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  1. Article ; Online: Born in Bradford’s Better Start (BiBBS) interventional birth cohort study

    Dan Mason / John Wright / Brian Kelly / Kathryn Willan / Jennie Lister / Rachael H. Moss / Amy L. Atkinson / Chandani Netkitsing / Josie Dickerson / Eleanora P. Uphoff / Philippa K. Bird / Rifat Razaq / Sally Bridges / Alex Newsham / Sarah L. Blower / Dagmar Waiblinger / Sara Ahern / Maria Bryant / Rosemary M. McEachan /
    Kate E. Pickett

    Wellcome Open Research, Vol

    Interim cohort profile [version 2; peer review: 2 approved]

    2023  Volume 7

    Abstract: Background: The Born in Bradford’s Better Start (BiBBS) interventional birth cohort study was designed as an innovative cohort platform for efficient evaluation of early life interventions delivered through the Better Start Bradford programme. There are ... ...

    Abstract Background: The Born in Bradford’s Better Start (BiBBS) interventional birth cohort study was designed as an innovative cohort platform for efficient evaluation of early life interventions delivered through the Better Start Bradford programme. There are a growing number of interventional cohorts being implemented internationally. This paper provides an interim analysis of BiBBS in order to share learning about the feasibility and value of this method. Methods: Recruitment began in January 2016 and will complete in December 2023 with a target sample of 5,000 pregnancies. An interim analysis was completed for all pregnancies recruited between January 2016 and November 2019 with an expected due date between 1st April 2016 and 8th March 2020. Descriptive statistics were completed on the data. Results: Of 4,823 eligible pregnancies, 2,626 (54%) pregnancies were recruited, resulting in 2,392 mothers and 2,501 children. The sample are representative of the pregnant population (61% Pakistani heritage; 12% White British; 8% other South Asian and 6% Central and Eastern European ethnicity). The majority of participants (84%) live in the lowest decile of the Index of Multiple Deprivation, and many live in vulnerable circumstances. A high proportion (85%) of BiBBS families have engaged in one or more of the Better Start Bradford interventions. Levels of participation varied by the characteristics of the interventions, such as the requirement for active participation and the length of commitment to a programme. Conclusions: We have demonstrated the feasibility of recruiting an interventional cohort that includes seldom heard families from ethnic minority and deprived backgrounds. The high level of uptake of interventions is encouraging for the goal of evaluating the process and outcomes of multiple early life interventions using the innovative interventional cohort approach. BiBBS covers a period before, during and after the coronavirus disease 2019 (COVID-19) pandemic which adds scientific value to the cohort.
    Keywords Interventional cohort ; birth cohort ; early years interventions ; trials within cohorts ; pragmatic randomised controlled trials ; quasi-experimental designs ; eng ; Medicine ; R ; Science ; Q
    Subject code 360
    Language English
    Publishing date 2023-09-01T00:00:00Z
    Publisher Wellcome
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Integrating research and system-wide practice in public health

    Josie Dickerson / Philippa K. Bird / Maria Bryant / Nimarta Dharni / Sally Bridges / Kathryn Willan / Sara Ahern / Abigail Dunn / Dea Nielsen / Eleonora P. Uphoff / Tracey Bywater / Claudine Bowyer-Crane / Pinki Sahota / Neil Small / Michaela Howell / Gill Thornton / Kate E. Pickett / Rosemary R. C. McEachan / John Wright /
    on behalf of Better Start Bradford / the Better Start Bradford Innovation Hub

    BMC Public Health, Vol 19, Iss 1, Pp 1-

    lessons learnt from Better Start Bradford

    2019  Volume 12

    Abstract: Abstract Many interventions that are delivered within public health services have little evidence of effect. Evaluating interventions that are being delivered as a part of usual practice offers opportunities to improve the evidence base of public health. ...

    Abstract Abstract Many interventions that are delivered within public health services have little evidence of effect. Evaluating interventions that are being delivered as a part of usual practice offers opportunities to improve the evidence base of public health. However, such evaluation is challenging and requires the integration of research into system-wide practice. The Born in Bradford’s Better Start experimental birth cohort offers an opportunity to efficiently evaluate multiple complex community interventions to improve the health, wellbeing and development of children aged 0–3 years. Based on the learning from this programme, this paper offers a pragmatic and practical guide to researchers, public health commissioners and service providers to enable them to integrate research into their everyday practice, thus enabling relevant and robust evaluations within a complex and changing system. Using the principles of co-production the key challenges of integrating research and practice were identified, and appropriate strategies to overcome these, developed across five key stages: 1) Community and stakeholder engagement; 2) Intervention design; 3) Optimising routinely collected data; 4) Monitoring implementation; and 5) Evaluation. As a result of our learning we have developed comprehensive toolkits (https://borninbradford.nhs.uk/what-we-do/pregnancy-early-years/toolkit/) including: an operational guide through the service design process; an implementation and monitoring guide; and an evaluation framework. The evaluation framework incorporates implementation evaluations to enable understanding of intervention performance in practice, and quasi experimental approaches to infer causal effects in a timely manner. We also offer strategies to harness routinely collected data to enhance the efficiency and affordability of evaluations that are directly relevant to policy and practice. These strategies and tools will help researchers, commissioners and service providers to work together to evaluate interventions delivered in ...
    Keywords Early intervention ; Public health ; Integration ; Systems change ; Pragmatic evaluation ; Service evaluation ; Public aspects of medicine ; RA1-1270
    Subject code 360
    Language English
    Publishing date 2019-03-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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