Brook, A. orcid.org/0000-0003-3771-3904, Körner, K., van Schalkwyk, M.C.I. orcid.org/0000-0003-2210-2289 et al. (2 more authors) (2024) Overcoming doubt: developing CDoH essentials, a practical tool to introduce the commercial determinants of health. Health Promotion International, 39 (6). ISSN 0957-4824
Abstract
Despite growing awareness of the importance of commercial determinants of health (CDoH), there has been limited development or evaluation of educational and practice-focused support for public health professionals. This article reports findings from an action–research approach bringing together people with academic and practice expertise (n = 16) to co-create workshop materials (called ‘CDoH Essentials’), test and improve them through five trial workshops and explore their effects. Five English local public health teams co-facilitated the workshops in their organizations, with participants from public health teams and their internal partners (n = 94). Quantitative and qualitative data were collected throughout and analysed to understand: (1) whether the workshops met the expectations of participants, public health and academic observers, and (2) the effects of workshop participation on (a) participants’ knowledge, understanding and critical CDoH literacy, and (b) subsequent working practices and attitudes. The co-created CDoH Essentials appeared effective in meeting expectations, improving knowledge and critical CDoH literacy and promoting action on CDoH. The proportion of participants reporting ‘little’ or ‘no’ CDoH knowledge fell significantly following the workshop (55.4% vs 2.7%). Participants’ increased understanding supported reflection on the implications of the CDoH for their roles and for wider strategy and action. After 3 months, all five settings reported greater consideration of CDoH and had initiated or planned action. CDoH Essentials could be used to galvanize more effective public health action to tackle the CDoH in England and trialled in other public health contexts.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © The Author(s) 2024. Published by Oxford University Press. This is an Open Access article distributed under the terms of the Creative Commons Attribution License. (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. |
Keywords: | Humans; Social Determinants of Health; Health Knowledge, Attitudes, Practice; Public Health; Commerce; Health Services Research; Female; Male |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Medicine and Population Health |
Funding Information: | Funder Grant number UK RESEARCH AND INNOVATION MR/Y030753/1 |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 12 Dec 2024 10:37 |
Last Modified: | 12 Dec 2024 10:37 |
Published Version: | http://dx.doi.org/10.1093/heapro/daae166 |
Status: | Published |
Publisher: | Oxford University Press (OUP) |
Refereed: | Yes |
Identification Number: | 10.1093/heapro/daae166 |
Related URLs: | |
Sustainable Development Goals: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:220349 |