The effectiveness of place-based interventions in improving development, health and wellbeing outcomes in children aged 0–6 years living in disadvantaged neighbourhoods in high-income countries – A systematic review

Glover, Joanna; Samir, Nora; Kaplun, Catherine; Rimes, Tania; Edwards, Karen; Schmied, Virginia; Katz, Ilan; Walsh, Peter; Lingam, Raghu; Woolfenden, Sue

doi:10.1016/j.wss.2021.100064

Cited by 8 publications

(9 citation statements)

References 28 publications

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“…Using the Scottish Government’s guideline, the current study found a worsening performance in the number of high scoring children across 8 years, prompting the need for further action, especially (but not exclusively) in neighbourhoods with high socioeconomic deprivation. Off-diagonal effects show, however, that focusing entirely on deprivation may not always lead to effective place-based interventions [ 14 ], which should be directed towards children with the greatest difficulties and should be delivered at preschool-level.…”

Section: Discussionmentioning

confidence: 99%

“…There is no common theoretical or methodological framework to investigate geographic differences in child mental health [ 13 ] or the effectiveness of place-based interventions [ 14 ]. Ebener et al present a hierarchy of geospatial techniques that support decision making in early childhood [ 15 ]: mapping, spatial analysis, and spatial modelling.…”

Section: Introductionmentioning

confidence: 99%

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Mapping Geographic Trends in Early Childhood Social, Emotional, and Behavioural Difficulties in Glasgow: 2010–2017

Ofili

Thompson

Wilson

et al. 2022

IJERPH

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Measuring variation in childhood mental health supports the development of local early intervention strategies. The methodological approach used to investigate mental health trends (often determined by the availability of individual level data) can affect decision making. We apply two approaches to identify geographic trends in childhood social, emotional, and behavioural difficulties using the Strengths and Difficulties Questionnaire (SDQ). SDQ forms were analysed for 35 171 children aged 4–6 years old across 180 preschools in Glasgow, UK, between 2010 and 2017 as part of routine monitoring. The number of children in each electoral ward and year with a high SDQ total difficulties score (≥15), indicating a high risk of psychopathology, was modelled using a disease mapping model. The total difficulties score for an individual child nested in their preschool and electoral ward was modelled using a multilevel model. For each approach, linear time trends and unstructured spatial random effects were estimated. The disease mapping model estimated a yearly rise in the relative rate (RR) of high scores of 1.5–5.0%. The multilevel model estimated an RR increase of 0.3–1.2% in average total scores across the years, with higher variation between preschools than between electoral wards. Rising temporal trends may indicate worsening social, emotional, and behavioural difficulties over time, with a faster rate for the proportion with high scores than for the average total scores. Preschool and ward variation, although minimal, highlight potential priority areas for local service provision. Both methodological approaches have utility in estimating and predicting children’s difficulties and local areas requiring greater intervention.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Mapping Geographic Trends in Early Childhood Social, Emotional, and Behavioural Difficulties in Glasgow: 2010–2017

Ofili

Thompson

Wilson

et al. 2022

IJERPH

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“…40 Yet, individual studies have found Hub models increase access to CFH services and the identification of developmental vulnerability. 40 Additionally, a recent scoping review of models of care across the continuum of pregnancy, birth and the postpartum period for women from migrant and refugee backgrounds in high-income countries highlighted an evidence gap for models that improved maternal and child infant health outcomes. 8 We have extended this evidence-base by showing the feasibility and efficacy of integrated CFH hubs and cross-cultural workers (CCW) models in South Eastern Sydney.…”

Section: Benefits Of Integrated Health-social Care Hubsmentioning

confidence: 99%

“…However, the evidence-base for their effectiveness is limited. Our recent systematic review demonstrated the dearth of experimental trial evidence in Australia regarding physical CFH Hubs 40. Yet, individual studies have found Hub models increase access to CFH services and the identification of developmental vulnerability 40.…”

Section: Background and Rationalementioning

confidence: 99%

Study protocol for a real-world evaluation of an integrated child and family health hub for migrant and refugee women

