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From fringe to centre-stage: experiences of mainstreaming health equity in a health research collaboration

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From fringe to centre-stage: experiences of mainstreaming health equity in a health research collaboration. / Porroche-Escudero, A.; Popay, J.; Ward, F. et al.
In: Health Research Policy and Systems, Vol. 19, No. 1, 28, 03.03.2021.

Research output: Contribution to Journal/MagazineJournal articlepeer-review

Harvard

Porroche-Escudero, A, Popay, J, Ward, F, Ahmed, S, Akeju, D, Cloke, J, Gabbay, M, Hassan, S, Khan, K & Khedmati-Morasae, E 2021, 'From fringe to centre-stage: experiences of mainstreaming health equity in a health research collaboration', Health Research Policy and Systems, vol. 19, no. 1, 28. https://doi.org/10.1186/s12961-020-00648-z

APA

Porroche-Escudero, A., Popay, J., Ward, F., Ahmed, S., Akeju, D., Cloke, J., Gabbay, M., Hassan, S., Khan, K., & Khedmati-Morasae, E. (2021). From fringe to centre-stage: experiences of mainstreaming health equity in a health research collaboration. Health Research Policy and Systems, 19(1), Article 28. https://doi.org/10.1186/s12961-020-00648-z

Vancouver

Porroche-Escudero A, Popay J, Ward F, Ahmed S, Akeju D, Cloke J et al. From fringe to centre-stage: experiences of mainstreaming health equity in a health research collaboration. Health Research Policy and Systems. 2021 Mar 3;19(1):28. doi: 10.1186/s12961-020-00648-z

Author

Bibtex

@article{e6e9255c4e2c4326aca0c8884d7477d3,
title = "From fringe to centre-stage: experiences of mainstreaming health equity in a health research collaboration",
abstract = "Background: Action to address the structural determinants of health inequalities is prioritized in high-level initiatives such as the United Nations Sustainable Development Goals and many national health strategies. Yet, the focus of much local policy and practice is on behaviour change. Research shows that whilst lifestyle approaches can improve population health, at best they fail to reduce health inequalities because they fail to address upstream structural determinants of behaviour and health outcomes. In health research, most efforts have been directed at three streams of work: understanding causal pathways; evaluating the equity impact of national policy; and developing and evaluating lifestyle/behavioural approaches to health improvement. As a result, there is a dearth of research on effective interventions to reduce health inequalities that can be developed and implemented at a local level. Objective: To describe an initiative that aimed to mainstream a focus on health equity in a large-scale research collaboration in the United Kingdom and to assess the impact on organizational culture, research processes and individual research practice. Methods: The study used multiple qualitative methods including semi-structured interviews, focus groups and workshops (n = 131 respondents including Public Advisers, university, National Health Service (NHS), and local and document review. Results: utilizing Extended Normalization Process Theory (ENPT) and gender mainstreaming theory, the evaluation illuminated (i) the processes developed by Collaboration for Leadership in Applied Health Research and Care North West Coast to integrate ways of thinking and acting to tackle the upstream social determinants of health inequities (i.e. to mainstream a health equity focus) and (ii) the factors that promoted or frustrated these efforts. Conclusions: Findings highlight the role of contextual factors and processes aimed at developing and implementing a robust strategy for mainstreaming health equity as building blocks for transformative change in applied health research. ",
keywords = "Health inequalities, Implementation, Mainstreaming, Research collaboration, Social determinants of health, United Kingdom, article, behavior change, gender, health equity, human, leadership, lifestyle, medical research, national health service, organizational culture, population health, qualitative analysis, seashore, semi structured interview, social determinants of health, structure activity relation, sustainable development, thinking, United Nations",
author = "A. Porroche-Escudero and J. Popay and F. Ward and S. Ahmed and D. Akeju and J. Cloke and M. Gabbay and S. Hassan and K. Khan and E. Khedmati-Morasae",
year = "2021",
month = mar,
day = "3",
doi = "10.1186/s12961-020-00648-z",
language = "English",
volume = "19",
journal = "Health Research Policy and Systems",
issn = "1478-4505",
publisher = "BioMed Central",
number = "1",

}

RIS

TY - JOUR

T1 - From fringe to centre-stage

T2 - experiences of mainstreaming health equity in a health research collaboration

AU - Porroche-Escudero, A.

