Rural Co-Design and Collaboration: Maximising Rural Community Assets to Reduce Place-Based Health Inequalities

农村共同设计与协作：最大化农村社区资产以减少基于地点的健康不平等

• 批准号: AH/Z505559/1
• 负责人: Sara Bradley
• 金额: $ 136.38万
• 依托单位: University of South Wales
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2024
• 资助国家: 英国
• 起止时间: 2024 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=AH%2FZ505559%2F1
• 关键词: Rural; Co; Design; Collaboration; Maximising

The project will build on the findings of the Prescribe Heritage Highland (PHH) work, funded under Phase 1, which examined delivery challenges and conditions for scalability of a cultural and natural heritage intervention to promote rural mental health and well-being. The value of non-clinical interventions is increasingly recognised by health and social care service planners and professionals. Community-based services like exercise groups, outdoor activities, art therapies and peer support are being 'prescribed' to 'treat' mental health conditions, address sedentary lifestyles and reduce health inequalities. Although awareness is increasing about potential benefits, such interventions are not universally available or accessible, particularly to those from disadvantaged rural areas (Morton and Bradley, 2020). Although rural communities can be perceived as tight-knit and resilient, the extent of social isolation and deprivation can remain hidden. Rural deprivation is hard to measure using conventional tools such as the Scottish Index of Multiple Deprivation (SIMD) due to low population densities and rural data is scarce (RSE, 2023). However, a "rural premium" is evident, with living costs generally higher than in urban areas (RSE 2023). Rural areas provide unique challenges for service delivery, particularly at scale, due to the economic and logistical challenges in large geographical areas with dispersed populations.Drawing on PHH findings, the project will develop a replicable rural model for collaborative community working using a co-design approach. The collaboration's aim is to maximise the use of existing community assets (e.g. museums, archive centres, libraries and green spaces) and develop new ways of integrating them with mainstream healthcare in order to inform service commissioning, improve services, increase community resilience and reduce rural health inequalities. The collaborative model will be developed through local stakeholder groups comprising community members with lived experience, healthcare professionals and third sector organisations in six rural mainland and island communities. The groups will be supported by the research team, who have expertise in community engagement and co-production. The groups will share their learning to develop a toolkit for other rural regions experiencing similar logistical and health equity challenges. The toolkit will be of value to rural communities, service planners and policy makers. The project will add to evidence on co-production, community engagement, service design and the value of community assets as well as offer new insights for rural policy.The project will:establish a regional advisory group comprising people with lived experience and third sector representatives (encompassing heritage, health and rural poverty), NHS and Local Authorities.engage community researchers in asset mapping to identify key local resources, health needs and gaps in rural dataestablish and support community co-design groups to develop new ways to maximise the value of existing assets and facilities to address local needs based on data gathered4. conduct a policy/literature reviews and data mapping5. develop a replicable collaborative model by researching barriers and enablers from each member perspective and develop a toolkit for rural communities, service planners and policy makers6. implement a clear communication, dissemination and impact strategy involving a range of creative and accessible outputs.

该项目将建立在第一阶段资助的Prescribe Heritage Highland（PHH）工作的调查结果的基础上，该工作审查了文化和自然遗产干预措施的可扩展性的交付挑战和条件，以促进农村心理健康和福祉。非临床干预措施的价值越来越多地被卫生和社会保健服务规划者和专业人员所认识。以社区为基础的服务，如锻炼小组、户外活动、艺术疗法和同伴支持，正在被“处方”，以“治疗”心理健康状况，解决久坐不动的生活方式，减少健康不平等。尽管人们对潜在益处的认识不断提高，但这些干预措施并不是普遍可用或可获得的，特别是对那些来自贫困农村地区的人来说（Morton和布拉德利，2020年）。虽然农村社区可以被认为是紧密团结和有复原力的，但社会孤立和贫困的程度可能仍然不为人知。由于人口密度低和农村数据稀缺，很难使用苏格兰多重贫困指数等传统工具衡量农村贫困状况（RSE，2023年）。然而，“农村溢价”是显而易见的，生活成本普遍高于城市地区（RSE 2023）。农村地区提供服务的独特挑战，特别是在规模上，由于在人口分散的大地理区域的经济和后勤挑战，借鉴PHH的调查结果，该项目将开发一个可复制的农村模式，合作社区工作使用共同设计的方法。合作的目的是最大限度地利用现有的社区资产（例如博物馆、档案中心、图书馆和绿色空间），并开发将其与主流医疗保健相结合的新方法，以便为服务委托提供信息，改善服务，提高社区复原力并减少农村卫生不平等。合作模式将通过当地利益相关者团体开发，包括六个农村大陆和岛屿社区的社区成员，医疗保健专业人员和第三部门组织。这些团体将得到研究团队的支持，他们在社区参与和共同制作方面具有专业知识。这些小组将分享他们的经验，为经历类似后勤和卫生公平挑战的其他农村地区开发一个工具包。该工具包将对农村社区、服务规划者和决策者具有价值。该项目将为共同制作、社区参与、服务设计和社区资产的价值提供更多证据，并为农村政策提供新的见解。建立一个由具有实际经验的人和第三部门代表组成的区域咨询小组（包括遗产、健康和农村贫困）、NHS和地方当局。让社区研究人员参与资产测绘，以确定关键的地方资源，建立和支持社区合作，设计小组根据收集的数据，开发新的方法，以最大限度地提高现有资产和设施的价值，以满足当地的需求4。进行政策/文献审查和数据映射5.通过从每个成员的角度研究障碍和促进因素，开发一个可复制的合作模式，并为农村社区、服务规划者和决策者开发一个工具包6。实施明确的沟通、传播和影响战略，包括一系列创造性和可获得的产出。