{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T05:08:51Z","timestamp":1788498531984,"version":"build-2803163510"},"reference-count":41,"publisher":"BMJ","license":[{"start":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T00:00:00Z","timestamp":1787788800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001921","name":"Public Health Research Programme","doi-asserted-by":"publisher","award":["NIHR 129118"],"award-info":[{"award-number":["NIHR 129118"]}],"id":[{"id":"10.13039\/501100001921","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["J Epidemiol Community Health"],"accepted":{"date-parts":[[2026,7,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Community-led organisations (CLOs) are place-based, community governed entities that aim to enhance health and well-being in disadvantaged communities using asset-based approaches. Currently the relationship between CLO participation and health and well-being outcomes is unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A prospective, longitudinal survey was designed as part of a multimethod, realist study: CommonHealth Assets. Questionnaires at baseline, 1, 6 and 12 months assessed capability, health-related quality of life (HR-QoL), mental well-being, social connectedness and CLO attendance patterns (n=316 adults, 14 UK CLOs). Multilevel mixed-effects models assessed associations between participation and well-being outcomes, adjusting for participant and CLO characteristics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Higher total CLO engagement was positively associated with mental well-being (Coeff: 0.895, 95%\u2009CI 0.178 to 1.612, p=0.015) and capability well-being (Coeff: 0.025, 95%\u2009CI \u22120.003 to 0.053, p=0.081). Child and family activities showed positive associations with capability well-being (Coeff: 0.087, 95%\u2009CI 0.035 to 0.138, p=0.001) and social connectedness (Coeff: 0.357, 95%\u2009CI 0.117 to 0.597, p=0.004). Frequency analysis revealed linear dose\u2013response relationships for outdoor activities on HR-QoL (Coeff: 0.113, 95% CI 0.037 to 0.189, p=0.004) and non-linear relationships for others such as volunteering on capability well-being (linear Coeff: 0.101, p=0.023; squared Coeff: \u22120.057, p=0.041) and educational activities on HR-QoL (squared Coeff: 0.308, 95%\u2009CI 0.122 to 0.495, p=0.001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>CLO engagement is associated with better well-being outcomes. Associations vary by activity, revealing temporal and dose\u2013response patterns. Findings provide robust quantitative evidence consistent with the premise that CLOs can enhance different dimensions of well-being, informing intervention design, resource allocation and policy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/jech-2025-225259","type":"journal-article","created":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T17:20:23Z","timestamp":1787851223000},"page":"jech-2025-225259","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Community-led organisations\u2019 impact on health and well-being in disadvantaged areas in the UK: evidence from the CommonHealth Assets longitudinal study"],"prefix":"10.1136","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5057-8236","authenticated-orcid":false,"given":"Sarkis","family":"Manoukian","sequence":"first","affiliation":[{"name":"Yunus Centre for Social Business and Health, Glasgow Caledonian University, Glasgow, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel Mairi","family":"Baker","sequence":"additional","affiliation":[{"name":"Yunus Centre for Social Business and Health, Glasgow Caledonian University, Glasgow, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicola","family":"Irvine","sequence":"additional","affiliation":[{"name":"Yunus Centre for Social Business and Health, Glasgow Caledonian University, Glasgow, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jack","family":"Rendall","sequence":"additional","affiliation":[{"name":"Yunus Centre for Social Business and Health, Glasgow Caledonian University, Glasgow, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helen","family":"Mason","sequence":"additional","affiliation":[{"name":"Yunus Centre for Social Business and Health, Glasgow Caledonian University, Glasgow, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Artur","family":"Steiner","sequence":"additional","affiliation":[{"name":"Yunus Centre for Social Business and Health, Glasgow Caledonian University, Glasgow, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcello","family":"Bertotti","sequence":"additional","affiliation":[{"name":"Institute for Connected Communities, University of East London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jill","family":"Mulholland","sequence":"additional","affiliation":[{"name":"Centre for Educational Development, Queen\u2019s University Belfast, Belfast, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Galway","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery, Queen\u2019s University Belfast, Belfast, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael P","family":"Kelly","sequence":"additional","affiliation":[{"name":"Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,8,27]]},"reference":[{"key":"2026082710201461000_jech-2025-225259v1.1","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1177\/10253823070140020701x","article-title":"Revitalising the evidence base for public health: an assets model","volume":"Suppl 2","author":"Morgan","year":"2007","journal-title":"Promot Educ"},{"key":"2026082710201461000_jech-2025-225259v1.2","doi-asserted-by":"publisher","DOI":"10.1136\/jech-2013-203742"},{"key":"2026082710201461000_jech-2025-225259v1.3","unstructured":"McLean J . 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