University of Bath, Claverton Down, Bath, BA2 7AY, UK.
University of Sheffield, Regent Court, 30 Regent Street, Sheffield, S1 4DA, UK.
Health Promot Int. 2024 Dec 1;39(6). doi: 10.1093/heapro/daae166.
Despite growing awareness of the importance of commercial determinants of health (CDoH), there has been limited development or evaluation of educational and practice-focused support for public health professionals. This article reports findings from an action-research approach bringing together people with academic and practice expertise (n = 16) to co-create workshop materials (called 'CDoH Essentials'), test and improve them through five trial workshops and explore their effects. Five English local public health teams co-facilitated the workshops in their organizations, with participants from public health teams and their internal partners (n = 94). Quantitative and qualitative data were collected throughout and analysed to understand: (1) whether the workshops met the expectations of participants, public health and academic observers, and (2) the effects of workshop participation on (a) participants' knowledge, understanding and critical CDoH literacy, and (b) subsequent working practices and attitudes. The co-created CDoH Essentials appeared effective in meeting expectations, improving knowledge and critical CDoH literacy and promoting action on CDoH. The proportion of participants reporting 'little' or 'no' CDoH knowledge fell significantly following the workshop (55.4% vs 2.7%). Participants' increased understanding supported reflection on the implications of the CDoH for their roles and for wider strategy and action. After 3 months, all five settings reported greater consideration of CDoH and had initiated or planned action. CDoH Essentials could be used to galvanize more effective public health action to tackle the CDoH in England and trialled in other public health contexts.
尽管人们越来越意识到商业健康决定因素（CDoH）的重要性，但针对公共卫生专业人员的教育和实践支持的发展或评估仍然有限。本文报告了一项行动研究方法的结果，该方法汇集了具有学术和实践专业知识的人员（n=16）共同创作了工作坊材料（称为“CDoH 基础”），通过五个试验工作坊进行测试和改进，并探索了它们的效果。五个英国地方公共卫生团队在其组织中共同主持了这些工作坊，参与者来自公共卫生团队及其内部合作伙伴（n=94）。在整个过程中收集了定量和定性数据，并进行了分析，以了解：（1）工作坊是否符合参与者、公共卫生和学术观察员的期望，以及（2）工作坊参与对（a）参与者的知识、理解和批判性 CDoH 素养，以及（b）随后的工作实践和态度的影响。共同创作的 CDoH 基础似乎在满足期望、提高知识和批判性 CDoH 素养以及促进 CDoH 行动方面非常有效。参加工作坊后，报告“很少”或“没有”CDoH 知识的参与者比例显著下降（55.4%比 2.7%）。参与者理解的提高支持了对 CDoH 对其角色以及更广泛的战略和行动的影响的反思。3 个月后，所有五个环境都报告了更多地考虑 CDoH，并已开始或计划采取行动。CDoH 基础可以用于激发更有效的公共卫生行动，以解决英格兰的 CDoH 问题，并在其他公共卫生环境中进行试验。
