Approaches for community intervention and research priority setting to reduce health inequalities: a scoping review

  • Catherine Shuttleworth
  • , Jack Birch
  • , Lauren Bell
  • , Michael Ogunyemi
  • , Cameron Ley
  • , Harmony Lully
  • , John Wilcox
  • , Richard Grant
  • , Jane Whitehurst
  • , Naila Dracup
  • , Sophie Staniszewska
  • , Yen-Fu Chen

    Research output: Contribution to journalArticlepeer-review

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    Abstract

    Background
    There is growing attention on research and intervention prioritization regarding the social determinants of health to address health inequalities. Community involvement in this prioritization is centrally important. This scoping review aimed to identify: (i) examples of priority setting regarding the social determinants of health and (ii) methods for involving local communities in research or intervention prioritization.

    Methods
    Searches were conducted in Medline, Social Policy & Practice, Applied Social Sciences Index & Abstracts, CINAHL, and Carrot2 in May 2024. Eligible studies reported prioritization with communities for interventions or research about the social determinants of health. Studies reported primary research in high-income countries. A narrative synthesis was undertaken, with a review team involving different professionals and public contributors.

    Results
    Eighteen studies were included. Community prioritization methods varied, though commonly included participatory approaches, with additional reports of Delphi exercises, a super-setting approach, a nominal group technique, a deliberative exercise using a serious game, and a modified James Lind Alliance process.

    Conclusions
    Meaningful community involvement in research and intervention prioritization offers critical opportunities to reduce existing health inequalities. Participatory and coproduced approaches are valuable to research collaborations, funders, and public health organizations, which should ensure trust, accessibility, and inclusion to involve diverse and underrepresented communities.
    Original languageEnglish
    Pages (from-to)(In-Press)
    Number of pages17
    JournalJournal of Public Health
    Volume(In-Press)
    DOIs
    Publication statusPublished - 4 Dec 2025

    Bibliographical note

    This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse,
    distribution, and reproduction in any medium, provided the original work is properly cited

    Funding

    This work was supported by National Institute for Health and Care Research [Grant Number NIHR151356]. NIHR had no role in the conduct or decision to publish this scoping review. S.S. is part-funded by NIHR ARC West Midlands, NIHR West Midlands ESG, NIHR Screening ESG, and NIHR HDRC Coventry.

    UN SDGs

    This output contributes to the following UN Sustainable Development Goals (SDGs)

    1. SDG 3 - Good Health and Well-being
      SDG 3 Good Health and Well-being

    Keywords

    • social determinants
    • research
    • communities

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