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The Communities First (ComFi) study: protocol for a prospective controlled quasi-experimental study to evaluate the impact of area-wide regeneration on mental health and social cohesion in deprived communities

White, James, Greene, Giles, Dunstan, Frank David John, Rodgers, Sarah, Lyons, Ronan A., Humphreys, Ioan, John, Ann, Webster, Chris, Palmer, Stephen Royston, Elliott, Eva, Phillips, Ceri J. and Fone, David 2014. The Communities First (ComFi) study: protocol for a prospective controlled quasi-experimental study to evaluate the impact of area-wide regeneration on mental health and social cohesion in deprived communities. BMJ Open 4 (10) , e006530. 10.1136/bmjopen-2014-006530

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Abstract

Introduction Recent systematic reviews have highlighted the dearth of evidence on the effectiveness of regeneration on health and health inequalities. ‘Communities First’ is an area-wide regeneration scheme to improve the lives of people living in the most deprived areas in Wales (UK). This study will evaluate the impact of Communities First on residents’ mental health and social cohesion. Methods and analysis A prospective controlled quasi-experimental study of the association between residence in Communities First regeneration areas in Caerphilly county borough and change in mental health and social cohesion. The study population is the 4226 residents aged 18–74 years who responded to the Caerphilly Health and Social Needs Study in 2001 (before delivery) and 2008 (after delivery of Communities First). Data on the location, type and cost of Communities First interventions will be extracted from records collected by Caerphilly county borough council. The primary outcome is the change in mental health between 2001 and 2008. Secondary outcomes are changes: in common mental disorder case status (using survey and general practice data), social cohesion and mental health inequalities. Multilevel models will examine change in mental health and social cohesion between Communities First and control areas, adjusting for individual and household level confounding factors. Further models will examine the effects of (1) different types of intervention, (2) contamination across areas, (3) length of residence in a Communities First area, and (4) population migration. We will carry out a cost-consequences analysis to summarise the outcomes generated for participants, as well as service utilisation and utility gains. Ethics and dissemination This study has had approval from the Information Governance Review Panel at Swansea University (Ref: 0266 CF). Findings will be disseminated through peer-review publications, international conferences, policy and practice partners in local and national government, and updates on our study website (http://medicine.cardiff.ac.uk/clinical-study/communities-first-regeneration-programme/).

Item Type: Article
Date Type: Publication
Status: Published
Schools: Development and Evaluation of Complex Interventions for Public Health Improvement (DECIPHer)
Medicine
Social Sciences (Includes Criminology and Education)
Subjects: H Social Sciences > HM Sociology
H Social Sciences > HT Communities. Classes. Races
R Medicine > RZ Other systems of medicine
Publisher: BMJ Publishing Group
ISSN: 2044-6055
Funders: MRC, ESRC, Wellcome Trust, British Heart Foundation, Cancer Research UK, Welsh Government
Date of First Compliant Deposit: 30 March 2016
Date of Acceptance: 11 September 2014
Last Modified: 18 Mar 2019 21:30
URI: http://orca.cf.ac.uk/id/eprint/66276

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