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Published in: BMC Public Health 1/2017

Open Access 01-12-2017 | Study protocol

An intervention strategy for improving residential environment and positive mental health among public housing tenants: rationale, design and methods of Flash on my neighborhood!

Authors: Janie Houle, Simon Coulombe, Stephanie Radziszewski, Xavier Leloup, Thomas Saïas, Juan Torres, Paul Morin

Published in: BMC Public Health | Issue 1/2017

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Abstract

Background

In Canada, public housing programs are an important part of governmental strategies to fight poverty and public exclusion. The Flash on my neighborhood! project is a four-year multiphase community-based participatory action research strategy currently implemented in six public housing developments (n = 1009 households) across the province of Québec, Canada. The goal is to reduce the mental health disparities faced by these public housing tenants compared to the general population, while identifying which environmental and policy changes are needed to turn public housing settings into healthier environments.

Methods

The protocol involves three successive, interconnected phases: 1) Strengths and needs assessment, including community outreach and recruitment of tenants to collaborate as peer researchers, an exploratory qualitative component (photovoice), a systematic neighborhood observation, and a household survey; 2) Action plan development, including a community forum and interactive capacity-building and discussion sessions; 3) Action plan implementation and monitoring. The entire intervention is evaluated using a mixed-method design, framed within a multiple case study perspective. Throughout the project and particularly in the evaluation phase, data will be collected to record a) contextual factors (tenants’ previous experience of participation, history of public housing development, etc.); b) activities that took place and elements from the action plan that were implemented; and c) short- and medium-term outcomes (objective and perceived improvements in the quality of the residential setting, both physically and in terms of mental health and social capital).

Discussion

The study will provide unprecedented evidence-based information on the key ingredients of a collective intervention process associated with the increased collective empowerment and positive mental health of public housing tenants.
Footnotes
1
Although the quality of the built environment is still perceived to be an issue (e.g., [97]), in Québec, Canada, multi-storey public housing buildings represent the exception rather than the rule.
 
