eprintid: 10156680 rev_number: 8 eprint_status: archive userid: 699 dir: disk0/10/15/66/80 datestamp: 2022-10-05 13:15:23 lastmod: 2022-10-05 13:15:23 status_changed: 2022-10-05 13:15:23 type: article metadata_visibility: show sword_depositor: 699 creators_name: Woodman, Jenny creators_name: Mc Grath-Lone, Louise creators_name: Clery, Amanda creators_name: Weatherly, Helen creators_name: Jankovic, Dina creators_name: Appleton, Jane V creators_name: Kirman, Jennifer creators_name: Barlow, Jane creators_name: Kendall, Sally creators_name: Bennett, Samantha creators_name: Gilbert, Ruth creators_name: Harron, Katie title: Study protocol: a mixed-methods study to evaluate which health visiting models in England are most promising for mitigating the harms of adverse childhood experiences ispublished: pub divisions: B14 divisions: J81 divisions: B16 divisions: UCL divisions: G25 divisions: D13 divisions: B02 note: © The Authors 2022. Original content in this paper is licensed under the terms of the Creative Commons Attribution 4.0 International (CC BY 4.0) Licence (https://creativecommons.org/licenses/by/4.0/). abstract: INTRODUCTION: Exposure to adverse childhood experiences (ACEs) is associated with poorer health outcomes throughout life. In England, health visiting is a long-standing, nationally implemented service that aims to prevent and mitigate the impact of adversity in early childhood, including for children exposed to ACEs. A range of health visiting service delivery practices exist across England (from the minimum five recommended contacts to tailored intensive interventions), but there is a lack of evidence on who receives what services, how this varies across local authorities (LAs) and the associated outcomes. METHODS AND ANALYSIS: This study will integrate findings from analysis of individual-level, deidentified administrative data related to hospital admissions (Hospital Episode Statistics (HES)) and health visiting contacts (Community Services Data Set (CSDS)), aggregate LA-level data, in-depth case studies in up to six LAs (including interviews with mothers), a national survey of health visiting services, and workshops with stakeholders and experts by experience. We will use an empirical-to-conceptual approach to develop a typology of health visiting service delivery in England, starting with a data-driven classification generated from latent class analysis of CSDS-HES data, which will be refined based on all other available qualitative and quantitative data. We will then evaluate which models of health visiting are most promising for mitigating the impact of ACEs on child and maternal outcomes using CSDS-HES data for a cohort of children born on 1 April 2015 to 31 March 2019. ETHICS AND DISSEMINATION: The University College London Institute of Education Research Ethics Committee approved this study. Results will be submitted for publication in a peer-reviewed journal and summaries will be provided to key stakeholders including the funders, policy-makers, local commissioners and families. date: 2022 date_type: published publisher: BMJ official_url: http://dx.doi.org/10.1136/bmjopen-2022-066880 oa_status: green full_text_type: pub language: eng primo: open primo_central: open_green verified: verified_manual elements_id: 1980109 doi: 10.1136/bmjopen-2022-066880 lyricists_name: Woodman, Jenny lyricists_name: Harron, Katie lyricists_id: JWOOD51 lyricists_id: KLHAR48 actors_name: Flynn, Bernadette actors_id: BFFLY94 actors_role: owner full_text_status: public publication: BMJ Open volume: 12 number: 9 article_number: e066880 citation: Woodman, Jenny; Mc Grath-Lone, Louise; Clery, Amanda; Weatherly, Helen; Jankovic, Dina; Appleton, Jane V; Kirman, Jennifer; ... Harron, Katie; + view all <#> Woodman, Jenny; Mc Grath-Lone, Louise; Clery, Amanda; Weatherly, Helen; Jankovic, Dina; Appleton, Jane V; Kirman, Jennifer; Barlow, Jane; Kendall, Sally; Bennett, Samantha; Gilbert, Ruth; Harron, Katie; - view fewer <#> (2022) Study protocol: a mixed-methods study to evaluate which health visiting models in England are most promising for mitigating the harms of adverse childhood experiences. BMJ Open , 12 (9) , Article e066880. 10.1136/bmjopen-2022-066880 <https://doi.org/10.1136/bmjopen-2022-066880>. Green open access document_url: https://discovery.ucl.ac.uk/id/eprint/10156680/1/e066880.full.pdf