Title: Olympic Regeneration in East London (ORiEL)Study
Funder: Department of Health (England)

Abstract: Design: Two elements.1. Controlled longitudinal quasi-experimental study comparing impacts on young people and their parents in regeneration andnon-regeneration areas. Comprises a school-based survey of adolescents with parent data collected through interviews. Parents of children will be recruited through schools. 2. Nested longitudinal qualitative study will explore families’ experiences of regeneration and its impacts on wellbeing in order to unpack the ways in which regeneration leads to impacts on health and the social determinants of health.Setting: Newham (intervention site) and Tower Hamlets Hackney and Barking & Dagenham (comparison sites) in east London.Target Population: Adolescents aged 11-13 (school years 7 & 8) and their parents.Intervention: Urban regeneration programme in Newham (Olympic Park & Stratford City). Comprises a comprehensive redevelopmentof public and active transport infrastructure (rail cycle paths walking routes) new civic space parks green areas and major Olympic sporting facilities as well as provision of new housing retail business and community facilities and aesthetic improvements economic development and employment.Measurement of outcomes duration of follow-up: Primary outcomes: pre-post change in adolescent & parent mental health andwellbeing (self-esteem psychological problems satisfaction) physical activity (adults: moderate and intensive physical activity sedentray behaviour; adolescents: general physical activity and sedentary behaviour) household SES (employment status). Secondary outcomes: pre-post change in benefit status (adults) social capital/cohesion smoking alcohol use diet and obesity (BMI). Duration of follow-up: 6 months & 18 months post-regeneration.Sample Size: 1. Questionnaire survey: Achieved sample at final follow-up of 1766 pupils from 24 schools (74 per school) and 1766 parents. Data will be collected in 6 secondary schools in Newham and 18 secondary schools from Tower Hamlets Hackney and Barking & Dagenham and the households of parents residing in these areas. This gives 80% power with 95% significance to detect 8% change in primary outcomes with an assumed ICC of 0.02. 2.Qualitative study: Semi-structured interviews and focus groups with a purposive diverse sample of c20 families reflecting the diversity of the baseline sample at 6 & 18 months post-regeneration. Planned analyses: 1. Questionnaire survey: Questionnaire data will be double-punched and cleaned. Main analyses: (i) demographic socio-economic and environmental correlates of physical activity and mental wellbeing using multi-level regression models accounting for the clustered nature of our sample; (ii) investigation of whether accessibility to health promoting environmental resources from either home or school is related to specific health behaviours; (iii) longitudinal analysis to assess the effect of regeneration on primary outcomes (employment physical activity and mental wellbeing) through investigating pre-post changes in individual outcomes between baseline (wave 1) and follow-up (wave 2) - outcomes will be assessed at wave 3 to investigate whether changes have been sustained; (iv) analysis of effects on health inequalities using stratified analysis to assess social patterning of impacts on outcomes; (v) analysis of individual changes in objective and subjective accessibility to environmental resources over time and relationships with individual changes in outcomes controlling for demographic and socio-economic factors. 2. Qualitative study: Qualitative interview data will be recorded transcribed coded and subject to thematic analysis using framework methodology (Ritchie et al 1994) and adopting a theory generating grounded theory approach (Strauss Corbin 1998)Project timetable and recruitment rate: Total duration: 60 months. Survey Baseline (Jan-June 2011); wave 2 6 month post-intervention follow-up (Jan-June 2013 ); wave 3 18 month post-intervention follow-up (Jan-June 2014). We have previously conducted a cohort study (RELACHS) of adolescent health in East London schools with an 84% response at baseline 75% at first follow-up and 56% at final follow-up compared to baseline. Qualitative study: data collection in tandem with 6 & 18 month post-intervention follow-up of survey.


Research activity codes: 3.2 INTERVENTIONS TO ALTER PHYSICAL AND BIOLOGICAL ENVIRONMENTAL RISKS
Health categories: GENERIC HEALTH RELEVANCE