Skip to main content
. 2015 Jun 15;2015(6):CD009905. doi: 10.1002/14651858.CD009905.pub2

Stafford 2008.

Methods Study design: prospective controlled cohort
Sampling frame: residents age 16 or older in 39 New Deal community areas in England, and residents in comparator areas matched on deprivation score and local authority
Sampling method: random sample household survey of residents of New Deal communities age 16 or older. A similar household survey was carried out in deprived but not New Deal neighborhoods. At 2‐year follow‐up, surveys were repeated and a longitudinal panel of respondents resulted. In total, 10,390 previously interviewed New Deal site respondents were interviewed again in 2004 (73%). Among residents surveyed in comparison communities, 977 (72% of baseline) were interviewed
Collection method: in‐person interview
Description of the community coalition: New Deal program was launched in 1998 with the aim of reducing the gap between deprived neighborhoods and the rest of England through community‐led partnerships in 39 neighborhoods. Partnerships received about £50 million over 10 years. Each partnership had to create its own operating and governance procedures and systems for financial management and monitoring; also had to hire staff, decide on the role and composition of multi‐sector boards, and appoint or elect boards. Many were incorporated as companies 
Participants Communities: 39 deprived neighborhoods in London, in Birmingham, and across England
Country: England
Ages included in assessment: 16+ (n = 11,367)
Reasons provided for selection of intervention community: areas of high socioeconomic deprivation
Intervention community (population size): Each New Deal site had a population of approximately 9800 residents
Comparison community (population size): similar size
Interventions Name of intervention: New Deal for Communities Program
Theory: area‐based regeneration
Aim: to reduce gaps between the poorest neighborhoods and the rest of the country through a 10‐year strategic transformation of neighborhoods and local agencies
Description of costs and resources: £50 million over 10 years per site
Components of the intervention: Each New Deal site chose its own 10‐year targets and delivered a different set of interventions aimed at improving the environment, crime, education, employment, and health
Start date: 1998
Duration: 10 years
Outcomes Outcomes and measures: self rated health status, SF‐36 mental health, smoking status, satisfaction with local area
Time points: baseline (2002) and follow‐up (2004)
Notes Funding source: government
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) High risk Not randomized
Allocation concealment (selection bias) High risk No allocation concealment
Baseline outcome measurement similar Low risk Similar baseline outcome measures
Baseline characteristics similar Low risk Participants in intervention and control areas similar
Blinding of outcome assessment (detection bias) 
 All outcomes High risk Study interviewers were aware of intervention allocation, as it was determined by place of residence
Incomplete outcome data (attrition bias) 
 All outcomes High risk 30% of longitudinal cohort members lost to follow‐up in consecutive surveys
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Participants were not necessarily aware of the coalition intervention
Protection against contamination Unclear risk Intervention and control communities were in relatively close proximity
Selective reporting (reporting bias) Low risk Relevant outcomes were reported