Literature
1.
Société d’habitation du Québec. (2014). L’habitation en bref 2014. [Housing in short 2014]. Quebec city, : Author.
2.
Digenis-Bury EC, Brooks DR, Chen L, Ostrem M, Horsburgh CR. Use of a population-based survey to describe the health of Boston public housing residents. Am J Public Health. 2008;98:85–91.CrossRefPubMedPubMedCentral
3.
Filakti H, Fox J. Differences in mortality by housing tenure and car access from the OPCS longitudinal study. Popul Trends. 1995;81:27–30.
4.
5.
6.
Société d’habitation du Québec. (2015). La santé des résidents de HLM: analyse comparative de la santé de la population faible revenu. [the health of public housing residents: comparative analysis of the health of the low-income population]. Quebec City: Author.
7.
Frohlich KL, Potvin L. Transcending the known in public housing practice: the inequality paradox: the population approach and vulnerable populations. Am J Public Health. 2008;98(2):216–21.CrossRefPubMedPubMedCentral
8.
Evans GW, Wells NM, Moch A. Housing and mental health: a review of the evidence and a methodological and conceptual critique. J Soc Issues. 2003;59(3):475–500.CrossRef
9.
Motley CM, Perry VG. Living on the other side of the tracks: an investigation of public housing stereotypes. J Public Policy Mark. 2013;32(Special Issue):48–58.CrossRef
10.
Skobba K, Bruin MJ. Examining public housing stereotypes and building intercultural competence through service-learning. Fam Consum Sci Res J. 2016;44:345–59.CrossRef
11.
12.
13.
Rosenfeld L, Chew GL, Rudd R, Emmons K, Acosta L, Perzanowski M, et al. Are building-level characteristics associated with indoor allergens in the household? J Urban Health. 2011;88:14–29.CrossRefPubMedPubMedCentral
14.
Dunn JR, Hayes M, Hulchanski JD, Hwang SW, Potvin L. Housing as a socioeconomic determinant of health: a Canadian research framework. In: Howden-Chapman P, Carroll P, editors. Housing & health: research, policy and innovation. Wellington, NZ: Steele Roberts; 2004. p. 12–39.
15.
Fisher M, Baum F. The social determinants of mental health: implications for research and health promotion. Aust N Z J Psychiatry. 2010;44:1057–63.CrossRefPubMed
16.
17.
Inagami S, Cohen DA, Finch BK. Non-residential neighborhood exposures suppress neighborhood effects on self-rated health. Soc Sci Med. 2007;65(8):1779–91.CrossRefPubMed
18.
Vallée J, Cadot E, Roustit C, Parizot I, Chauvin P. The role of daily mobility in mental health inequalities: the interactive influence of activity space and neighbourhood of residence on depression. Soc Sci Med. 2011;73(8):1133–44.CrossRefPubMed
19.
20.
Marmot M. The health gap: the challenge of an unequal world. London: Bloomsbury; 2015.
21.
Wilkinson RG, Pickett K. The spirit level: why equality is better for everyone. London: Penguin; 2010.
22.
Banks J, Marmot M, Oldfield Z, Smith J. Disease, and disadvantage in the United States and in England. JAMA. 2006;295:2037–45.CrossRefPubMed
23.
Glover JD, Hetzel DM, Tennant SK. The socioeconomic gradient and chronic illness and associated risk factors in Australia. Aust N Z Health Policy. 2004;1:8.CrossRef
24.
Kosidou K, Dalman C, Lundberg M, Hallqvist J, Isacsson G, Magnusson C. Socioeconomic status and risk of psychological distress and depression in the Stockholm public health cohort: a population-based study. J Affect Disord. 2011;134:160–7.CrossRefPubMed
25.
Melchior M, Chastang JF, Head J, Goldberg M, Zins M, Nabi H, et al. Socioeconomic position predicts long-term depression trajectory: a 13-year follow-up of the GAZEL cohort study. Mol Psychiatry. 2013;18:112–21.CrossRefPubMed
26.
Beckie TM. A systematic review of allostatic load, health, and health disparities. Biol Res Nurs. 2012;14(4):311–46.CrossRefPubMed
27.
Braveman P, Gottlieb L. The social determinants of health: It's time to consider the causes of the causes. Public Health Rep. 2014;129(Suppl 2):19–31.CrossRefPubMedPubMedCentral
28.
Braveman P, Egerter S, Williams DR. The social determinants of health: coming of age. Annu Rev Public Health. 2011;32:381–98.CrossRefPubMed
29.
