Development and application of the DePtH framework for categorising the agentic demands of population health interventions [Pre-print]

Garrott, K. et al. (2023) Development and application of the DePtH framework for categorising the agentic demands of population health interventions [Pre-print]. medRxiv, (doi: 10.1101/2023.10.18.23297198)

Abstract

The ‘agentic demand’ of population health interventions may influence intervention effectiveness and equity, yet the absence of an adequate framework to classify agentic demands limits the fields’ advancement. We systematically developed the DEmands for PopulaTion Health Interventions (DePtH) framework identifying three constructs influencing agentic demand - exposure (initial contact with intervention), mechanism of action (how the intervention enables or discourages behaviour), and engagement (recipient response), combined into twenty classifications. We conducted expert qualitative feedback and reliability testing, revised the framework and applied it in a proof-of-concept review, combining it with data on overall effectiveness and equity of dietary and physical activity interventions. Intervention components were concentrated in a small number of classifications; DePtH classification appeared to be related to intervention equity but not effectiveness. This framework holds potential for future research, policy and practice, facilitating the design, selection, evaluation and synthesis of evidence.

• Item Type: Articles
• Additional Information: This work was funded by the Public Health Policy Research Unit (PH-PRU) (Project 05 – G109750). The PH-PRU is commissioned and funded by the National Institute for Health and Social Care Research (NIHR) Policy Research Programme. The views expressed in this study are those of the authors and not necessarily those of the NHS, the National Institute for Health and Social Care Research, the Department of Health and Social Care or its arm’s length bodies, and other Government Departments. KG, DO, JP, CPJ, CF, EL, EI, RP, DVT, RAM, MW and JA are supported by the Medical Research Council (MRC; Unit Programme number MC_UU_12015/6 & MC_UU_00006/7). The funders had no role in study design; collection, analysis and interpretation of data; writing the report; and the decision to submit the report for publication.
• Status: Published
• Refereed: No
• Glasgow Author(s) Enlighten ID: Lawlor, Dr Emma
• Authors: Garrott, K., Ogilvie, D., Panter, J., Petticrew, M., Sowden, A., Jones, C. P., Foubister, C., Lawlor, E., Ikeda, E., Patterson, R., Van Tulleken, D., Armstrong-Moore, R., Vethanayakam, G., Bo, L., White, M., and Adams, J.
• College/School: College of Medical Veterinary and Life Sciences > School of Cardiovascular & Metabolic Health
• Journal Name: medRxiv
• Copyright Holders: Copyright © 2023 The Author(s)
• First Published: First published in medRxiv October 19 2023
• Publisher Policy: Reproduced under a Creative Commons license