Evidence map›Paper›PMID 40919014›Full record

ArticleBMJ public health2025

Long way to impact health: outputs and outcomes of a four-year multilevel participatory family health promotion programme in a low-income neighbourhood.

Gerda Wink, Gerdine Fransen, Koos van der Velden, Maria van den Muijsenbergh, Annemarie Wagemakers

Abstract read
In one paragraph

Article in BMJ public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Gerda WinkAcademic Collaborative Center AMPHI, Department of Primary and Community Care, Research Institute for Medical Innovation, Radboud University Medical Center, Nijmegen, Gelderland, The Netherlands.ORCID https://orcid.org/0000-0001-5511-6404
Gerdine FransenAcademic Collaborative Center AMPHI, Department of Primary and Community Care, Research Institute for Medical Innovation, Radboud University Medical Center, Nijmegen, Gelderland, The Netherlands.ORCID https://orcid.org/0009-0004-7052-6769
Koos van der VeldenAcademic Collaborative Center AMPHI, Department of Primary and Community Care, Research Institute for Medical Innovation, Radboud University Medical Center, Nijmegen, Gelderland, The Netherlands.ORCID https://orcid.org/0000-0002-4002-3413
Maria van den MuijsenberghDepartment of Primary and Community Care, Research Institute for Medical Innovation, Radboud University Medical Center, Nijmegen, Gelderland, The Netherlands.
Annemarie WagemakersHealth and Society Group, Social Science Department, Wageningen University & Research, Wageningen, Gelderland, The Netherlands.ORCID https://orcid.org/0000-0002-1212-6888

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Improving health, in particular of people in a disadvantaged socioeconomic position (SEP), requires multilevel health promotion programmes with community engagement. However, the impacts of such complex and challenging programmes are not yet clear. This study aims to show the impact of a participatory multilevel family health promotion programme in a low-income neighbourhood at intrapersonal, interpersonal, organisational, community and policy level. Methods: A mixed-methods design was used to monitor and assess output and outcome realisation by parents and professionals from multiple sectors in a 4-year programme. Output realisation was monitored and reported half-yearly. Parents' knowledge, parent and child health (behaviours), social support and perceived neighbourhood child friendliness were measured through a cohort study in three successive years. Results: Changes found: Multiple activities were implemented, such as swimming lessons free of charge for children in low-income families. Parents' assessment of neighbourhood child friendliness increased significantly as well as their knowledge about financial, social and healthy diet support, particularly among parents (n=13) who had been actively engaged in the programme. Social support decreased significantly. Municipal policies addressed more of the needs of people in a disadvantaged SEP, such as low-cost sports possibilities. Conclusion: This study revealed multilevel impacts of the programme: health-enabling activities for low-income families were realised, used and sustained at the organisational and policy level, which focused on contributing to neighbourhood child friendliness (community level). The engaged stakeholders took steps on the long pathway towards improved parent and child health in a disadvantaged SEP (intrapersonal level). Constant stakeholder investment is needed at all levels in the community and at the national policy level. Trial registration number: Netherlands Trial Register (NL7738) Marissa Traets.

Indexed as

Community HealthPublic HealthQualitative Research

Identifiers

PMID40919014
PMCPMC12410654

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.