ActEarly: a City Collaboratory approach to early promotion of good health and wellbeing

ActEarly：早期促进良好健康和福祉的城市合作方法

• 批准号: MR/S037527/1
• 负责人: John Wright
• 金额: $ 841.04万
• 依托单位: Bradford Teaching Hospitals NHS Foundation Trust
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2019
• 资助国家: 英国
• 起止时间: 2019 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=MR%2FS037527%2F1
• 关键词: ActEarly; City; Collaboratory; approach; early

The communities and neighbourhoods where we grow up have a lifelong influence on the illnesses we get and how long we live. Health is about avoiding disease and having a long life, but is also about feeling well in mind and body, feeling safe, being part of a community and having things to look forward to. Many aspects of the world around us influence our health directly or influence health related behaviours. These so called "broader" determinants of health include the houses and flats we live in, the design of our roads and high streets, the availability and quality of parks, green spaces, libraries, galleries, museums, sports and recreational facilities, entertainment opportunities, places and events to connect with others, the shops and businesses around us, pollution levels, learning opportunities, the jobs available to us and whether we have enough money to make ends meet and to participate in social activities. Attempts to change health related behaviours such as unhealthy eating, drinking, smoking and lack of exercise, have met with important but limited success. For example, increased awareness of links between childhood obesity and ill health and the importance of exercise and healthy diet will have limited success if broader determinants are not also tackled. These broader determinants include, but are not limited to, the many fast food outlets that children may walk past, lack of access to high quality play and recreational facilities, sell off of school playing fields, streets that are not safe for children to walk or cycle to school, lack of high quality green spaces for exercise, shops with poor choice of healthy foods, increased screen time replacing physical activity, poor quality of school food, and, for some, insufficient income to buy healthy food. Our ActEarly approach focuses on improving the health of children in two contrasting areas with high levels of child poverty, Bradford in Yorkshire and Tower Hamlets in London. In preparation for this work we have worked with local communities, local authorities and other local organisations and have established shared priority areas for research: Healthy Places, Healthy Learning and Healthy Livelihoods. We have brought together experts in these themes with local community and local authority representatives to begin to develop a range of approaches to improving child health across these areas. For example, within our Healthy Places theme we will work together to: map local community assets and to understand how they can be improved and used by more people; develop a Healthy Streets approach and improve green space quality. In our Healthy Learning theme we will work together to develop local "Evidence Active Networks" of pre-school, school and community learning venues. These networks will help develop and evaluate a wide range of approaches to improve child health. In our Healthy Livelihoods theme we will work together on approaches such as relocation of welfare advice services to improve access, enabling parental leave, ensuring a minimum basic income in school leavers, providing life skills training and involving local communities in decisions on how to spend local authority budgets. To understand the effect of these approaches on child health we will develop strong data resources that bring together existing information from across our localities to measure changes in the local environment, health related behaviours and health outcomes. Teams of researchers will use this data and work with local communities to understand how successful our initiatives have been. We describe our emphasis on early life interventions, our highly collaborative approach and development of local data sources to enable evaluation of multiple initiatives, as the "ActEarly Collaboratory". We hope the approach will promote a fairer and healthier future for children and a global example of how to work with communities to improve health.

