Understanding how to create healthier places: A qualitative study exploring the complex system of urban development decision-making

Anna Le Gouais; Geoff Bates; Rosalie Callway; Heeseo Rain Kwon; Lisa Montel; Sian Peake-Jones; Jo White; Md Nazmul Hasan; Caglar Koksal; Andrew Barnfield; Krista Bondy; Sarah Ayres

doi:10.1016/j.healthplace.2023.103023

Understanding how to create healthier places: A qualitative study exploring the complex system of urban development decision-making

Anna Le Gouais, Geoff Bates, Rosalie Callway, Heeseo Rain Kwon, Lisa Montel, Sian Peake-Jones, Jo White, Md Nazmul Hasan, Caglar Koksal, Andrew Barnfield, Krista Bondy, Sarah Ayres

Planning, Property and Environmental Management

Research output: Contribution to journal › Article › peer-review

Abstract

Tackling complex system challenges like creating healthy environments requires understanding priorities and structures affecting multiple actors. This qualitative study, involving 132 multi-sectoral stakeholders spanning the urban development decision-making system, explores how to influence healthier place-making. Using thematic analysis we develop themes around competing stakeholder priorities; structural 'rules' and influential relationships; and justifying a focus on health, requiring greater clarity and consensus around definitions of 'healthy' urban development. Building on the socio-ecological model we highlight how a multi-faceted approach is required for change at multiple levels in the complex system to target individual actor motivations, organisational priorities and structural 'rules'.

Original language	English
Article number	103023
Journal	Health & Place
Volume	81
Early online date	18 Apr 2023
DOIs	https://doi.org/10.1016/j.healthplace.2023.103023
Publication status	Published - 1 May 2023

Keywords

Urban development
Decision-making
System
Qualitative
Environmental determinants
public health

Research Beacons, Institutes and Platforms

Manchester Urban Institute
Sustainable Futures

UN SDGs

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

Access to Document

10.1016/j.healthplace.2023.103023Licence: CC BY

1 Finished
2 Active

Spatial Policy and Analysis Laboratory and Research Group
Acheampong, R. A., Wong, C., Baker, M., Schulze Baing, A., Zheng, H., Agyemang, F., Pinto, N., Kingston, R., Deas, I., Koksal, C. & Zhang, A.
1/05/23 → …
Project: Research
Tackling Root Causes Upstream of Unhealthy Urban Development (TRUUD)
Wong, C., Verma, A. & Koksal, C.
1/10/19 → 30/09/24
Project: Research
Embedding Health in Local Design Guides and Measuring Impact of Planning on Public Health in Manchester
Koksal, C. & Zandieh, R.
17/02/22 → 30/11/22
Project: Research

4 Article
1 Book/Film/Article review
1 Other contribution

Balancing Autonomy and Collaboration in Large-Scale and Disciplinary Diverse Teams for Successful Qualitative Research
Bates, G., Gouais, A. L., Barnfield, A., Callway, R., Hasan, M. N., Koksal, C., Kwon, H. R., Montel, L., Peake-Jones, S., White, J., Bondy, K. & Ayres, S., 5 Jan 2023, In: International Journal of Qualitative Methods. 22
Research output: Contribution to journal › Article › peer-review

Open Access
Beyond public health, beyond spatial planning: Boundary-spanning policy regime of urban health in England
Koksal, C. & Wong, C., 14 May 2023, In: Built Environment. 49, 2, p. 166-186 21 p.
Research output: Contribution to journal › Article › peer-review

Open Access
File
Developing shared understanding through online interdisciplinary collaboration: Reflections from a research project on better integration of health outcomes in future urban development practice
Hasan, M. N., Koksal, C., Montel, L., Gouais, A. L., Barnfield, A., Bates, G. & Kwon, H. R., 1 Jun 2023, In: Futures. 150, p. 1-14 14 p., 103176.
Research output: Contribution to journal › Article › peer-review

Open Access

3 Invited talk
2 Oral presentation
1 Participating in a conference, workshop, exhibition, performance, inquiry, course etc
1 Visiting an external non-academic organisation

Reform Research Trust
Caglar Koksal (Secondee)
1 Jan 2023 → 30 Dec 2023
Activity: External visiting positions or secondments › Visiting an external non-academic organisation
Developing 'health net gain' in spatial planning: concept, method, & practice
Jim Stewart-Evans (Speaker), Caglar Koksal (Speaker) & Michael Chang (Speaker)
7 Sept 2022
Activity: Talk or presentation › Oral presentation
Boundary spanning policy regime of urban health in England
Cecilia Wong (Speaker) & Caglar Koksal (Speaker)
6 Sept 2022
Activity: Talk or presentation › Oral presentation