Chen E, Miller GE. Socioeconomic status and health: mediating and moderating factors. Annu Rev Clin Psychol. 2013;9:723–49.CrossRefPubMed
30.
Chrousos GP. Stress and disorders of the stress system. Nat Rev Endocrin. 2009;5:374–81.CrossRef
31.
Cunliffe VT. The epigenetic impacts of social stress: how does social adversity become biologically embedded? Epigenomics. 2016;8(12):1653–69.CrossRefPubMed
32.
Marmot M. Status syndrome: how your social standing affects our health and longevity. Bloomsbury: London, UK; 2004.
33.
34.
Uphoff EP, Pickett KE, Cabieses B, Small N, Wright J. A systematic review of the relationships between social capital and socioeconomic inequalities in health: a contribution to understanding the psychosocial pathway of health inequalities. Int J Equity Health. 2013; https://​doi.​org/​10.​1186/​1475-9276-12-54.
35.
Bourdieu P. The forms of capital. In: Richardson JG, editor. Handbook of theory and research for the sociology of education. New York: Greenwood; 1986. p. 241–58.
36.
Sen A. Development as freedom. Oxford, UK: University Press; 1999.
37.
Whitehead M, Pennington A, Orton L, Nayak S, Petticrew M, Sowden A, et al. How could differences in “control over destiny” lead to socio-economic inequalities in health? A synthesis of theories and pathways in the living environment. Health Place. 2016;39:51–61.CrossRefPubMed
38.
Ahluwalia JS, Nollen N, Kaur H, James AS, Mayo MS, Resnicow K. Pathway to health: cluster-randomized trial to increase fruit and vegetable consumption among smokers in public housing. Health Psychol. 2007;26(2):214–21.CrossRefPubMed
39.
Andrews JO, Mueller M, Dooley M, Newman SD, Magwood GS, Tingen MS. Effect of a smoking cessation intervention for women in subsidized neighborhoods: a randomized controlled trial. Prev Med. 2016;90:170–6.CrossRefPubMed
40.
Gans KM, Gorham G, Risica P, Dulin-Keita A, Dionne L, Gao T, et al. A multi-level intervention in subsidized housing sites to increase fruit and vegetable access and intake: rationale, design and methods of the “live well, viva Bien” cluster randomized trial. BMC Public Health. 2016; https://​doi.​org/​10.​1186/​s12889-016-3141-7.
41.
McNeill LH, Coeling M, Puleo E, Suarez EG, Bennett GG. Emmons KM colorectal cancer prevention for low-income, sociodemographically-diverse adults in public housing: baseline findings of a randomized controlled trial. BMC Public Health. 2009;9:353.CrossRefPubMedPubMedCentral
42.
Quintiliani LM, Debiasse MA, Branco JM, Bhosrekar SG, Rorie JA, et al. Enhancing physical and social environments to reduce obesity among public housing residents: Rationale, trial design, and baseline data for the Healthy Families Study. Contemp Clin Tr. 2014;39:201–10.CrossRef
43.
O’Mara-Eves A, Brunton G, McDaid D, Oliver S, Kavanagh J, Jamal F, et al. Community engagement to reduce inequalities in health: A systematic review, meta-analysis and economic analysis. Public Health Res. 2013; 1(4). doi:https://​doi.​org/​10.​3310/​phr01040. PMID: 25642563.
44.
45.
Azevedo Da Silva M, Singh-Manoux A, Brunner EJ, Kaffashian S, Shipley MJ, et al. Bidirectional association between physical activity and symptoms of anxiety and depression: the Whitehall II study. Eur J Epidemiol. 2012;27(7):537–46.CrossRefPubMedPubMedCentral
46.
Bazo-Alvarez JC, Peralta-Alvarez B-OA, Alvarado GF, Miranda JJ. Tobacco consumption and positive mental health: An epidemiological study from a positive psychology perspective. BMC Psychol. 2016;May;4:4–22.CrossRef
47.
Brumpton B, Langhammer A, Romundstad P, Chen Y, Mai XM. The associations of anxiety and depression symptoms with weight change and incident obesity: the HUNT study. Int J Obes. 2013;37(9):1268–74.CrossRef
48.
Trudel-Fitzgerald C, Tworoger SS, Poole EM, Williams DR, Kubzansky LD. Prospective changes in healthy lifestyle among midlife women: when psychological symptoms get in the way. Am J Prev Med. 2016;51:327–35.CrossRefPubMedPubMedCentral
49.
50.
Keyes CLM. Mental illness and/or mental health? Investigating axioms of the complete state model of health. J Consult Clin Psychol. 2005;73(3):539–48.CrossRefPubMed
51.
