'Well London' and the benefits of participation: results of a qualitative study nested in a cluster randomised trial

Article

Derges, Jane, Clow, Angela, Lynch, Rebecca, Jain, Sumeet, Phillips, G., Petticrew, Mark, Renton, A. and Draper, Alizon 2014. 'Well London' and the benefits of participation: results of a qualitative study nested in a cluster randomised trial. BMJ Open. 4 (4), pp. e003596-e003596.
AuthorsDerges, Jane, Clow, Angela, Lynch, Rebecca, Jain, Sumeet, Phillips, G., Petticrew, Mark, Renton, A. and Draper, Alizon
Abstract

Background: Well London is a multicomponent
community engagement and coproduction programme
designed to improve the health of Londoners living in
socioeconomically deprived neighbourhoods. To evaluate
outcomes of the Well London interventions, a cluster
randomised trial (CRT) was conducted that included a
longitudinal qualitative component, which is reported here.
The aim is to explore in depth the nature of the benefits to
residents and the processes by which these were
achieved.
Methods: The 1-year longitudinal qualitative study was
nested within the CRT. Purposive sampling was used to
select three intervention neighbourhoods in London and
61 individuals within these neighbourhoods. The
interventions comprised activities focused on: healthy
eating, physical exercise and mental health and well-being.
Interviews were conducted at the inception and following
completion of the Well London interventions to establish
both if and how they had participated. Transcripts of the
interviews were coded and analysed using Nvivo.
Results: Positive benefits relating to the formal outcomes
of the CRT were reported, but only among those who
participated in project activities. The extent of benefits
experienced was influenced by factors relating to the
physical and social characteristics of each neighbourhood.
The highest levels of change occurred in the presence of:
(1) social cohesion, not only pre-existing but also as
facilitated by Well London activities; (2) personal and
collective agency; (3) involvement and support of external
organisations. Where the physical and social environment
remained unchanged, there was less participation and
fewer benefits.
Conclusions: These findings show interaction between
participation, well-being and agency, social interactions
and cohesion and that this modulated any benefits
described. Pathways to change were thus complex and
variable, but personal well-being and local social cohesion
emerged as important mediators of change.

JournalBMJ Open
Journal citation4 (4), pp. e003596-e003596
ISSN2044-6055
Year2014
PublisherBMJ
Publisher's version
License
CC BY
Publisher's version
License
CC BY
Web address (URL)http://dx.doi.org/10.1136/bmjopen-2013-003596
Publication dates
PrintApr 2014
Publication process dates
Deposited05 Jun 2014
Copyright information(c) The Authors. This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 3.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited.
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