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Controlled Clinical Trial
. 2014 Oct 14;4(10):e006530.
doi: 10.1136/bmjopen-2014-006530.

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

James White  1   2 , Giles Greene  1 , Frank Dunstan  3 , Sarah Rodgers  4 , Ronan A Lyons  4 , Ioan Humphreys  5 , Ann John  4 , Chris Webster  6 , Stephen Palmer  3 , Eva Elliott  7 , Ceri J Phillips  5 , David Fone  3
Affiliations
Controlled Clinical Trial

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

James White et al. BMJ Open. .

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/).

Keywords: EPIDEMIOLOGY; MENTAL HEALTH; PUBLIC HEALTH.

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Figures

Figure 1
Figure 1
The 47 Communities First intervention lower super output areas (LSOAs) and 63 control LSOAs in Caerphilly County Borough (Wales, UK).
See this image and copyright information in PMC

References

    1. Thomson H, Atkinson R, Petticrew M, et al. . Do urban regeneration programmes improve public health and reduce health inequalities? A synthesis of the evidence from UK policy and practice (1980–2004). J Epidemiol Community Health 2006;60:108–15 - PMC - PubMed
    1. Egan M, Kearns A, Mason P, et al. . Protocol for a mixed methods study investigating the impact of investment in housing, regeneration and neighbourhood renewal on the health and wellbeing of residents: the GoWell programme. BMC Med Res Methodol 2010;10:41. - PMC - PubMed
    1. Rodgers SE, Heaven M, Lacey A, et al. . Cohort profile: the housing regeneration and health study. Int J Epidemiol 2014;43:52–60 - PubMed
    1. Gutiérrez Romero R. Estimating the impact of England's area-based intervention ‘New Deal for Communities’ on employment. Reg Sci Urban Econ 2009;39:323–31
    1. Thomson H, Thomas S, Sellstrom E, et al. . The health impacts of housing improvement: a systematic review of intervention studies from 1887 to 2007. Am J Public Health 2009;99:S681. - PMC - PubMed

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