GroundsWell: Community-engaged and data-informed systems transformation of Urban Green and Blue Space for population health - a new initiative.
GroundsWell: Community-engaged and data-informed systems transformation of Urban Green and Blue Space for population health - a new initiative.
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DOI：
10.12688/wellcomeopenres.18175.1
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发表时间：
2022
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公园、林地和湖泊等自然环境对健康和福祉有积极影响。城市绿色和蓝色空间（UGBS）以及其中发生的活动可以显著影响所有社区的健康结果，并减少健康不平等。要提高城市基础设施的获取和质量，就需要了解城市基础设施所处的系统范围（例如规划、交通、环境、社区）。UGBS为测试系统创新提供了一个理想的范例，因为它反映了基于地方和整个社会的过程，有可能减少非传染性疾病（NCD）风险和相关的健康社会不平等。UGBS可以影响多种行为和环境病因途径。然而，期望、设计、开发和提供UGBS的系统是分散和孤立的，数据生成、知识交换和动员机制无效。此外，UGBS需要与那些最能从中受益的人共同设计，并由他们共同设计，以便它们是合适的，可获得的，有价值的和良好的使用。 本文介绍了一个主要的新的预防研究计划和伙伴关系，GroundsWell，其目的是通过改善我们如何规划，设计，评估和管理UGBS，以改变UGBS相关系统，使其有利于所有社区，特别是那些谁是最贫穷的健康。我们使用广泛的健康定义，包括身体，精神，社会福祉和生活质量。我们的目标是改造系统，以便与我们的社区和数据系统一起规划，开发，实施，维护和评估UGBS，以提高健康水平并减少不平等。 GroundsWell将使用跨学科的解决问题的方法来加速和优化公民，用户，实施者，政策制定者和研究人员之间的社区合作，以影响研究，政策，实践和积极的公民身份。GroundsWell将在三个先驱城市（贝尔法斯特、爱丁堡、利物浦）及其区域背景下形成和发展，并嵌入翻译机制，以确保产出和影响在全英国和国际上得到应用。
Natural environments, such as parks, woodlands and lakes, have positive impacts on health and wellbeing. Urban Green and Blue Spaces (UGBS), and the activities that take place in them, can significantly influence the health outcomes of all communities, and reduce health inequalities. Improving access and quality of UGBS needs understanding of the range of systems (e.g. planning, transport, environment, community) in which UGBS are located. UGBS offers an ideal exemplar for testing systems innovations as it reflects place-based and whole society processes , with potential to reduce non-communicable disease (NCD) risk and associated social inequalities in health. UGBS can impact multiple behavioural and environmental aetiological pathways. However, the systems which desire, design, develop, and deliver UGBS are fragmented and siloed, with ineffective mechanisms for data generation, knowledge exchange and mobilisation. Further, UGBS need to be co-designed with and by those whose health could benefit most from them, so they are appropriate, accessible, valued and used well. This paper describes a major new prevention research programme and partnership, GroundsWell, which aims to transform UGBS-related systems by improving how we plan, design, evaluate and manage UGBS so that it benefits all communities, especially those who are in poorest health. We use a broad definition of health to include physical, mental, social wellbeing and quality of life. Our objectives are to transform systems so that UGBS are planned, developed, implemented, maintained and evaluated with our communities and data systems to enhance health and reduce inequalities. GroundsWell will use interdisciplinary, problem-solving approaches to accelerate and optimise community collaborations among citizens, users, implementers, policymakers and researchers to impact research, policy, practice and active citizenship. GroundsWell will be shaped and developed in three pioneer cities (Belfast, Edinburgh, Liverpool) and their regional contexts, with embedded translational mechanisms to ensure that outputs and impact have UK-wide and international application.