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BMC Public Health
Published in: BMC Public Health 1/2016

Open Access 01-12-2016 | Research article

Understanding the impact of area-based interventions on area safety in deprived areas: realist evaluation of a neighbour nuisance intervention in Arnhem, the Netherlands

Authors: Daniëlle Kramer, Janneke Harting, Anton E. Kunst

Published in: BMC Public Health | Issue 1/2016

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Abstract

Background

Area-based health inequalities may partly be explained by higher levels of area disorder in deprived areas. Area disorder may cause safety concerns and hence impair health. This study assessed how, for whom and in what conditions the intervention Meeting for Care and Nuisance (MCN) had an impact on neighbour nuisance and area safety in four deprived districts in Arnhem, the Netherlands.

Methods

Realist evaluation methodology was applied to uncover how, for whom, and under what conditions MCN was expected to and actually produced change. Expected change was based on action plans and scientific theories. Actual change was based on progress reports, media articles, interviews with district managers, and quantitative surveys.

Results

Three levels of impact were distinguished. At the organisational level, partly as expected, MCN’s coordinated partnership strategy enabled role alignment, communication, and leadership. This resulted in a more efficient approach of nuisance households. At the level of nuisance households, as expected, MCN’s joint assistance and enforcement strategy removed many of the underlying reasons for nuisance. This resulted in less neighbour nuisance. At the district level, perceptions of social control and area safety improved only in one district. Key conditions for change included a wider safety approach, dense population, and central location of the district within the city.

Conclusions

This realist evaluation provided insight into the mechanisms by which a complex area-based intervention was able to reduce neighbour nuisance in deprived areas. Depending on wider conditions, such a reduction in neighbour nuisance may or may not lead to improved perceptions of area safety at the district level.
Literature
1.
Meijer M, Röhl J, Bloomfield K, Grittner U. Do neighbourhoods affect individual mortality? A systematic review and meta-analysis of multilevel studies. Soc Sci Med. 2012;74:1204–12.CrossRefPubMed
2.
3.
Riva M, Gauvin L, Barnett TA. Toward the next generation of research into small area effects on health: a synthesis of multilevel investigations published since July 1998. J Epidemiol Community Health. 2007;61:853–61.CrossRefPubMedPubMedCentral
4.
Pickett KE, Pearl M. Multilevel analyses of neighbourhood socioeconomic context and health outcomes: a critical review. J Epidemiol Community Health. 2001;55:111–22.CrossRefPubMedPubMedCentral
5.
Kim J. Neighborhood disadvantage and mental health: the role of neighbourhood disorder and social relationships. Soc Sci Res. 2010;39:260–71.CrossRef
6.
Baum FE, Ziersch AM, Zhang G, Osborne K. Do perceived neighbourhood cohesion and safety contribute to neighbourhood differences in health? Health Place. 2009;15:925–34.CrossRefPubMed
7.
Poortinga W, Dunstan FD, Fone DL. Neighbourhood deprivation and self-rated health: the role of perceptions of the neighbourhood and of housing problems. Health Place. 2008;14:562–75.CrossRefPubMed
8.
Ross CE, Mirowsky J. Neighbourhood disadvantage, disorder, and health. J Health Soc Behav. 2001;42:258–76.CrossRefPubMed
9.
10.
Lorenc T, Clayton S, Neary D, Whitehead M, Petticrew M, Thomson H, et al. Crime, fear of crime, environment, and mental health and wellbeing: mapping review of theories and causal pathways. Health Place. 2012;18:757–65.CrossRefPubMed
11.
Atkinson R. European urban policies and the neighbourhood: an overview. Urban Des Plann. 2008;161:115–22.CrossRef
12.
Lawless P. Understanding the scale and nature of outcome change in area-regeneration programmes: evidence from the New deal for communities programme in England. Environ Plann C. 2011;29:520–32.CrossRef
13.
Rhodes J, Tyler P, Brennan A. Assessing the effect of area based initiatives on local area outcomes: some thoughts based on the national evaluation of the single regeneration budget in England. Urban Stud. 2005;42:1919–46.CrossRef
14.
Thomson H, Atkinson R, Petticrew M, Kearns A. Do urban regeneration programmes improve public health and reduce health inequalities? A synthesis of the evidence from UK policy and practice (1980–2004). J Epidemiol Community Health. 2006;60:108–15.CrossRefPubMedPubMedCentral
15.
Thomson H. A dose of realist for healthy urban policy: lessons from area-based initiatives in the UK. J Epidemiol Community Health. 2007;62:932–6.CrossRef
16.
Hills D. Evaluation of community-level interventions for health improvement: a review of experience in the UK. London: Health Development Agency; 2004.
17.
Pawson R, Tilley N. Realistic evaluation. London: SAGE Publications Ltd; 1997.
18.
Nanninga M, Glebbeek A. Employing the teacher-learner cycle in realistic evaluation: a case study of the social benefits of young people’s playing fields. Eval. 2011;17.
19.
Dillane J, Hill M, Bannister J, Scott S. Evaluation of the Dundee families project: final report. Glasgow: University of Glasgow; 2001.
20.
Yin RK. Case study research. Designs and methods. Thousand Oaks: SAGE Publications Inc; 1994.
21.
22.
Ritchie J, Spencer L. Qualitative data analysis for applied policy research. In: Bryman A, Burgess RG, editors. Analyzing qualitative data. Oxon: Routledge; 1994.
23.
Winer M, Karen R. Collaboration handbook: creating, sustaining, and enjoying the journey. Saint Paul: Amherst H. Wilder Foundation; 1994.
24.
Clarke RV. Situational crime prevention. Successful case studies. New York: Harrow and Heston; 1997.
25.
Taylor RB. The incivilities thesis: theory, measurement, and policy. In: Reno J, Fisher RC, Robinson L, Brennan N, Travis J, Brann JE, editors. Measuring what matters. Washington: U.S. Department of Justice; 1999.
26.
Lubbe M, Larsen V. MKBA overlast en zorg overleg (OZO) Arnhem. Amsterdam: LPBL; 2014.
27.
Cook C, Heath F, Thompson RL. A meta-analysis of response rates in web-or internet-based surveys. Educ Psychol Meas. 2000;60:821–36.CrossRef
28.
Pawson R, Greengalgh T, Harvey G, Walshe K. Realist review—a new method of systematic review designed for complex policy interventions. J Health Serv Res Policy. 2005;10:21–34.CrossRefPubMed
29.
Greenhalgh T, Wong G, Jagosh J, Greenhalgh J, Manzano A, Westhorp G, et al. Protocol—the RAMESES II study: developing guidance and reporting standards for realist evaluation. BMJ Open. 2015;5, e008567.CrossRefPubMedPubMedCentral
Metadata
Title
Understanding the impact of area-based interventions on area safety in deprived areas: realist evaluation of a neighbour nuisance intervention in Arnhem, the Netherlands
Authors
Daniëlle Kramer
Janneke Harting
Anton E. Kunst
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2016
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-016-2905-4

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