Common health assets protocol: a mixed-methods, realist evaluation and economic appraisal of how community-led organisations (CLOs) impact on the health and well-being of people living in deprived areas

Abstract

IntroductionThis research investigates how community-led organisations’ (CLOs’) use of assets-based approaches improves health and well-being, and how that might be different in different contexts. Assets-based approaches involve ‘doing with’ rather than ‘doing to’ and bring people in communities together to achieve positive change using their own knowledge, skills and experience. Some studies have shown that such approaches can have a positive effect on health and well-being. However, research is limited, and we know little about which approaches lead to which outcomes and how different contexts might affect success.Methods and analysisUsing a realist approach, we will work with 15 CLOs based in disadvantaged communities in England, Scotland and Northern Ireland. A realist synthesis of review papers, and a policy analysis in different contexts, precedes qualitative interviews and workshops with stakeholders, to find out how CLOs’ programmes work and identify existing data. We will explore participants’ experiences through: a Q methodology study; participatory photography workshops; qualitative interviews and measure outcomes using a longitudinal survey, with 225 CLO participants, to assess impact for people who connect with the CLOs. An economic analysis will estimate costs and benefits to participants, for different contexts and mechanisms. A ‘Lived Experience Panel’ of people connected with our CLOs as participants or volunteers, will ensure the appropriateness of the research, interpretation and reporting of findings.Ethics and disseminationThis project, research tools and consent processes have been approved by the Glasgow Caledonian University School of Health and Life Sciences Ethics Committee, and affirmed by Ethics Committees at Bournemouth University, Queen’s University Belfast and the University of East London. Common Health Assets does not involve any National Health Service sites, staff or patients.Findings will be presented through social media, project website, blogs, policy briefings, journal articles, conferences and visually in short digital stories, and photographic exhibitions.

The economic contribution of third sector initiatives for older people: a systematic review and development of a framework for evaluation

“…This is the type of question that 'realist evaluations' (Pawson and Tilley, 1997; are designed to handle, which are becoming more commonplace in the design and evaluation of complex public health interventions (see Craig et al, 2008), including being combined with, or integrated with, systematic review methods (Pawson et al, 2005;Fletcher et al, 2016). Implementation of realist evaluation would also help to identify potential comparators for third sector interventions, as suggested in Caló et al (2019;2021;, enabling the development of more innovative third sector evaluation approaches (Baker et al, 2023) and supporting a better understanding and analysis of how third sector organisations can move towards addressing societal challenges and the relevant impacts of these challenges.…”