我们成长的社区和社区对我们患的疾病和寿命有终生的影响。健康意味着避免疾病和长寿，但也意味着身心健康、感到安全、成为社区的一部分并拥有值得期待的事情。我们周围世界的许多方面直接影响我们的健康或影响与健康相关的行为。这些所谓的“更广泛”的健康决定因素包括我们居住的房屋和公寓、道路和商业街的设计、公园、绿地、图书馆、画廊、博物馆、体育和娱乐设施、娱乐机会的可用性和质量、与他人联系的地点和活动、我们周围的商店和企业、污染水平、学习机会、我们可以找到的工作以及我们是否有足够的钱来维持收支平衡和参加社会活动。改变健康相关行为（例如不健康的饮食、饮酒、吸烟和缺乏运动）的尝试取得了重要但有限的成功。例如，如果不解决更广泛的决定因素，提高对儿童肥胖与健康不良之间的联系以及运动和健康饮食的重要性的认识将取得有限的成功。这些更广泛的决定因素包括但不限于儿童可能走过的许多快餐店、缺乏高质量的游戏和娱乐设施、出售学校操场、儿童行走不安全的街道或骑自行车上学、缺乏高质量的锻炼绿地、商店里健康食品的选择很少、屏幕时间增加取代了体力活动、学校食品质量差，以及对一些人来说，收入不足以购买健康食品。我们的“早期行动”方法侧重于改善两个儿童贫困程度较高的对比地区（约克郡的布拉德福德和伦敦陶尔哈姆莱茨）的儿童健康。在准备这项工作时，我们与当地社区、地方当局和其他当地组织合作，并确定了共同的优先研究领域：健康场所、健康学习和健康生计。我们将这些主题的专家与当地社区和地方当局代表聚集在一起，开始制定一系列方法来改善这些领域的儿童健康。例如，在我们的健康场所主题中，我们将共同努力：绘制当地社区资产的地图，并了解如何改进它们并让更多人使用它们；制定健康街道方法并提高绿地质量。在我们的健康学习主题中，我们将共同努力开发学前班、学校和社区学习场所的本地“证据主动网络”。这些网络将有助于开发和评估各种改善儿童健康的方法。在我们的健康生计主题中，我们将共同努力采取各种方法，例如搬迁福利咨询服务以改善获取机会、实现育儿假、确保离校生的最低基本收入、提供生活技能培训以及让当地社区参与如何支出当地社区的决策。当局预算。为了了解这些方法对儿童健康的影响，我们将开发强大的数据资源，汇集来自各地的现有信息，以衡量当地环境、健康相关行为和健康结果的变化。研究人员团队将使用这些数据并与当地社区合作，以了解我们的举措是否成功。我们将我们对早期生命干预的重视、高度协作的方法以及本地数据源的开发描述为“ActEarly Collaboratory”，以评估多项举措。我们希望这一方法能够为儿童创造一个更公平、更健康的未来，并成为如何与社区合作改善健康的全球典范。

项目成果

Covid-19 lockdown: Ethnic differences in children's self-reported physical activity and the importance of leaving the home environment; a longitudinal and cross-sectional study from the Born in Bradford birth cohort study.

Covid-19 封锁：儿童自我报告的身体活动的种族差异以及离开家庭环境的重要性；

• DOI: http://dx.10.1186/s12966-021-01183-y
• 发表时间: 2021
• 期刊: The international journal of behavioral nutrition and physical activity
• 作者: Bingham DD

Young children's lives in East London through the pandemic: Relationships, activities and social worlds

大流行期间东伦敦幼儿的生活：关系、活动和社交世界

• DOI: http://dx.10.1111/chso.12652
• 发表时间: 2022
• 期刊: Children & Society
• 影响因子: 1.7
• 作者: Cameron C

The association between childhood hearing loss and self-reported peer victimisation, depressive symptoms, and self-harm: longitudinal analyses of a prospective, nationally representative cohort study.

儿童听力损失与自我报告的同伴受害、抑郁症状和自残之间的关联：一项前瞻性、全国代表性队列研究的纵向分析。

• DOI: http://dx.10.1186/s12889-022-13457-6
• 发表时间: 2022
• 期刊: BMC public health
• 影响因子: 4.5
• 作者: Butcher E

Understanding school food systems to support the development and implementation of food based policies and interventions

了解学校食品系统以支持基于食品的政策和干预措施的制定和实施

• 发表时间: 2023
• 期刊: International Journal of Behavioural Nutrition and Physical Activity
• 作者: Bryant M

Children's behavioural and emotional wellbeing during the COVID-19 pandemic: Findings from the Born in Bradford COVID-19 mixed methods longitudinal study

COVID-19 大流行期间儿童的行为和情绪健康：出生于布拉德福德的 COVID-19 混合方法纵向研究的结果

• DOI: http://dx.10.12688/wellcomeopenres.20752.1
• 发表时间: 2024
• 期刊: Wellcome Open Research
• 作者: Badrick E