AU - Popay, J.

AU - Ward, F.

AU - Ahmed, S.

AU - Akeju, D.

AU - Cloke, J.

AU - Gabbay, M.

AU - Hassan, S.

AU - Khan, K.

AU - Khedmati-Morasae, E.

PY - 2021/3/3

Y1 - 2021/3/3

N2 - Background: Action to address the structural determinants of health inequalities is prioritized in high-level initiatives such as the United Nations Sustainable Development Goals and many national health strategies. Yet, the focus of much local policy and practice is on behaviour change. Research shows that whilst lifestyle approaches can improve population health, at best they fail to reduce health inequalities because they fail to address upstream structural determinants of behaviour and health outcomes. In health research, most efforts have been directed at three streams of work: understanding causal pathways; evaluating the equity impact of national policy; and developing and evaluating lifestyle/behavioural approaches to health improvement. As a result, there is a dearth of research on effective interventions to reduce health inequalities that can be developed and implemented at a local level. Objective: To describe an initiative that aimed to mainstream a focus on health equity in a large-scale research collaboration in the United Kingdom and to assess the impact on organizational culture, research processes and individual research practice. Methods: The study used multiple qualitative methods including semi-structured interviews, focus groups and workshops (n = 131 respondents including Public Advisers, university, National Health Service (NHS), and local and document review. Results: utilizing Extended Normalization Process Theory (ENPT) and gender mainstreaming theory, the evaluation illuminated (i) the processes developed by Collaboration for Leadership in Applied Health Research and Care North West Coast to integrate ways of thinking and acting to tackle the upstream social determinants of health inequities (i.e. to mainstream a health equity focus) and (ii) the factors that promoted or frustrated these efforts. Conclusions: Findings highlight the role of contextual factors and processes aimed at developing and implementing a robust strategy for mainstreaming health equity as building blocks for transformative change in applied health research.

AB - Background: Action to address the structural determinants of health inequalities is prioritized in high-level initiatives such as the United Nations Sustainable Development Goals and many national health strategies. Yet, the focus of much local policy and practice is on behaviour change. Research shows that whilst lifestyle approaches can improve population health, at best they fail to reduce health inequalities because they fail to address upstream structural determinants of behaviour and health outcomes. In health research, most efforts have been directed at three streams of work: understanding causal pathways; evaluating the equity impact of national policy; and developing and evaluating lifestyle/behavioural approaches to health improvement. As a result, there is a dearth of research on effective interventions to reduce health inequalities that can be developed and implemented at a local level. Objective: To describe an initiative that aimed to mainstream a focus on health equity in a large-scale research collaboration in the United Kingdom and to assess the impact on organizational culture, research processes and individual research practice. Methods: The study used multiple qualitative methods including semi-structured interviews, focus groups and workshops (n = 131 respondents including Public Advisers, university, National Health Service (NHS), and local and document review. Results: utilizing Extended Normalization Process Theory (ENPT) and gender mainstreaming theory, the evaluation illuminated (i) the processes developed by Collaboration for Leadership in Applied Health Research and Care North West Coast to integrate ways of thinking and acting to tackle the upstream social determinants of health inequities (i.e. to mainstream a health equity focus) and (ii) the factors that promoted or frustrated these efforts. Conclusions: Findings highlight the role of contextual factors and processes aimed at developing and implementing a robust strategy for mainstreaming health equity as building blocks for transformative change in applied health research.

KW - Health inequalities

KW - Implementation

KW - Mainstreaming

KW - Research collaboration

KW - Social determinants of health

KW - United Kingdom

KW - article

KW - behavior change

KW - gender

KW - health equity

KW - human

KW - leadership

KW - lifestyle

KW - medical research

KW - national health service

KW - organizational culture

KW - population health

KW - qualitative analysis

KW - seashore

KW - semi structured interview

KW - social determinants of health

KW - structure activity relation

KW - sustainable development

KW - thinking

KW - United Nations

U2 - 10.1186/s12961-020-00648-z

DO - 10.1186/s12961-020-00648-z

M3 - Journal article

VL - 19

JO - Health Research Policy and Systems

JF - Health Research Policy and Systems

SN - 1478-4505

IS - 1

M1 - 28

ER -