Developing and pilot testing a primary care-based toolkit to improve engagement with green health prescribing of older people living in deprived areas

大多数时候，开处方意味着从医生那里得到药物。绿色健康处方在英国越来越受欢迎，这是医生和其他医护人员帮助所有年龄段的人改善健康和福祉的一种新方式。绿色健康处方将人们与他们喜欢的“基于自然的”户外活动联系起来，这将有利于他们的身心健康，而不是为抑郁症或关节和肌肉疼痛等问题提供药片。一些活动是在林地散步，园艺，社会社区项目，将人们联系在一起，以帮助减少孤独，和露天艺术班，仅举几例。所有活动都是基于个人的喜好和适当的适合。考虑更多的方式到外面去享受新鲜空气是特别重要的，因为人们年龄大了，发现更难活跃。然而，在创造改善健康的新方法时，往往没有考虑到来自贫困地区的人，而且绿色健康处方并不容易为所有人所用。该项目将汇集许多人，包括专家，全科医生，患者和其他有兴趣为老年人，特别是那些生活在经济困难地区的人扩大绿色健康处方的人。这一领域的研究表明，从事“以自然为基础”的活动对健康有许多好处，但包括全科医生在内的许多医护人员缺乏如何将人们介绍给此类活动的知识。因此，我们的总体目标是开发和测试一个易于使用的数字工具包，以帮助在初级保健工作的医护人员将更多生活在贫困地区的老年患者介绍给“基于自然的”活动。为此，我们将举办研讨会，并与涵盖各种观点的人交谈，以更好地了解开发工具包需要考虑的问题。我们会与病人和医护人员共同开发数码工具包，并监察该工具包在基层医疗的使用情况。我们将与那些被转介到“基于自然”的活动的患者交谈，以了解他们的意见，并监测他们在转介前后的健康变化。其目标是使全科医生更容易使用绿色健康处方，并从长远来看，让更多来自贫困地区的老年人体验到“以自然为基础”的活动所提供的健康益处。

Most of the time, prescribing means getting medication from a doctor. Green health prescribing is becoming more popular across the UK as a new way that doctors and other healthcare staff help people of all ages improve their health and wellbeing. Instead of giving tablets for problems like depression or joint and muscle pains, green health prescribing links people to 'nature-based' outdoor activities they like that will benefit both their physical and mental health. Some activities are walking in woodlands, gardening, social community projects that link people together to help reduce loneliness, and open-air art classes to name a few. All activities are based on the preferences and appropriate fit for the individual. Thinking about more ways to get outside and enjoy fresh air is especially important as people age and find it more difficult to be active. And yet, very often people from poorer areas are not considered when creating new ways to improve health and green health prescribing is not easily accessible to all. This project will bring many people together, including experts, GPs, patients, and others who are interested in expanding green health prescribing for older people and especially for those who live in economically challenged areas. Research in this field shows many health benefits of engaging in 'nature-based' activities yet many healthcare workers, including GPs, lack knowledge of how to refer people to such activities. Therefore, our overall aim is to develop and test an easy to use, digital toolkit to help healthcare staff working in primary care to refer more older patients living in deprived areas to 'nature-based' activities. To do this we will hold workshops and talk with people covering a wide variety of perspectives to better understand what needs to be considered to develop the toolkit. We will develop the digital toolkit together with patients and healthcare workers and monitor the use of the toolkit in primary care. We will talk to patients who are referred to 'nature-based' activities to understand their views and monitor any changes in their health before and after they are referred. The goal is to make it easier for general practice staff to use green health prescribing and in the longer term to allow more older people from deprived areas to experience the health benefits that 'nature-based' activities provide.