Westerhof GJ, Keyes CLM. Mental illness and mental health: the two continua model across the lifespan. J Adult Dev. 2010;17(2):110–9.CrossRefPubMed
52.
Keyes CLM, Dhingra SS, Simoes EJ. Change in level of positive mental health as a predictor of future risk of mental illness. Am J Public Health. 2010;100(12):2366–71.CrossRefPubMedPubMedCentral
53.
Ryff CD. Happiness is everything, or is it? Explorations on the meaning of psychological well-being. J Pers Soc Psychol. 1989;57(6):1069–81.CrossRef
54.
Cohen R, Bavishi C, Rozanski A. Purpose in life and its relationship to all-cause mortality and cardiovascular events: a meta-analysis. Psychosom Med. 2016;78(2):122–33.CrossRefPubMed
55.
Friedman EM, Hayney M, Love GD, Singer BH, Ryff CD. Plasma interleukin-6 and soluble IL-6 receptors are associated with psychological well-being in aging women. Health Psychol. 2007;26(3):305–13.CrossRefPubMed
56.
57.
Kim ES, Sun JK, Park N, Peterson C. Purpose in life and reduced incidence of stroke in older adults: 'The Health and Retirement Study'. J Psychosom Res. 2013;May;74:427–32.CrossRefPubMed
58.
59.
Gale CR, Dennison EM, Cooper C, Sayer AA. Neighbourhood environment and positive mental health in older people: the Hertfordshire cohort study. Health Place. 2011;17(4):867–74.CrossRefPubMed
60.
Jones R, Heim D, Hunter S, Ellaway A. The relative influence of neighbourhood incivilities, cognitive social capital, club membership and individual characteristics on positive mental health. Health Place. 2014;28:187–93.CrossRefPubMed
61.
Hawe P, Potvin L. What is population health intervention research? Can J Public Health. 2009;100(1):I8–I14.
62.
Potvin L, Pettigrew M, Cohen ERM. Population health intervention research: developing a much needed science of solutions. Prev Med. 2014;61:114–5.CrossRefPubMed
63.
64.
Oetzel JG, Zhou C, Duran B, Pearson C, Magarati M, Lucero J, et al. Establishing the psychometric properties of constructs in a community-based participatory research conceptual model. Am J Health Promot. 2015;29(5):e188–202.CrossRefPubMed
65.
Moser G. Quality of life and sustainability: toward person-environment congruity. J Environ Psychol. 2009;29:351–7.CrossRef
66.
Reininger B, Martin DW, Ross M, Sinicrope PS, Dinh-Zarr T. Advancing the theory and measurement of collective empowerment: a qualitative study. Int Q Community Health Educ. 2005–2006;25:211–38.CrossRefPubMed
67.
Droomers M, Harting J, Jongeneel-Grimen B, Rutten L, van Kats J, Stronks K. Area-based interventions to ameliorate deprived Dutch neighborhoods in practice: does the Dutch District approach address the social determinants of health to such an extent that future health impacts may be expected? Prev Med. 2014;61:122–7.CrossRefPubMed
68.
Stake RE. Multiple case study analysis. New York, NY: The Guilford Press; 2006.
69.
Yin RK. Case study research: Design and Methods. 5th ed. Thousand Oaks, CA: SAGE Publications; 2014.
70.
Campbell R, Ahrens CE. Innovative community services for rape victims: an application of multiple case study methodology. Am J Community Psychol. 1998;26(4):536–71.CrossRef
71.
Chmiliar L. Multiple-case designs. In: Mills AJ, Durepos G, Wiebe E, editors. Encyclopedia of case study research. Thousand Oaks, CA: SAGE Publication; 2010. p. 583–5.
72.
Lee KS, Chavis DM. Cross-case methodology: bringing rigour to community and systems change research and evaluation. J Community Appl Soc. 2012;22:428–38.CrossRef
73.
Stake RE. The art of case study research. Thousand Oaks, CA: Sage Publications Inc; 1995.
74.
75.
Patton GC, Bond L, Carlin JB, Thomas L, Butler H, Glover S, et al. Promoting social inclusion in schools: a group-randomized trial of effects on student health risk behavior and well-being. Am J Public Health. 2006;95(9):1582–7.CrossRef
76.
Gibbert M, Ruigrok W, Wicki B. What passes as a rigorous case study? Strategic Manage J. 2008;29(13):1465–74.CrossRef
77.
Houle J, Coulombe S, Radziszewski S, Boileau G, Morin P, Leloup X, Bohémier H, Robert S.Public housing tenants’ perspective on residential environment and positive well-being: An empowermentbased Photovoice study and its implication for social work. J Soc Work. 2016. doi:10.​1177/​1468017316679906​.
