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Evaluation of the mental health impacts of Universal Credit: protocol for a mixed methods study.

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cam.depositDate2022-05-27
cam.issuedOnline2022-04-08
dc.contributor.authorCraig, Peter
dc.contributor.authorBarr, Benjamin
dc.contributor.authorBaxter, Andrew J
dc.contributor.authorBrown, Heather
dc.contributor.authorCheetham, Mandy
dc.contributor.authorGibson, Marcia
dc.contributor.authorKatikireddi, Srinivasa Vittal
dc.contributor.authorMoffatt, Suzanne
dc.contributor.authorMorris, Steph
dc.contributor.authorMunford, Luke Aaron
dc.contributor.authorRichiardi, Matteo
dc.contributor.authorSutton, Matt
dc.contributor.authorTaylor-Robinson, David
dc.contributor.authorWickham, Sophie
dc.contributor.authorXiang, Huasheng
dc.contributor.authorBambra, Clare
dc.contributor.orcidCraig, Peter [0000-0002-7653-5832]
dc.contributor.orcidBaxter, Andrew J [0000-0002-7654-9687]
dc.contributor.orcidBrown, Heather [0000-0002-0067-991X]
dc.contributor.orcidCheetham, Mandy [0000-0002-2616-9205]
dc.contributor.orcidGibson, Marcia [0000-0002-7479-9228]
dc.contributor.orcidKatikireddi, Srinivasa Vittal [0000-0001-6593-9092]
dc.contributor.orcidMorris, Steph [0000-0002-9005-4680]
dc.contributor.orcidMunford, Luke Aaron [0000-0003-4540-6744]
dc.contributor.orcidXiang, Huasheng [0000-0002-5515-001X]
dc.date.accessioned2022-05-30T23:30:16Z
dc.date.available2022-05-30T23:30:16Z
dc.date.issued2022-04-08
dc.date.updated2022-05-27T12:48:58Z
dc.description.abstractINTRODUCTION: The UK social security system is being transformed by the implementation of Universal Credit (UC), which combines six existing benefits and tax credits into a single payment for low-income households. Despite extensive reports of hardship associated with the introduction of UC, no previous studies have comprehensively evaluated its impact on mental health. Because payments are targeted at low-income households, impacts on mental health will have important consequences for health inequalities. METHODS AND ANALYSIS: We will conduct a mixed methods study. Work package (WP) 1 will compare health outcomes for new recipients of UC with outcomes for legacy benefit recipients in two large population surveys, using the phased rollout of UC as a natural experiment. We will also analyse the relationship between the proportion of UC claimants in small areas and a composite measure of mental health. WP2 will use data collected by Citizen's Advice to explore the sociodemographic and health characteristics of people who seek advice when claiming UC and identify features of the claim process that prompt advice-seeking. WP3 will conduct longitudinal in-depth interviews with up to 80 UC claimants in England and Scotland to explore reasons for claiming and experiences of the claim process. Up to 30 staff supporting claimants will also be interviewed. WP4 will use a dynamic microsimulation model to simulate the long-term health impacts of different implementation scenarios. WP5 will undertake cost-consequence analysis of the potential costs and outcomes of introducing UC and cost-benefit analyses of mitigating actions. ETHICS AND DISSEMINATION: We obtained ethical approval for the primary data gathering from the University of Glasgow, College of Social Sciences Research Ethics Committee, application number 400200244. We will use our networks to actively disseminate findings to UC claimants, the public, practitioners and policy-makers, using a range of methods and formats. TRIAL REGISTRATION NUMBER: The study is registered with the Research Registry: researchregistry6697.
dc.format.mediumElectronic
dc.identifier.doi10.17863/CAM.85027
dc.identifier.eissn2044-6055
dc.identifier.issn2044-6055
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/337620
dc.language.isoeng
dc.publisherBMJ
dc.publisher.departmentDepartment of Public Health And Primary Care, The Primary Care Unit
dc.publisher.urlhttp://dx.doi.org/10.1136/bmjopen-2022-061340
dc.rightsAttribution 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectHEALTH ECONOMICS
dc.subjectMENTAL HEALTH
dc.subjectPUBLIC HEALTH
dc.subjectQUALITATIVE RESEARCH
dc.subjectCost-Benefit Analysis
dc.subjectEngland
dc.subjectHumans
dc.subjectMental Health
dc.subjectScotland
dc.subjectSurveys and Questionnaires
dc.titleEvaluation of the mental health impacts of Universal Credit: protocol for a mixed methods study.
dc.typeArticle
dcterms.dateAccepted2022-03-09
prism.issueIdentifier4
prism.numbere061340
prism.publicationDate2022
prism.publicationNameBMJ Open
prism.startingPagee061340
prism.volume12
pubs.funder-project-idMedical Research Council (MR/K02325X/1)
pubs.licence-display-nameApollo Repository Deposit Licence Agreement
pubs.licence-identifierapollo-deposit-licence-2-1
rioxxterms.typeJournal Article/Review
rioxxterms.versionVoR
rioxxterms.versionofrecord10.1136/bmjopen-2022-061340

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