Smith Neil R, Clark Charlotte, Fahy Amanda E, Tharmaratnam Vanathi, Lewis Daniel J, Thompson Claire, Renton Adrian, Moore Derek G, Bhui Kamaldeep S, Taylor Stephanie J C, Eldridge Sandra, Petticrew Mark, Greenhalgh Tricia, Stansfeld Stephen A, Cummins Steven
Centre for Psychiatry, Wolfson Institute of Preventive Medicine, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK.
BMJ Open. 2012 Aug 29;2(4). doi: 10.1136/bmjopen-2012-001840. Print 2012.
Recent systematic reviews suggest that there is a dearth of evidence on the effectiveness of large-scale urban regeneration programmes in improving health and well-being and alleviating health inequalities. The development of the Olympic Park in Stratford for the London 2012 Olympic and Paralympic Games provides the opportunity to take advantage of a natural experiment to examine the impact of large-scale urban regeneration on the health and well-being of young people and their families.
A prospective school-based survey of adolescents (11-12 years) with parent data collected through face-to-face interviews at home. Adolescents will be recruited from six randomly selected schools in an area receiving large-scale urban regeneration (London Borough of Newham) and compared with adolescents in 18 schools in three comparison areas with no equivalent regeneration (London Boroughs of Tower Hamlets, Hackney and Barking & Dagenham). Baseline data will be completed prior to the start of the London Olympics (July 2012) with follow-up at 6 and 18 months postintervention. Primary outcomes are: pre-post change in adolescent and parent mental health and well-being, physical activity and parental employment status. Secondary outcomes include: pre-post change in social cohesion, smoking, alcohol use, diet and body mass index. The study will account for individual and environmental contextual effects in evaluating changes to identified outcomes. A nested longitudinal qualitative study will explore families' experiences of regeneration in order to unpack the process by which regeneration impacts on health and well-being.
The study has approval from Queen Mary University of London Ethics Committee (QMREC2011/40), the Association of Directors of Children's Services (RGE110927) and the London Boroughs Research Governance Framework (CERGF113). Fieldworkers have had advanced Criminal Records Bureau clearance. Findings will be disseminated through peer-reviewed publications, national and international conferences, through participating schools and the study website (http://www.orielproject.co.uk).
近期的系统评价表明，关于大规模城市更新项目在改善健康与福祉以及缓解健康不平等方面有效性的证据匮乏。为举办2012年伦敦奥运会和残奥会而在斯特拉特福开发的奥林匹克公园，提供了一个利用自然实验来研究大规模城市更新对年轻人及其家庭的健康与福祉影响的机会。
对青少年（11 - 12岁）进行一项基于学校的前瞻性调查，并通过在家中进行面对面访谈收集家长数据。青少年将从一个接受大规模城市更新的地区（伦敦纽汉区）随机挑选的六所学校中招募，并与三个没有同等更新项目的对照地区（伦敦塔哈姆雷特、哈克尼和巴金-达格纳姆区）的18所学校的青少年进行比较。基线数据将在伦敦奥运会开始前（2012年7月）完成，并在干预后6个月和18个月进行随访。主要结果包括：青少年和家长心理健康与福祉、身体活动以及家长就业状况的干预前后变化。次要结果包括：社会凝聚力、吸烟、饮酒、饮食和体重指数的干预前后变化。该研究将在评估已确定结果的变化时考虑个体和环境背景效应。一项嵌套的纵向定性研究将探索家庭的更新经历，以便剖析更新对健康与福祉产生影响的过程。
该研究已获得伦敦玛丽女王大学伦理委员会（QMREC2011/40）、儿童服务主任协会（RGE110927）以及伦敦各区研究治理框架（CERGF113）的批准。实地工作人员已获得刑事记录局的高级许可。研究结果将通过同行评审出版物、国内和国际会议、参与研究的学校以及研究网站（http://www.orielproject.co.uk）进行传播。