78.
Coulombe S, Radziszewski S, Morin P, Leloup X, Bohémier H, Houle J. Using neighborhood observation to support public housing tenants' empowerment. Action Res. 2017. doi:10.​1177/​1476750317695411​.
79.
Roche B, Guta A, Flicker S. Peer research in action I: models of practice. Wellesley Institute: Toronto, Canada; 2010.
80.
Cargo M, Mercer SL. The value and challenges of participatory research: strengthening its practice. Annu Rev Public Health. 2008;29:325–50.CrossRefPubMed
81.
Minkler M, Wallerstein N. Introduction to community based participatory research. In: Minkler M, Wallerstein N, editors. Community-based participatory research for health. San Francisco, CA: Jossey-Bass; 2008. p. 3–26.
82.
Wang C, Burris M. Photovoice: concept, methodology, and use for participatory needs assessment. Health Educ Behav. 1997;24(3):369–87.CrossRefPubMed
83.
Lamers SM, Westerhof GJ, Bohlmeijer ET, ten Klooster PM, Keyes CL. Evaluating the psychometric properties of the mental health continuum-short form (MHC-SF). J Clin Psychol. 2011;67(1):99–110.CrossRefPubMed
84.
85.
Israel B, Checkoway B, Schulz A, Zimmerman M. Health education and community empowerment: conceptualizing and measuring perceptions of individual organizational and community control. Health Educ Behav. 1994;21(2):149–70.
86.
Speer P, Peterson NA. Psychometric properties of an empowerment scale: testing cognitive, emotional, and behavioral domains. Soc Work Res. 2000;24(2):109–18.CrossRef
87.
Bratteteig T, Bødker K, Dittrich Y, Mogensen P, Simonsen J. Methods: organizing principles and general guidelines for participatory design projects. In: Simonsen J, Robertson T, editors. Routledge international handbook of participatory design. New York, NY: Routledge; 2013. p. 117–44.
88.
Thwaites K, Mathers A, Simkins I. Socially restorative urbanism: the theory, process and practice of experiemics. New York, NY: Routledge; 2013.
89.
Heath C, Health D. Switch. How to change things when change is hard. Toronto: Random House Canada; 2010.
90.
Moos R. Group environment scale: Manual. Palo Alto: Consulting Psychologists Press; 1981.
91.
Ménard R. Le climat social dans les équipes de réeducation de Boscoville. Montréal, Canada: Groupe de Recherche sur l'Inadaptation Juvénile, University de Montréal; 1974.
92.
Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77–101.CrossRef
93.
Braun V, Clarke V, Terry G. Thematic analysis. In: Lyons A, editor. Qualitative research in clinical and health psychology. New York, NY: Palgrave Macmillan; 2014. p. 95–113.
94.
Wludyka P. Study designs and their outcomes. In: Macha K, McDonough JP, editors. Epidemiology for advanced nursing practice. London, UK: Jones & Bartlett Learning; 2012. p. 81–114.
95.
Burns JMC. Cross-case synthesis and analysis. In: Mills AJ, Durepos G, Wiebe E, editors. Encyclopedia of case study research. Thousand Oaks, CA: SAGE Publications, Inc; 2010. p. 583–5.
96.
Thurber A, Fraser J. Disrupting the order of things: public housing tenant organizing for material, political and epistemological justice. Cities. 2016;57:55–61.CrossRef
97.
Leloup X, Morin P. Les modes d’allocation du logement social ont-ils un effet sur le bien-être et la santé des familles? Une comparaison des programmes d’habitation à loyer modique (HLM) et de supplément au loyer (PSL) à Montréal. [Do the modes of social housing allocation affect the families’ health and well-being? A comparison of public housing program and the rend supplement program in Montreal], Ottawas: Canada Mortgage and Housing Corporation; 2012.
Metadata
Title
An intervention strategy for improving residential environment and positive mental health among public housing tenants: rationale, design and methods of Flash on my neighborhood!
Authors
Janie Houle
Simon Coulombe
Stephanie Radziszewski
Xavier Leloup
Thomas Saïas
Juan Torres
Paul Morin
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2017
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-017-4730-9

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