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Use of Economic Evidence When Prioritising Public Health Interventions in Schools: A Qualitative Study with School Staff

Schools are an ideal setting to deliver public health interventions, yet there are competing obligations that could limit their implementation. This study aimed to examine the decision making process and explore what evidence informs prioritisation of public health interventions in this setting. Sem...

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Detalles Bibliográficos
Autores principales: Breheny, Katie, Frew, Emma, Williams, Iestyn, Passmore, Sandra, Coast, Joanna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7729575/
https://www.ncbi.nlm.nih.gov/pubmed/33291788
http://dx.doi.org/10.3390/ijerph17239077
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author Breheny, Katie
Frew, Emma
Williams, Iestyn
Passmore, Sandra
Coast, Joanna
author_facet Breheny, Katie
Frew, Emma
Williams, Iestyn
Passmore, Sandra
Coast, Joanna
author_sort Breheny, Katie
collection PubMed
description Schools are an ideal setting to deliver public health interventions, yet there are competing obligations that could limit their implementation. This study aimed to examine the decision making process and explore what evidence informs prioritisation of public health interventions in this setting. Semi-structured interviews were conducted with 14 staff in seven UK schools between November 2017 and March 2018. Participants were recruited from schools participating in The Birmingham Daily Mile trial and comprised leadership staff, teachers, and pastoral staff. Analyses used a constant comparison approach to explore the prioritisation process and schools’ use of economic evidence. Teachers felt that they had little decision making influence in regard to public health interventions, with this falling on leadership staff. Participants perceived tension between delivering academic subjects and public health initiatives and thought proven impact was important to justify the opportunity cost. Evidence did not appear to be routinely used, and participants were unaware of cost-effectiveness analyses, but thought it could be a useful tool. This study shows that schools face challenges in balancing the academic, health, and wellbeing needs of children. There is a need for targeted evidence that includes appropriate costs and outcomes and meets school decision makers’ needs.
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spelling pubmed-77295752020-12-12 Use of Economic Evidence When Prioritising Public Health Interventions in Schools: A Qualitative Study with School Staff Breheny, Katie Frew, Emma Williams, Iestyn Passmore, Sandra Coast, Joanna Int J Environ Res Public Health Article Schools are an ideal setting to deliver public health interventions, yet there are competing obligations that could limit their implementation. This study aimed to examine the decision making process and explore what evidence informs prioritisation of public health interventions in this setting. Semi-structured interviews were conducted with 14 staff in seven UK schools between November 2017 and March 2018. Participants were recruited from schools participating in The Birmingham Daily Mile trial and comprised leadership staff, teachers, and pastoral staff. Analyses used a constant comparison approach to explore the prioritisation process and schools’ use of economic evidence. Teachers felt that they had little decision making influence in regard to public health interventions, with this falling on leadership staff. Participants perceived tension between delivering academic subjects and public health initiatives and thought proven impact was important to justify the opportunity cost. Evidence did not appear to be routinely used, and participants were unaware of cost-effectiveness analyses, but thought it could be a useful tool. This study shows that schools face challenges in balancing the academic, health, and wellbeing needs of children. There is a need for targeted evidence that includes appropriate costs and outcomes and meets school decision makers’ needs. MDPI 2020-12-04 2020-12 /pmc/articles/PMC7729575/ /pubmed/33291788 http://dx.doi.org/10.3390/ijerph17239077 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Breheny, Katie
Frew, Emma
Williams, Iestyn
Passmore, Sandra
Coast, Joanna
Use of Economic Evidence When Prioritising Public Health Interventions in Schools: A Qualitative Study with School Staff
title Use of Economic Evidence When Prioritising Public Health Interventions in Schools: A Qualitative Study with School Staff
title_full Use of Economic Evidence When Prioritising Public Health Interventions in Schools: A Qualitative Study with School Staff
title_fullStr Use of Economic Evidence When Prioritising Public Health Interventions in Schools: A Qualitative Study with School Staff
title_full_unstemmed Use of Economic Evidence When Prioritising Public Health Interventions in Schools: A Qualitative Study with School Staff
title_short Use of Economic Evidence When Prioritising Public Health Interventions in Schools: A Qualitative Study with School Staff
title_sort use of economic evidence when prioritising public health interventions in schools: a qualitative study with school staff
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7729575/
https://www.ncbi.nlm.nih.gov/pubmed/33291788
http://dx.doi.org/10.3390/ijerph17239077
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