Abstract
Background: Aging populations, increased life expectancy and technological advancements in healthcare have led to increasing chronic diseases and healthcare costs. The urgency of these challenges is causing many countries to focus increasingly on population-based health promotion. Recognizing the significance of local policymaking, WHO emphasizes the need for health promotion approaches within communities, with interventions tailored to specific community needs. To achieve this, citizen participation in the development of local health promotion interventions and policies is crucial. Furthermore, as the complexity of the health issues that these interventions and policies target often extends across and beyond healthcare domains, cross-sectoral collaboration is needed. However, when it comes cross-sectoral collaboration and citizen participation, varying systems and perspectives pose challenges.
Goal: Previous literature reviews have focused on either cross-sectoral collaboration or citizen participation in population-based health promotion, but how both topics relate to each other has not yet been reported on. We aim to give a state-of-the-art overview of both aspects and describe the different perspectives, focusing on the question: what factors influence cross-sectoral collaboration and citizen participation in local population-based health promotion? We thereby look at health promotion interventions and policies directed at the entire population or specific subgroups, in local settings such as neighbourhoods or communities. We consider citizen participation as the involvement of citizens or the community in developing these policies or interventions.
Methods: This scoping review employed a three-step search strategy. Initially, we used a limited search to identify relevant papers and keywords, followed by a comprehensive search in Pubmed, Embase, PsycInfo, CINAHL, Scopus, Global Health and Sociological Abstracts including Social Services Abstracts, using keywords related to cross-sectoral collaboration, citizen participation, health promotion and local context. Finally, we screened reference lists of full-text articles. Study selection involved screening of titles and abstracts by two independent reviewers using ASReview, an active learning software program. Inter-rater reliability was ensured through pilot tests. We assessed full-text articles against exclusion criteria. Data was extracted using a data extraction form, which was iteratively revised.
Results: Our study is ongoing. The comprehensive search yielded 12,986 unique results. After title and abstract screening, 240 full text articles remained to be assessed for eligibility. Further results will be presented at the conference. We aim to highlight challenges and opportunities in cross-sectoral collaboration and citizen participation in population-based health promotion, shedding light on facilitators, barriers, and conditions.
Lessons and next steps: This study aims to provide valuable insights into the complexities of cross-sectoral collaboration on population-based health promotion, while also emphasizing the significance of citizen participation and its impact on health promotion strategies. Our review will provide a comprehensive overview, bridging gaps in previous research by exploring the relationship between cross-sectoral collaboration and citizen participation, and will pave the way for future strategies aimed at enhancing community-oriented health promotion.
Conclusion: Effective community-oriented health promotion necessitates robust cross-sectoral collaboration and citizen participation. Our study highlights the opportunities and challenges of collaboration between differing systems and perspectives and emphasizes the crucial, albeit complex, role of citizen participation in health promotion initiatives.