Boelens Mirte, Raat Hein, Jonkman Harrie, Hosman Clemens M H, Wiering Denis, Jansen Wilma
Department of Public Health, Erasmus University Medical Center, Rotterdam, the Netherlands.
Verwey-Jonker Institute, Utrecht, the Netherlands.
SSM Popul Health. 2022 Jul 8;19:101166. doi: 10.1016/j.ssmph.2022.101166. eCollection 2022 Sep.
The purpose of this study was to evaluate a collaborative community-based program that aims to a) increase the health, safety and talent development of youth, and b) contribute to the reduction of socioeconomic inequalities.
A difference-in difference design with two separate cross-sectional samples in 2018 (n = 984) and 2021 (n = 413) among 0- to 12-year-olds with an intervention and comparator condition was used. The program, called Promising Neighbourhoods, consists of collaboration with community stakeholders, data-based priority setting, knowledge-and theory-based policies, and evidence-based interventions. The program was implemented in three neighbourhoods which were compared with three similar comparator neighbourhoods in which the program was not implemented. Logistic difference-in-difference regression was used to test effectiveness of the intervention on informal parenting support, outdoor-play, sport club membership, general health and risk of emotional and behavioural difficulties and to examine differences in intervention effects between children with a lower or higher socioeconomic status.
A significant intervention effect of the Promising Neighbourhoods program after two-years was found for outdoor-play (OR 0.61; 95%CI 0.37, 0.99). No other significant intervention effects were found for other outcomes. No different interventions effects were found for children with a lower or higher socioeconomic status on outcomes.
The findings of this study indicate a positive intervention effect for one of the outcomes in 0- to 12-year-olds. Further mixed-methods evaluation research and using longer follow-up periods are needed to examine the value of these type of programs. Further development of Promising Neighbourhoods seems warranted.
This study was prospectively registered in the Netherlands National Trial Register (Number: NL7279) on 26 September 2018.
本研究旨在评估一个基于社区的合作项目,该项目旨在:a)促进青少年的健康、安全和才能发展;b)有助于减少社会经济不平等。
采用差异-in-差异设计,在2018年(n = 984)和2021年(n = 413)对0至12岁儿童进行了两个独立的横断面样本研究,分为干预组和对照组。该项目名为“有前途的社区”,包括与社区利益相关者合作、基于数据的优先事项设定、基于知识和理论的政策以及基于证据的干预措施。该项目在三个社区实施,并与三个未实施该项目的类似对照社区进行比较。采用逻辑差异-in-差异回归来测试干预措施对非正式育儿支持、户外玩耍、体育俱乐部会员资格、总体健康以及情绪和行为困难风险的有效性,并检验社会经济地位较低或较高的儿童在干预效果上的差异。
两年后发现“有前途的社区”项目对户外玩耍有显著的干预效果(OR 0.61;95%CI 0.37,0.99)。其他结果未发现其他显著的干预效果。社会经济地位较低或较高的儿童在各项结果上未发现不同的干预效果。
本研究结果表明该干预措施对0至12岁儿童的一项结果有积极影响。需要进一步开展混合方法评估研究并延长随访期,以检验这类项目的价值。“有前途的社区”项目似乎有必要进一步发展。
本研究于2018年9月26日在荷兰国家试验注册中心进行了前瞻性注册(编号:NL7279)。