GroundsWell: Community and Data Led Systems Transformation of Urban Green and Blue Space for Population Health - Consortium Development Grant (CDG)

那些生活在低收入地区的人患糖尿病、心脏病、抑郁症和虚弱等长期疾病的风险要高得多。我们的生活方式，比如我们有多活跃，我们吃什么，如果我们过度吸烟或饮酒，都会极大地增加我们患上这些疾病的几率。我们生活的环境，例如如果我们住在公园、运河和森林附近或参观公园、运河和森林，可以帮助我们过上更健康的生活。然而，生活在低收入地区的社区可能更难获得这样的空间，或者更少使用它们。无论是在地方层面还是在国家层面，他们在影响当地空间的决策中的话语权也较小。我们提出了一种新的伙伴关系：研究人员、临床医生、从业者(如城市设计师)和政策制定者都与当地公民合作，他们最大限度地受益于更好地获得和使用优质空间。我们将通过公民主导的方法，共同努力识别劣质和未得到充分利用的空间。然后，我们将与他们合作开发和/或修改户外空间，使其具有高质量和适合用途。这些行动可以小到学校的窗框，也可以大到开发新的绿道或重塑土地使用政策以保护我们的绿地。我们还将努力确定如何为每个人推广这样的空间，确保没有社区被排除在受益之外。重要的是，当地社区充分参与关于他们想要什么以及他们将使用什么的决策，从而成为决策过程的核心。他们还将参与对这些行动的评估，使他们能够直接看到这一过程如何使他们的社区受益。实施行动和解决方案的一个重要部分是了解它们是否有效。数据在衡量成功方面发挥着重要作用，特别是如果在不同的行动中可以一致地收集相同的数据。合作的另一个部分将是建立一种将多个数据源整合在一起的方法，这样我们就可以有效地确定哪些数据在多个项目和环境中有效。因此，虽然公民可以参与收集关于空间是否改善了他们的健康和福祉的数据(通过定制的应用程序)，我们也可以使用地方议会和政府定期收集的其他关于健康、福祉和环境的数据。主要研究将在三个不同的城市-爱丁堡、贝尔法斯特和利物浦-都有一些相似的特征(如大城市地区的低收入社区)和不同的特征(如地理和文化)。每个城市都已经制定了改善绿色和蓝色空间的政策和方案，但还有很大的改善空间。我们将与当地市民一起测试一系列不同的方法和途径，并能够收集大量数据。然后，这些数据可以用来了解什么对谁有效，为什么在各个城市有效。然后，我们可以使用这些知识来预测什么可能在更广泛的领域内有效，以及什么不起作用。我们还可以围绕什么是物有所值，什么不是，做出一些决定。我们也明白，地方社区内部(甚至城市内部)的个别小行动不会解决问题，这就是为什么我们还将专注于我们的研究如何帮助为未来的政策和计划提供信息。我们的工作方案将采取终生方法，确保为所有人创造包容性的环境；特别是与我们最年轻的公民合作，将确保启动早期文化变革杠杆，使新一代拥有终身健康和福祉。

Those living in low-income areas have a much higher risk of long-term conditions such as diabetes, heart disease, depression, and frailty. Our lifestyle, such as how active we are, what we eat and if we smoke or drink alcohol in excess can greatly increase our chance of having one of these diseases. The environment that we live in, such as if we live close to or visit parks, canals, and forests, can help us live a healthier life. However, communities living in low-income areas can have poorer access to such spaces or use them less. They also have less voice in decisions affecting their local spaces, at either local or national level. We propose a new partnership: researchers, clinicians, practitioners (such as urban designers) and policymakers all working with local citizens who have the most to benefit from better access to and use of quality spaces. We will work collaboratively to identify poor quality and underused spaces through citizen-led approaches. We will then work with them to develop and/or modify outdoor spaces so that they are high quality and fit for purpose. These actions can be as small as window boxes in schools, or as large as the development of new greenways or reshaping policies regarding land use to protect our green spaces. We will also work to identify ways in which we can promote such spaces for everyone, ensuring that no community is excluded form benefit. The important aspect is that local communities are fully involved in decisions about what they want, and what they will use, thus becoming central to the decision-making process. They will also be involved in the evaluation of these actions, enabling them to directly see how the process has benefited their communities.An important part of putting actions and solutions in place is understanding if they work (or not). Data plays an important part in measuring success, particularly if the same data can be collected consistently across the different actions. Another part of the partnership will be establishing a way of bringing multiple sources of data together so we can effectively determine what works across multiple projects and settings. So, whilst citizens can be involved in collecting data about whether the space has improved their health and wellbeing (through a bespoke app), we can also use other data on health, wellbeing and the environment that is routinely collected by local councils and governments. The main research will take place in three different cities - Edinburgh, Belfast and Liverpool - all with some similar features (such as large urban areas with lower income communities) and distinct features (such as geography and culture). Each city already has policies and programmes in place to improve green and blue space, but there is much room for improvement. Working with the local citizens we will test a range of different methods and approaches, and be able to collect a large amount of data. This data can then be used to understand what works for whom and why across the cities. We can then use this knowledge to predict what could be effective over a much wider area, and also what does not work. We can also make some decisions around what is good value for money, and what is not. We also understand that individual small actions within local communities (or even within cities) are not going to solve the problem, which is why we are also going to focus on how our research can help inform future policies and programmes. Our programme of work will take a whole life course approach which will ensure inclusive environments for all; working with our youngest citizens in particular will ensure early cultural change levers are activated, empowering a new generation with lifelong health and wellbeing.