ActEarly: a City Collaboratory approach to early promotion of good health and wellbeing.
Child Health
Environment and Public Health
Ethnicity
Mental Health
Noncommunicable diseases
Journal
Wellcome open research
ISSN: 2398-502X
Titre abrégé: Wellcome Open Res
Pays: England
ID NLM: 101696457
Informations de publication
Date de publication:
2019
2019
Historique:
accepted:
02
10
2019
entrez:
17
12
2019
pubmed:
17
12
2019
medline:
17
12
2019
Statut:
epublish
Résumé
Economic, physical, built, cultural, learning, social and service environments have a profound effect on lifelong health. However, policy thinking about health research is dominated by the 'biomedical model' which promotes medicalisation and an emphasis on diagnosis and treatment at the expense of prevention. Prevention research has tended to focus on 'downstream' interventions that rely on individual behaviour change, frequently increasing inequalities. Preventive strategies often focus on isolated leverage points and are scattered across different settings. This paper describes a major new prevention research programme that aims to create City Collaboratory testbeds to support the identification, implementation and evaluation of upstream interventions within a whole system city setting. Prevention of physical and mental ill-health will come from the cumulative effect of multiple system-wide interventions. Rather than scatter these interventions across many settings and evaluate single outcomes, we will test their collective impact across multiple outcomes with the goal of achieving a tipping point for better health. Our focus is on early life (ActEarly) in recognition of childhood and adolescence being such critical periods for influencing lifelong health and wellbeing.
Identifiants
pubmed: 31840089
doi: 10.12688/wellcomeopenres.15443.1
pmc: PMC6904987
doi:
Types de publication
Journal Article
Langues
eng
Pagination
156Subventions
Organisme : Wellcome Trust
Pays : United Kingdom
Organisme : Medical Research Council
ID : MR/N024397/1
Pays : United Kingdom
Organisme : Medical Research Council
ID : MR/S037527/1
Pays : United Kingdom
Informations de copyright
Copyright: © 2019 Wright J et al.
Déclaration de conflit d'intérêts
No competing interests were disclosed.
Références
Int J Environ Res Public Health. 2017 Aug 15;14(8):
pubmed: 28809798
Health Res Policy Syst. 2014 Aug 26;12:51
pubmed: 25160707
Health Promot J Austr. 2019 Sep;30(3):422-432
pubmed: 30860630
BMC Public Health. 2015 Feb 12;15:129
pubmed: 25885588
Am J Public Health. 2011 Sep;101(9):1627-34
pubmed: 21778505
Soc Sci Med. 2001 May;52(10):1501-16
pubmed: 11314847
Lancet. 2012 Apr 28;379(9826):1641-52
pubmed: 22538179
Health Res Policy Syst. 2016 Jul 22;14(1):54
pubmed: 27448393
PLoS One. 2016 Aug 17;11(8):e0160217
pubmed: 27532336
Ann Nutr Metab. 2016;68 Suppl 2:35-8
pubmed: 27300305
Int J Hyg Environ Health. 2018 Apr;221(3):458-468
pubmed: 29398408
Am J Community Psychol. 2012 Jun;49(3-4):503-16
pubmed: 21735334
Health Serv Res. 1999 Dec;34(5 Pt 2):1225-39
pubmed: 10591281
Health Res Policy Syst. 2018 Nov 16;16(1):109
pubmed: 30445963
Int J Environ Res Public Health. 2015 Apr 22;12(4):4354-79
pubmed: 25913182
J Epidemiol Community Health. 2016 Oct;70(10):990-6
pubmed: 27189975
J Public Health (Oxf). 2018 Jun 1;40(2):237-244
pubmed: 28977396
Milbank Q. 2009 Mar;87(1):71-100
pubmed: 19298416
Lancet Public Health. 2018 Jan;3(1):e24-e33
pubmed: 29307385
Arch Dis Child. 2016 Aug;101(8):759-66
pubmed: 26857824
Public Health Res Pract. 2018 Sep 27;28(3):null
pubmed: 30406262
Am Psychol. 2004 Feb-Mar;59(2):77-92
pubmed: 14992634
Milbank Q. 2018 Sep;96(3):472-498
pubmed: 30277610
PLoS One. 2013 Aug 15;8(8):e69912
pubmed: 23967064
Lancet. 2017 Dec 9;390(10112):2602-2604
pubmed: 28622953
Lancet. 2017 Jan 7;389(10064):91-102
pubmed: 27717615
Health Aff (Millwood). 2012 Aug;31(8):1803-13
pubmed: 22869659