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    ActEarly: a City Collaboratory approach to early promotion of good health and wellbeing

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    Publication date
    2019-10-14
    Author
    Wright, J.
    Hayward, A.
    West, Jane cc
    Pickett, K.
    McEachan, Rosemary cc
    Mon-Williams, M.
    Christie, N.
    Vaughan, L.
    Sheringham, J.
    Haklay, M.
    Sheard, L.
    Dickerson, J.
    Barber, S.
    Small, Neil A.
    Cookson, R.
    Garnett, P.
    Bywater, T.
    Pleace, N.
    Brunner, E.J.
    Cameron, C.
    Ucci, M.
    Cummins, S.
    Fancourt, D.
    Kandt, J.
    Longley, P.
    Morris, S.
    Ploubidis, G.
    Savage, R.
    Aldridge, R.
    Hopewell, D.
    Yang, T.
    Mason, D.
    Santorelli, G.
    Romano, R.
    Bryant, M.
    Crosby, L.
    Sheldon, T.
    Show allShow less
    Keyword
    Child health
    Environment
    Public health
    Ethnicity
    Mental health
    Noncommunicable diseases
    Rights
    (c) 2019 The Authors. This is an Open Access article distributed under the Creative Commons CC-BY license (http://creativecommons.org/licenses/by/4.0/)
    Peer-Reviewed
    Yes
    
    Metadata
    Show full item record
    Abstract
    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.
    URI
    http://hdl.handle.net/10454/18208
    Version
    Published version
    Citation
    Wright J, Hayward A, West J et al (2019) ActEarly: a City Collaboratory approach to early promotion of good health and wellbeing. Wellcome Open Research. 4: 126.
    Link to publisher’s version
    https://doi.org/10.12688/wellcomeopenres.15443.1
    Type
    Article
    Collections
    Health Studies Publications

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