and attention to the acquisition of developmental capabilities. Nascent dynamic population health initiatives that address whole developmental ecosystems such as All Children Thrive, Better Start Bradford and Generation V, hold real promise for achieving child health equity. Summary Pathways to health inequalities are driven by social and structural determinants of health. Interventions to address inequalities need to be driven less by older biomedical models, and more by prevailing ecological and complex systems models incorporating a life course health development approach.

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Section: Implications For Interventionsmentioning

confidence: 99%

Inequality and child health: dynamic population health interventions

Halfon

Russ

Kahn

2021

Current Opinion in Pediatrics

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“…These include life expectancy as well as performance of such functions and capacities as cognition, mood, physical activity, growth, and fertility that influence the development of disease, disability, and dysfunction, as well as societally valued outcomes such as readiness for learning and school and job performance. Moreover, health risks and disease conditions evolve over time, co-exist with positive health states, and can be mitigated or exacerbated by social, physical, and biologic contexts (10)(11)(12)(13)(14)(15). Each person's life course health development continues as it gains complexity through the interactions of multiple components across time.…”

Section: Conceptual Approaches To Child Health and Health Developmentmentioning

confidence: 99%

Health Measurement Model—Bringing a Life Course Perspective to Health Measurement: The PRISM Model

et al. 2021

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Health is a multidimensional concept that is challenging to measure, and in the rapidly evolving developmental changes that occur during the first 21 years of human life, requires a dynamic approach to accurately capture the transitions, and overall arc of a complex process of internal and external interactions. We propose an approach that integrates a lifecourse framework with a layered series of assessments, each layer using a many to many mapping, to converge on four fundamental dimensions of health measurement-Potential, Adaptability, Performance, and Experience. The four dimensions can conceptually be mapped onto a plane with each edge of the resulting quadrilateral corresponding to one dimension and each dimensions assessment calibrated against a theoretical ideal. As the plane evolves over time, the sequential measurements will form a volume. We term such a model the Prism Model, and describe conceptually how single domain assessments can be built up to generate the holistic description through the vehicle of a layer of Exemplar Cases. The model is theoretical but future work can use the framework and principles to generate scalable and adaptable applications that can unify and improve the precision of serial measurements that integrate environmental and physiologic influences to improve the science of child health measurement.

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“…Shifting from a disease-based, clinical focus to more holistic, comprehensive approaches may better serve a broader group of youth. Additionally, more researchers and practitioners are designing and delivering interventions to promote mental health across the life course (Halfon et al, 2018 ).…”

Section: Introductionmentioning

confidence: 99%