'Health test' for new developments
Caglar Koksal
1/03/22 → 10/06/22
7 items of Media coverage, 1 Media contribution
Press/Media: Blogs and social media

Cite this

Le Gouais, A., Bates, G., Callway, R., Kwon, H. R., Montel, L., Peake-Jones, S., White, J., Hasan, M. N., Koksal, C., Barnfield, A., Bondy, K., & Ayres, S. (2023). Understanding how to create healthier places: A qualitative study exploring the complex system of urban development decision-making. Health & Place, 81, Article 103023. Advance online publication. https://doi.org/10.1016/j.healthplace.2023.103023

@article{62f47c0344df46488882d415207b66ae,

title = "Understanding how to create healthier places: A qualitative study exploring the complex system of urban development decision-making",

abstract = "Tackling complex system challenges like creating healthy environments requires understanding priorities and structures affecting multiple actors. This qualitative study, involving 132 multi-sectoral stakeholders spanning the urban development decision-making system, explores how to influence healthier place-making. Using thematic analysis we develop themes around competing stakeholder priorities; structural 'rules' and influential relationships; and justifying a focus on health, requiring greater clarity and consensus around definitions of 'healthy' urban development. Building on the socio-ecological model we highlight how a multi-faceted approach is required for change at multiple levels in the complex system to target individual actor motivations, organisational priorities and structural 'rules'.",

keywords = "Urban development, Decision-making, System, Qualitative, Environmental determinants, public health",

author = "{Le Gouais}, Anna and Geoff Bates and Rosalie Callway and Kwon, {Heeseo Rain} and Lisa Montel and Sian Peake-Jones and Jo White and Hasan, {Md Nazmul} and Caglar Koksal and Andrew Barnfield and Krista Bondy and Sarah Ayres",

year = "2023",

month = may,

day = "1",

doi = "10.1016/j.healthplace.2023.103023",

language = "English",

volume = "81",

journal = "Health & Place",

issn = "1353-8292",

publisher = "Elsevier BV",

}

TY - JOUR

T1 - Understanding how to create healthier places

T2 - A qualitative study exploring the complex system of urban development decision-making

AU - Le Gouais, Anna

AU - Bates, Geoff

AU - Callway, Rosalie

AU - Kwon, Heeseo Rain

AU - Montel, Lisa

AU - Peake-Jones, Sian

AU - White, Jo

AU - Hasan, Md Nazmul

AU - Koksal, Caglar

AU - Barnfield, Andrew

AU - Bondy, Krista

AU - Ayres, Sarah

PY - 2023/5/1

Y1 - 2023/5/1

N2 - Tackling complex system challenges like creating healthy environments requires understanding priorities and structures affecting multiple actors. This qualitative study, involving 132 multi-sectoral stakeholders spanning the urban development decision-making system, explores how to influence healthier place-making. Using thematic analysis we develop themes around competing stakeholder priorities; structural 'rules' and influential relationships; and justifying a focus on health, requiring greater clarity and consensus around definitions of 'healthy' urban development. Building on the socio-ecological model we highlight how a multi-faceted approach is required for change at multiple levels in the complex system to target individual actor motivations, organisational priorities and structural 'rules'.

AB - Tackling complex system challenges like creating healthy environments requires understanding priorities and structures affecting multiple actors. This qualitative study, involving 132 multi-sectoral stakeholders spanning the urban development decision-making system, explores how to influence healthier place-making. Using thematic analysis we develop themes around competing stakeholder priorities; structural 'rules' and influential relationships; and justifying a focus on health, requiring greater clarity and consensus around definitions of 'healthy' urban development. Building on the socio-ecological model we highlight how a multi-faceted approach is required for change at multiple levels in the complex system to target individual actor motivations, organisational priorities and structural 'rules'.

KW - Urban development

KW - Decision-making

KW - System

KW - Qualitative

KW - Environmental determinants

KW - public health

U2 - 10.1016/j.healthplace.2023.103023

DO - 10.1016/j.healthplace.2023.103023

M3 - Article

C2 - 37079969

SN - 1353-8292

VL - 81

JO - Health & Place

JF - Health & Place

M1 - 103023

ER -

Understanding how to create healthier places: A qualitative study exploring the complex system of urban development decision-making

Abstract

Keywords

Research Beacons, Institutes and Platforms

UN SDGs

Access to Document

Fingerprint

Projects

Research output

Activities

Press/Media

Cite this