Tackling Root Causes Upstream of Unhealthy Urban Development (TRUUD): Protocol of a five-year prevention research consortium

Wellcome Open Research

article

Daniel Black¹  Sarah Ayres²  Krista Bondy³  Rachel Brierley¹  Rona Campbell¹  Neil Carhart⁴  John Coggon⁵  Eleanor Eaton⁶  Eleonora Fichera⁶  Andy Gibson⁷  Eli Hatleskog⁴  Matthew Hickman¹  Ben Hicks⁴  Alistair Hunt⁶  Kathy Pain⁸  Nick Pearce⁹  Paul Pilkington⁷  Ges Rosenberg⁴  Gabriel Scally¹ 

[1] Population Health Sciences, University of Bristol;School for Policy Studies, University of Bristol;School of Management, University of Bath;Faculty of Engineering, University of Bristol;Bristol Law School, University of Bristol;Department of Economics, University of Bath;Health and Social Sciences;Henley Business School, University of Reading;Institute of Policy Research, University of Bath

关键词: Urban environments;    Non-communicable disease;    Planetary health;    Inequality;    Upstream;    Commercial determinants of health;    Short-termism;    Valuation;    Power;    Decision-making;    Risk;    Public involvement;    Co-production;   

DOI  :  10.12688/wellcomeopenres.16382.2

学科分类：内科医学

来源: Wellcome

【 摘 要 】

Poor quality urban environments substantially increase non-communicable disease. Responsibility for associated decision-making is dispersed across multiple agents and systems: fast growing urban authorities are the primary gatekeepers of new development and change in the UK, yet the driving forces are remote private sector interests supported by a political economy focused on short-termism and consumption-based growth. Economic valuation of externalities is widely thought to be fundamental, yet evidence on how to value and integrate it into urban development decision-making is limited, and it forms only a part of the decision-making landscape. Researchers must find new ways of integrating socio-environmental costs at numerous key leverage points across multiple complex systems. This mixed-methods study comprises of six highly integrated work packages. It aimsto develop and test a multi-action intervention in two urban areas: one on large-scale mixed-use development, the other on major transport. The core intervention is the co-production with key stakeholders through interviews, workshops, and participatory action research, of three areas of evidence: economic valuations of changed health outcomes; community-led media on health inequalities; and routes to potential impact mapped through co-production with key decision-makers, advisors and the lay public. This will be achieved by: mapping system of actors and processes involved in each case study; developing, testing and refining the combined intervention; evaluating the extent to which policy and practice changes amongst our target users, and the likelihood of impact on non-communicable diseases (NCDs) downstream. The integration of such diverse disciplines and sectors presents multiple practical/operational issues. The programme is testing new approaches to research, notably with regards practitioner-researcher integration and transdisciplinary research co-leadership. Other critical risks relate to urban development timescales, uncertainties in upstream-downstream causality, and the demonstration of impact.

【 授权许可】

CC BY