Recite: Building Research by Communities to Address Inequities through Expression

文化和艺术有助于健康和福祉，将焦点从“疾病”转移到人身上。讲故事可以用作收集数据、向决策者强调不公平现象、向社区提供卫生信息和重新调整公共议程以更好地促进卫生公平的一种方式。利物浦有着悠久的历史，有着强大而活跃的社区和充满活力的创造力，但也有根深蒂固的健康不平等，这意味着许多当地人的寿命较短，健康时间少于他们应该拥有的时间。我们最近与未接种疫苗儿童的父母进行的社区洞察工作突显了人们对政府和公共卫生信息的不信任。常规的预防和促进健康干预措施，如癌症筛查和儿童免疫接种，远远低于国家目标，心理健康状况不佳的负担越来越重。我们的总体目标是扩大并持续将讲故事纳入社区和卫生系统的工作，通过建立信任和合作行动的传统来解决这些差距并促进卫生公平。我们将以生活在利物浦、诺斯利和南塞夫顿最贫困地区的人们为目标，重点解决与健康预防（癌症筛查和儿童免疫接种）和心理健康促进有关的不信任。我们将以现有结构为基础，试验一种更加综合的创造性保健办法。社区、创意人员和有生活经验的人将受益于社区参与性研究和多媒体沉浸式叙述方面的培训，以解决不信任和卫生不平等问题。我们将通过共同编写关于心理健康、癌症筛查和儿童免疫接种的人类故事来促进行动。创意卫生市场将使创意人员与社区组织和卫生部门相匹配，以激发新的方法。倡导网络将游说决策者解决社区无法触及的结构性问题。社区创新团队（cit）已经整合到利物浦的7个初级保健网络中，由卫生服务提供者、志愿者、社区冠军和pwle组成（我们将增加讲故事的人）。我们会扩展到诺斯利和塞夫顿。各小组将受益于将常规全科医生执业数据与行为洞察数据相结合的培训，以确定地方卫生不公平的根本原因，并可获得社区响应性资金，共同制定创造性的卫生解决方案。我们的学习活动将作为学习、庆祝和认可良好做法的平台。朗诵是一个研究联盟，我们将与来自不同背景的学者合作，评估什么有效，为什么有效。我们的最终评估工具包将帮助各组织跟踪卫生公平指标，并为其工作的有效性提供证据。我们期待社区艺术机构的遗产，他们可以通过向专员证明讲故事的影响来获得资金。我们的进一步目标是培养一批具有知识和工具的故事讲述者、PWLE和社区组织，以便在项目之外进行合作和培训。我们期望专员和决策者将看到扩大和维持一种战略性的创造性保健办法的好处，这种办法可以建立社区信任并增加保健公平。

Culture and the arts contribute to health and wellbeing, shifting the focus away from 'disease' to people. Storytelling can be utilised as a way of collecting data, highlighting inequities to policy makers, providing health messages to communities and redirecting public agendas to better promote health equity. Liverpool has a long history of strong and active communities, and vibrant creativity but also has entrenched health inequalities that mean many local people live shorter lives with fewer years of good health than they should. Our recent community insight work with parents of unvaccinated children highlighted mistrust towards government and public health information. Routine preventive and promotive health interventions such as cancer screening and childhood immunisation have fallen well below national targets and there is an increasing burden of poor mental wellbeing. Our overall aim is to scale-up and sustain the integration of storytelling into community and health system efforts to address these gaps and promote health equity by building a legacy of trust and collaborative action. We will target people living in the poorest areas of Liverpool, Knowsley and South Sefton with a focus on addressing mistrust in relation to health prevention (cancer screening and childhood immunisation) and mental wellbeing promotion. We will build on existing structures to test a more integrated creative health approach. Communities, creatives and people with lived experience (PWLE) will benefit from training in community-based participatory research and in multi-media immersive storytelling to address mistrust and health inequities. We will catalyse action through the co-development of human stories on mental wellbeing, cancer screening and childhood immunisation. Creative health marketplaces will match creatives with community organisations and the health sector to galvanise new approaches. Advocacy networks will lobby decision-makers to address structural issues beyond the reach of communities. Community Innovation Teams (CITs) are already integrated within 7 of Liverpool's Primary Care Networks and consist of health providers, volunteers, community champions and PWLEs (and we will add storytellers). We will expand to Knowsley and Sefton. Teams will benefit from training in combining routine GP practice data with behaviour insight data to identify root causes of local health inequities and can access community responsive funds to co-develop creative health solutions. Our Learning Events will be used as platforms for learning, celebration, and recognising good practice. ReCITe is a research consortium and we will work with academics from different backgrounds to evaluate what works and why. Our final evaluation toolkit will help organisations track health equity indicators and provide evidence of the effectiveness of their work.We expect a legacy of community arts organisations who can attain funding through evidencing the impact of storytelling to commissioners. We further aim to develop a critical mass of storytellers, PWLE, and community organisations with the knowledge and tools to collaborate and train others beyond the programme. We expect that commissioners and policymakers will see the benefits of scaling-up and sustaining a strategic creative health approach which builds community trust and increases health equity.