White Mike
Centre for Arts and Humanities in Health and Medicine, University of Durham, Dawson Building, Science Site, South Road, Durham DH1 3LE.
J R Soc Promot Health. 2006 May;126(3):128-33. doi: 10.1177/1466424006064302.
This article originates in current research into community-based arts in health. Arts in health is now a diverse field of practice, and community-based arts in health interventions have extended the work beyond healthcare settings into public health. Examples of this work can now be found internationally in different health systems and cultural contexts. The paper argues that researchers need to understand the processes through which community-based arts in health projects evolve, and how they work holistically in their attempt to produce therapeutic and social benefits for both individuals and communities, and to connect with a cultural base in healthcare services themselves. A development model that might be adapted to assist in analysing this is the World Health Organisation Quality of Life Index (WHOQOL). Issues raised in the paper around community engagement, healthy choice and self-esteem are then illustrated in case examples of community-based arts in health practice in South Africa and England; namely the DramAide and Siyazama projects in KwaZulu-Natal, and Looking Well Healthy Living Centre in North Yorkshire. In South Africa there are arts and media projects attempting to raise awareness about HIV/AIDS through mass messaging, but they also recognize that they lack models of longer-term community engagement. Looking Well by contrast addresses health issues identified by the community itself in ways that are personal, empathic and domesticated. But there are also similarities among these projects in their aims to generate a range of social, educational and economic benefits within a community-health framework, and they are successfully regenerating traditional cultural forms to create public participation in health promotion. Process evaluation may provide a framework in which community-based arts in health projects, especially if they are networked together to share practice and thinking, can assess their ability to address health inequalities and focus better on health outcomes.
本文源自当前对社区艺术在健康领域应用的研究。艺术在健康领域如今是一个多元化的实践领域，基于社区的艺术在健康干预方面已将相关工作从医疗环境扩展到了公共卫生领域。现在，在国际上不同的卫生系统和文化背景下都能找到此类工作的实例。本文认为，研究人员需要了解基于社区的艺术在健康项目的发展过程，以及它们如何整体运作，以试图为个人和社区带来治疗和社会效益，并与医疗服务自身的文化基础相联系。一种可能适用于协助分析此情况的发展模式是世界卫生组织生活质量指数（WHOQOL）。本文围绕社区参与、健康选择和自尊提出的问题，随后通过南非和英国基于社区的艺术在健康实践的案例进行说明；即夸祖鲁 - 纳塔尔省的戏剧援助（DramAide）和西扎马（Siyazama）项目，以及北约克郡的“看起来健康”健康生活中心。在南非，有一些艺术和媒体项目试图通过大规模宣传来提高对艾滋病毒/艾滋病的认识，但它们也认识到自己缺乏长期社区参与的模式。相比之下，“看起来健康”项目以个人化、有同理心且贴近生活的方式解决社区自身确定的健康问题。但这些项目在旨在社区 - 健康框架内产生一系列社会、教育和经济效益的目标方面也有相似之处，并且它们正在成功复兴传统文化形式以促进公众参与健康促进活动。过程评估可能提供一个框架，在此框架内，基于社区的艺术在健康项目，特别是如果它们相互联网以分享实践和想法时，能够评估自己解决健康不平等问题的能力，并更好地关注健康结果。
