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Overcoming doubt

Developing CDoH Essentials, a practical tool to introduce the commercial determinants of health

Bibliographic Data

ID22945235
AuthorsAlan Brooks (0000-0003-3771-3904, University of Bath , Claverton Down, Bath, BA2 7AY, corresponding author), Katherine Körner (Royal Free Hospital, Royal Free Hospital , Pond Street, London, NW3 2QG), May Ci Van Schalkwyk (0000-0003-2210-2289, London School of Hygiene and Tropical Medicine , 15-17 Tavistock Place, London, WC1H 9SH), Amy Barnes (0000-0002-8122-9792, University of York, Seebohm Rowntree Building, University of York , Heslington, New York, YO10 5DD), Mark Petticrew (0000-0002-6378-5517, London School of Hygiene and Tropical Medicine , 15-17 Tavistock Place, London, WC1H 9SH)
Year2024
Volume39
Issue6
Publication date2024-12-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueHealth Promotion International (JOURNAL)
Journal identifiersISSN: 0957-4824 • E-ISSN: 1460-2245
PublisherOxford University Press (OUP) (PUBLISHER)
DOI10.1093/heapro/daae166
PMID39573947
OpenAlexW4404620975
LanguageEN
Citations received1
References cited36

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.

Action (physics) · Health care · Health literacy · Literacy · Medical education · Pedagogy · Political science · Public health · Public relations · Qualitative property · Global Public Health Policies and Epidemiology · Medicine · Nursing · Obesity and Health Practices · Pharmaceutical industry and healthcare · Psychology

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    Open Access•Calum F Leask, Marlene Sandlund et al.•Research Involvement and Engagement•2019

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    Open Access•Alicia O’cathain, Elizabeth Murphy et al.•BMJ•2010

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    Open Access•Sharon Friel, Jeff Collins et al.•The Lancet•2023

  • Defining the commercial determinants of health

    Open Access•Cassandra de Lacy-Vawdon, Cassandra de Lacy‐Vawdon et al.•BMC Public Health•2020

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    Open Access•Anne Gilmore, Alice Fabbri et al.•The Lancet•2023

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    Open Access•Nicola Gale, Nicola K Gale et al.•BMC Medical Research Methodology•2013

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    Open Access•Mélissa Mialon•Globalization and Health•2020

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    Open Access•Joana Madureira Lima, Sandro Galea•Globalization and Health•2018

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    Open Access•Billie Townsend, Timothy D Johnson et al.•Globalization and Health•2023

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  • Defining Priorities for Action and Research on the Commercial Determinants of Health

    Nicholas Freudenberg, K Lee et al.•American Journal of Public Health•2021

  • Using realist action research for service redesign

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    Open Access•R Ralston, Tracey Wagner-Rizvi et al.•Social Science & Medicine•2024

Unique citing works1
Citations per year0,5
Citation span2024 - 2024 (1)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 1
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