Hodgins

Ostojic

et al. 2022

BMJ Open

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IntroductionContinuity of child and family healthcare is vital for optimal child health and development for developmentally vulnerable children. Migrant and refugee communities are often at-risk of poor health outcomes, facing barriers to health service attendance including cultural, language, limited health literacy, discrimination and unmet psychosocial needs. ‘Integrated health-social care hubs’ are physical hubs where health and social services are co-located, with shared referral pathways and care navigation.AimOur study will evaluate the impact, implementation and cost-benefit of the First 2000 Days Care Connect (FDCC) integrated hub model for pregnant migrant and refugee women and their infants.Materials and methodsThis study has three components. Component 1 is a non-randomised controlled trial to compare the FDCC model of care with usual care. This trial will allocate eligible women to intervention and control groups based on their proximity to the Hub sites. Outcome measures include: the proportion of children attending child and family health (CFH) nurse services and completing their CFH checks to 12 months of age; improved surveillance of growth and development in children up to 12 months, post partum; improved breastfeeding rates; reduced emergency department presentations; and improved maternal well-being. These will be measured using linked medical record data and surveys. Component 2 will involve a mixed-method implementation evaluation to clarify how and why FDCC was implemented within the sites to inform future roll-out. Component 3 is a within-trial economic evaluation from a healthcare perspective to assess the cost-effectiveness of the Hubs relative to usual care and the implementation costs if Hubs were scaled and replicated.Ethics and disseminationEthical approval was granted by the South Eastern Sydney Local Health District Human Research Ethics Committee in July 2021 (Project ID: 020/ETH03295). Results will be submitted for publication in peer-reviewed journals and presented at relevant conferences.Trial registration numberACTRN12621001088831.

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“…In particular, neighbourhood effects research interrogates “the idea that living in more disadvantaged neighbourhoods has a negative effect on residents’ life chances over and above the effect of their individual characteristics” [ 25 ] (p. 2787). Informed by this research, place-based interventions seek to change physical, social, or economic factors to improve outcomes for the people who live within geographically defined communities [ 26 , 27 , 28 ]. There is a growing literature concerning the influence of environmental factors on social and economic participation for people with disability [ 29 , 30 , 31 , 32 , 33 ].…”

Section: Introductionmentioning

confidence: 99%

Do Area-Level Environmental Factors Influence Employment for People with Disability? A Scoping Review

Fortune

Curryer

Badland

et al. 2022

IJERPH

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Employment is an important social determinant of health and wellbeing. People with disability experience labour market disadvantage and have low labour force participation rates, high unemployment rates, and poor work conditions. Environmental factors are crucial as facilitators of or barriers to participation for people with disability. Understanding how the physical, social, and economic characteristics of local areas influence employment for people with disability can potentially inform interventions to reduce employment inequalities. We conducted a scoping review of research investigating associations between area-level environmental factors and employment for people with disability. Eighteen articles published between 2000 and 2020 met the inclusion criteria, and data were extracted to map the current evidence. Area-level factors were categorised into six domains relating to different aspects of environmental context: socioeconomic environment, services, physical environment, social environment, governance, and urbanicity. The urbanicity and socioeconomic environment domains were the most frequently represented (15 and 8 studies, respectively). The studies were heterogeneous in terms of methods and data sources, scale and type of geographic units used for analysis, disability study population, and examined employment outcomes. We conclude that the current evidence base is insufficient to inform the design of interventions. Priorities for future research are identified, which include further theorising the mechanisms by which area-level factors may influence employment outcomes, quantifying the contribution of specific factors, and interrogating specific factors underlying the association between urbanicity and employment outcomes for people with disability.

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The effectiveness of place-based interventions in improving development, health and wellbeing outcomes in children aged 0–6 years living in disadvantaged neighbourhoods in high-income countries – A systematic review

Cited by 8 publications

References 28 publications

Mapping Geographic Trends in Early Childhood Social, Emotional, and Behavioural Difficulties in Glasgow: 2010–2017

Mapping Geographic Trends in Early Childhood Social, Emotional, and Behavioural Difficulties in Glasgow: 2010–2017

Study protocol for a real-world evaluation of an integrated child and family health hub for migrant and refugee women

Do Area-Level Environmental Factors Influence Employment for People with Disability? A Scoping Review

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