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Development of Public Health Core Outcome Sets for Systems-Wide Promotion of Early Life Health and Wellbeing

Mansukoski, Liina; Albert, Alexandra; Vafai, Yassaman; Cartwright, Chris; Rahman, Aamnah; Sheringham, Jessica; Lockyer, Bridget; ... Bryant, Maria; + view all (2022) Development of Public Health Core Outcome Sets for Systems-Wide Promotion of Early Life Health and Wellbeing. International Journal of Environmental Research and Public Health , 19 (13) p. 7947. 10.3390/ijerph19137947. Green open access

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Abstract

We aimed to develop a core outcome set (COS) for systems-wide public health interventions seeking to promote early life health and wellbeing. Research was embedded within the existing systems-based intervention research programme ‘ActEarly’, located in two different areas with high rates of child poverty, Bradford (West Yorkshire) and the Borough of Tower Hamlets (London). 168 potential outcomes were derived from five local government outcome frameworks, a community-led survey and an ActEarly consortium workshop. Two rounds of a Delphi study (Round 1: 37 participants; Round 2: 56 participants) reduced the number of outcomes to 64. 199 members of the community then took part in consultations across ActEarly sites, resulting in a final COS for systems-based public health interventions of 40 outcomes. These were grouped into the domains of: Development & education (N = 6); Physical health & health behaviors (N = 6); Mental health (N = 5); Social environment (N = 4); Physical environment (N = 7); and Poverty & inequality (N = 7). This process has led to a COS with outcomes prioritized from the perspectives of local communities. It provides the means to increase standardization and guide the selection of outcome measures for systems-based evaluation of public health programmes and supports evaluation of individual interventions within system change approaches.

Type: Article
Title: Development of Public Health Core Outcome Sets for Systems-Wide Promotion of Early Life Health and Wellbeing
Open access status: An open access version is available from UCL Discovery
DOI: 10.3390/ijerph19137947
Publisher version: https://doi.org/10.3390/ijerph19137947
Language: English
Additional information: : © 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https:// creativecommons.org/licenses/by/ 4.0/).
Keywords: early life health; core outcome set; public health interventions; systems approach
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Applied Health Research
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
URI: https://discovery.ucl.ac.uk/id/eprint/10151357
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