A Scoping Review of Positive Lifestyle and Wellness Interventions to Inform the Development of a Comprehensive Health Promotion Program: “HealthPro” (original) (raw)
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2011
While health professions often purport a multidimensional and holistic view of health, these views typically do not translate into practice. In public health, best practices are not positioned to lead population-based approaches focused on a holistic perspective of health. The public health field continues largely to emphasize physical constructs and health problems rather than positive health dimensions. In order to move toward an authentic adoption of holistic health, two things need to happen: (1) more focus on a full range of health domains in proportion to physical health, and (2) a greater emphasis on optimum health versus health problems across all domains. Health promotion efforts oriented toward wellness offer a context for shifting health approaches towards a positive framework for optimal health. The purpose of this paper is to advance holistic health and wellness by clarifying concepts and constructs for "positive" health as a means for improving public health ...
The Art of Health Promotion ideas for improving health outcomes
American Journal of Health Promotion, 2013
JOOL's approach is informed by a combination of research and practice. A decade of research demonstrates that: ''The concepts of core values, purpose in life, energy, and willpower are relevant to nearly all age groups and situations.''
Disability and Health Journal, 2010
According to current estimates, more than 54 million Americans live with some type of long lasting condition or disability [1]. While these conditions are diverse and some are due to trauma (e.g., spinal cord injury), many are the result of common chronic diseases such as arthritis, heart disease, emphysema, and multiple sclerosis [2]. In an effort to influence the trajectory of functional limitations, disability, and quality of life in persons with chronic disabling conditions, a number of investigators and clinicians have begun to develop and test innovative interventions to promote the health (rather than control the disease or condition) of persons with chronic disabling conditions [3]. Some interventions have focused on a single behavior such as exercise or stress management, while others have taken a more comprehensive "lifestyle" approach [4,5]. As a group, these interventions clearly reflect the philosophical perspective of the International Classification of Functioning, Disability and Health that individuals with chronic and disabling conditions (e.g. multiple sclerosis, spinal cord injury) are fully capable of being healthy and experiencing a good quality of life [6}. The purpose of this study was to review and evaluate existing evidence supporting the use of wellness/health promotion interventions in persons with chronic disabling conditions. Health Promotion within the Context of Chronic Disabling Conditions In the U.S. Surgeon General's Call to Action to Improve the Health and Wellness of Persons with Disabilities [7], one of the four broad program statements to be achieved is "Persons with disabilities can promote their own good health by developing and maintaining healthy lifestyles" [7, p2]. Health promotion, activities "motivated by the desire to increase well-being and actualize human potential' [8, p.7], encompasses a number of self-initiated health behaviors and emphasizes the need to enhance each person's responsibility and commitment to a healthy lifestyle. A variety of health promoting behaviors such as physical activity, stress
American Journal of Lifestyle Medicine, 2020
Purpose. To broadly assess changes in key health behaviors (physical activity, fruit and vegetable consumption, smoking, and alcohol consumption) and one outcome (body mass index) between 2001-2006 and 2011-2016. Design. Repeated cross-sectional study. Setting. The United States of America. Participants. Noninstitutionalized adults age 24 to 39 participating in the National Health and Nutrition Examination Survey. Analysis. We used 2-sample t tests and χ 2 tests to compare differences in health behaviors between the 2 time periods. Results. Data revealed a downward trend in both moderate and vigorous physical activity (P = .00), and fruit and vegetable consumption decreased (P = .003). Cigarette smoking decreased (P = .04), and there was no substantive change in heavy drinking between the 2 time periods. Body mass index was higher in the later time period (P = .00). Conclusion. Despite sustained funding efforts, we found little evidence that health behaviors improved between the 2 time periods. Indeed, many health behaviors have remained the same or worsened over time. These findings suggest the need to reflect on the appropriateness of the health promotion approaches being used.
Health promotion uses a range of strategies focused on individuals, groups and communities to bring about changes in behavior and environments that improve health (ACT Health, 2011). This paper explores five major health promotion strategies: the Behavior change approach, the Self-empowerment approach, the Community development or Collective action approach, the Social marketing model, and the Health belief model. Each approach pursues different goals, utilizes different means to achieve its goals and focuses on different targets. The exploration contained herein consists of an evaluation process that includes a summary description of each strategy, an analysis of the similarities and differences of each approach, and an explanation of which approaches might best be suited for which types of health promotion programs and/or populations.
The search for evidence of effective health promotion
BMJ, 1997
A conceptually sound evidence base for interventions that aim to promote health is urgently required. However, the current search for evidence of effective health promotion is unlikely to succeed and may result in drawing false conclusions about health promotion practice to the long term detriment of public health. The reasons for this are threefold: lack of consensus about the nature of health promotion activity; lack of agreement over what evidence to use to assess effectiveness; and divergent views on appropriate methods for reviewing effectiveness. As a consequence health promotion may be designated "not effective" because it is being assessed with inappropriate tools.
A framework for evaluating health promotion programs
Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals, 2006
Evaluation of health promotion interventions is essential in order to collect evidence about the efficacy of a program, identify ways to improve practice, justify the use of resources, and identify unexpected outcomes. This paper clarifies the role of evaluation as a crucial component of health promotion interventions. Moreover, it summarises the key elements of the most widely used planning/evaluation frameworks necessary for constructive evaluations of health promotion interventions and incorporates them into a single approach. It provides a methodical framework for the provision of evaluation guidance to health promotion practitioners and discusses the importance of including evaluation when planning any health promotion intervention. The focus of this paper is on the essential elements of the evaluation of health promotion programs.
A framework for health promotion and disease prevention programs
American Psychologist, 1995
There is a disquieting sense that many theoretically based health behavior change programs have been only minimally effective. Part of the problem may be that most current theories have considerable overlap, primarily focus on intraindividual and other individual-level variables, and tend to neglect the environment and issues related to program implementation. A framework is developed for health promotion and disease prevention programs that makes use of epidemiological and health indicator data and Healthy People 2000 goals to prioritize efforts, provides a schema to formulate programs on the basis of timing (prevention) and level of intervention, and addresses the marketing approach to target and implement programs. The framework integrates current theories to guide marketing and phases of research. Cheryl B. Travis served as action editor for this article. Work on this article was partially supported by grants from the National Cancer Institute, the National Institute of Mental Health, and the American Cancer Society. Special thanks go to Deborah Tate and Robert Stephens for their feedback and comments on drafts of the article.
BMC Health Services Research, 2008
The adoption of a healthy lifestyle, including physical activity, a healthy diet, moderate alcohol consumption and abstinence from smoking, is associated with a major decrease in the incidence of chronic diseases and mortality. Primary healthcare (PHC) services therefore attempt, with rather limited success, to promote such lifestyles in their patients. The objective of the present study is to ascertain the perceptions of clinicians and researchers within the Basque Health System of the factors that hinder or facilitate the integration of healthy lifestyle promotion in routine PHC setting.