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

Liina Mansukoski, Alexandra Albert, Yassaman Vafai, Chris Cartwright, Aamnah Rahman, Jessica Sheringham, Bridget Lockyer, Tiffany C. Yang, Philip Garnett and Maria Bryant
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Liina Mansukoski: Department of Health Sciences, University of York, York YO10 5DD, UK
Alexandra Albert: Thomas Coram Research Unit, University College London (UCL), London WC1H 0AL, UK
Yassaman Vafai: Department of Health Sciences, University of York, York YO10 5DD, UK
Chris Cartwright: Bradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford BD9 6RJ, UK
Aamnah Rahman: Bradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford BD9 6RJ, UK
Jessica Sheringham: Department of Applied Health Research, University College London (UCL), London WC1E 6BT, UK
Bridget Lockyer: Bradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford BD9 6RJ, UK
Tiffany C. Yang: Bradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford BD9 6RJ, UK
Philip Garnett: School of Management, University of York, York YO10 5DD, UK
Maria Bryant: Department of Health Sciences, University of York, York YO10 5DD, UK

IJERPH, 2022, vol. 19, issue 13, 1-15

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.

Keywords: early life health; core outcome set; public health interventions; systems approach (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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