Trial reportBMJ open2014
'Well London' and the benefits of participation: results of a qualitative study nested in a cluster randomised trial.
Trial report in BMJ open, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Enablers and barriers to physical activity among older adults of low socio-economic status: a systematic review of qualitative literature.The international journal of behavioral nutrition and physical activity · 2025Pooled it
- Effectiveness of Community-Based Health Promotion Interventions in Urban Areas: A Systematic Review.Journal of community health · 2020Pooled it
- Pooled it
- Measures of exposure to the Well London Phase-1 intervention and their association with health well-being and social outcomes.Journal of epidemiology and community health · 2014Trial
- Well London Phase-1: results among adults of a cluster-randomised trial of a community engagement approach to improving health behaviours and mental well-being in deprived inner-city neighbourhoods.Journal of epidemiology and community health · 2014Trial
- Diet and Physical Activity Interventions for People from Minority Ethnic Backgrounds in the UK: A Scoping Review Exploring Barriers, Enablers and Cultural Adaptations.Journal of racial and ethnic health disparities · 2025Article
- Insights for dementia risk reduction among lower SES adults in OECD countries: scoping review of interventions targeting multiple common health risk factors.International journal for equity in health · 2025Article
- Co-creating community wellbeing initiatives: what is the evidence and how do they work?International journal of mental health systems · 2024Review
- A Narrative Review of Peer-Led Positive Psychology Interventions: Current Evidence, Potential, and Future Directions.International journal of environmental research and public health · 2022Review
- Wheel of Wellbeing (WoW) health promotion program: Australian participants report on their experiences and impacts.BMC public health · 2021Article
- The Evaluation of Determinants and Impacts of Co-Production in Healthcare: A Research Protocol for OPAT in Cystic Fibrosis.International journal of integrated care · 2021Article
- Co-production in health policy and management: a comprehensive bibliometric review.BMC health services research · 2020Review
- Social Relations, Community Engagement and Potentials: A Qualitative Study Exploring Resident Engagement in a Community-Based Health Promotion Intervention in a Deprived Social Housing Area.International journal of environmental research and public health · 2020Article
- Associations between community well-being and hospitalisation rates: results from a cross-sectional study within six US states.BMJ open · 2019Article
- Article
- Making the Case for "Whole System" Approaches: Integrating Public Health and Housing.International journal of environmental research and public health · 2018Review
- Association of the Overall Well-being of a Population With Health Care Spending for People 65 Years of Age or Older.JAMA network open · 2018Article
- Identifying county characteristics associated with resident well-being: A population based study.PloS one · 2018Article
- Population Well-Being Measures Help Explain Geographic Disparities In Life Expectancy At The County Level.Health affairs (Project Hope) · 2016Article
- Consequences of removing cheap, super-strength beer and cider: a qualitative study of a UK local alcohol availability intervention.BMJ open · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
backgroundWell London is a multicomponent community engagement and coproduction programme designed to improve the health of Londoners living in socioeconomically deprived neighbourhoods. To evaluate outcomes of the Well London interventions, a cluster randomised trial (CRT) was conducted that included a longitudinal qualitative component, which is reported here. The aim is to explore in depth the nature of the benefits to residents and the processes by which these were achieved.
methodsThe 1-year longitudinal qualitative study was nested within the CRT. Purposive sampling was used to select three intervention neighbourhoods in London and 61 individuals within these neighbourhoods. The interventions comprised activities focused on: healthy eating, physical exercise and mental health and well-being. Interviews were conducted at the inception and following completion of the Well London interventions to establish both if and how they had participated. Transcripts of the interviews were coded and analysed using Nvivo.
resultsPositive benefits relating to the formal outcomes of the CRT were reported, but only among those who participated in project activities. The extent of benefits experienced was influenced by factors relating to the physical and social characteristics of each neighbourhood. The highest levels of change occurred in the presence of: (1) social cohesion, not only pre-existing but also as facilitated by Well London activities; (2) personal and collective agency; (3) involvement and support of external organisations. Where the physical and social environment remained unchanged, there was less participation and fewer benefits.
conclusionsThese findings show interaction between participation, well-being and agency, social interactions and cohesion and that this modulated any benefits described. Pathways to change were thus complex and variable, but personal well-being and local social cohesion emerged as important mediators of change.
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