Recite: Building Research by Communities to Address Inequities through Expression

文化和艺术有助于健康和福祉，将重点从“疾病”转移到人身上。讲故事可以作为一种收集数据的方式，向政策制定者强调不平等，向社区提供健康信息，并重新调整公共议程，以更好地促进健康公平。利物浦有着悠久的历史，强大而活跃的社区，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，健康状况较好的年份也比他们应该的要少。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出了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，精神健康状况不佳的负担越来越重。我们的总体目标是扩大和维持将讲故事纳入社区和卫生系统的努力，以解决这些差距，并通过建立信任和协作行动的遗产来促进卫生公平。我们将针对生活在利物浦、诺斯利和南塞夫顿最贫困地区的人们，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问题。我们将在现有结构的基础上，测试一种更综合的创造性健康方法。社区，创意和生活经验的人（PWLE）将受益于基于社区的参与性研究和多媒体沉浸式讲故事的培训，以解决不信任和健康不平等问题。我们将通过共同发展关于心理健康、癌症筛查和儿童免疫接种的人类故事来促进行动。创意健康市场将使创意与社区组织和卫生部门相匹配，以激发新的方法。宣传网络将游说决策者解决社区无法解决的结构性问题。社区创新团队（CITS）已经整合到利物浦的7个初级保健网络中，由健康提供者、志愿者、社区冠军和PWLE组成（我们将增加讲故事的人）。我们将扩展到诺斯利和塞夫顿。团队将受益于将常规全科医生实践数据与行为洞察数据相结合的培训，以确定当地健康不平等的根本原因，并可以获得社区响应基金，共同开发创造性的健康解决方案。我们的学习活动将被用作学习，庆祝和认可良好实践的平台。ReCITe是一个研究联盟，我们将与来自不同背景的学者合作，评估什么是有效的，为什么有效。我们的最终评估工具包将帮助组织跟踪健康公平指标，并提供其工作有效性的证据。我们希望社区艺术组织的遗产，他们可以通过向委员们证明讲故事的影响来获得资金。我们的进一步目标是发展一个讲故事的人，PWLE和社区组织的知识和工具，以合作和培训他人超越程序的临界质量。我们希望委员们和政策制定者能够看到扩大和维持战略性创造性卫生方法的好处，这种方法建立了社区信任，增加了卫生公平性。

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.