scholarly journals Advancing complexity-informed health promotion: a scoping review to link health promotion and co-creation

Author(s):  
Dina von Heimburg ◽  
Victoria Cluley

Summary A complexity-informed approach has recently been proposed as a hopeful revolution for health promotion (HP), requesting appropriate ways of tackling the complexities of health, equity and well-being. In addition, co-creation has gained traction as an approach to tackle complexity. HP and co-creation are established concepts that have long been enacted in practice. Although each concept is premised on similar approaches to value-creation such as participation and collaboration, little has been done to link the two approaches. To advance complexity-informed HP, this scoping review presents findings from peer-reviewed articles, published in English, between 2009 and March 2020. Articles were identified through searches of academic databases. Twenty-seven articles met the inclusion criteria, explicitly linking HP and co-creation. Included articles were charted by descriptive information and main focus, and advanced by a thematic analysis. Four themes suggest a potential avenue for advancing complexity-informed HP: (i) dealing with complexity, (ii) value creation, (iii) the value of the values and (iv) benefits and challenges. While current links between HP and co-creation are scarce they are increasing and promising. Based on the findings from the review, propositions to advance complexity-informed HP is outlined and discussed. Overall it is argued that co-creation and HP are mutually beneficial concepts, providing a framework for participative, collaborative, context-sensitive and knowledge-based practice that reflects the complex nature of health. More research is needed to highlight potential and challenges of integrating co-creation in HP, especially related to health equity and sustainable development.

2021 ◽  
pp. 155982762110012
Author(s):  
Fei-Chi Yang ◽  
Aishwarya B. Desai ◽  
Pelareh Esfahani ◽  
Tatiana V. Sokolovskaya ◽  
Doreen J. Bartlett

Background. Tai Chi is a form of exercise that is accessible to people from different socioeconomic backgrounds, making it a potentially valuable activity for health promotion of older adults. Purpose. The objective of this scoping review was to summarize the current knowledge about the effectiveness of Tai Chi for older adults across a range of general health outcomes from published, peer reviewed, unique meta-analyses. Methods. Meta-analyses were retrieved from Medline, Embase, AMED, CINAHL, SPORTDiscus, PsychINFO, Web of Science, PubMed Health, and the Cochrane Library from database inception to late August 2019. Multistage deduplication and screening processes identified eligible full-length meta-analyses. Two people independently appraised 27 meta-analyses based on the GRADE system and organized results into 3 appendices subsequently collated into heterogeneous, statistically significant, and statistically insignificant tables. Results. “High” and “moderate” quality evidence extracted from these meta-analyses demonstrated that practicing Tai Chi can significantly improve balance, cardiorespiratory fitness, cognition, mobility, proprioception, sleep, and strength; reduce the incidence of falls and nonfatal stroke; and decrease stroke risk factors. Conclusions. Health care providers can now recommend Tai Chi with high level of certainty for health promotion of older adults across a range of general health outcomes for improvement of overall well-being.


Author(s):  
Zohreh Khoshnood ◽  
Masoud Rayyani ◽  
Batool Tirgari

AbstractBackground Analysis of nursing theoretical works and its role in knowledge development is presented as an essential process of critical reflection. Health promotion model (HPM) focuses on helping people achieve higher levels of well-being and identifies background factors that influence health behaviors.Objectives This paper aims to evaluate, and critique HPM by Barnum’s criteria.MethodsThe present study reviewed books and articles derived from Proquest, PubMed, Blackwell Databases. The method of evaluation for this model is based on Barnum’s criteria for analysis, application and evaluation of nursing theories. The criteria selected by Barnum embrace both internal and external criticism. Internal criticism deals with how theory components fit with each other (internal construction of theory) and external criticism deals with the way in which theory relates to the extended world (which considers theory in its relationships to human beings, nursing, and health).ResultsThe electronic database search yielded over 27,717 titles and abstracts. Following removal of duplicates, 18,963 titles and abstracts were screened using the inclusion criteria and 1278 manuscripts were retrieved. Of these, 80 were specific to HPM and 23 to analysis of any theory in nursing relating to the aim of this article. After final selection using the inclusion criteria for this review, 28 manuscripts were identified as examining the factors contributing to theory analysis. Evaluation of health promotion theory showed that the philosophical claims and their content are consistent and clear. HPM has a logical structure and was applied to diverse age groups from differing cultures with varying health concerns.Conclusion In conclusion, among the strategies for theory critique, the Barnum approach is structured and accurate, considers theory in its relationship to human beings, community psychiatric nursing, and health. While according to Pender, nursing assessment, diagnosis and interventions are utilized to operationalize the HPM through practical application and research.


2020 ◽  
pp. 008124632095748
Author(s):  
Tyrone Brian Pretorius ◽  
Anita Padmanabhanunni

Fortitude refers to the psychological strength to manage adversity and stay well. It is derived from adaptive cognitive appraisals of self, family, and social supports and has consistently been identified as a protective factor in psychological well-being. This study undertakes a scoping review of empirical research on the Fortitude Questionnaire, which was developed to assess levels of fortitude. The aims of the study were to categorize and catalogue studies that have used the Fortitude Questionnaire, identify the variables that have been linked to the scale, and determine the extent to which prior research has replicated the Fortitude Questionnaire’s psychometric properties. Arksey and O’Malley’s five-stage framework for scoping reviews was followed to review studies published between January 1999 and March 2020. A total of 51 studies met the inclusion criteria. The scoping review found that the Fortitude Questionnaire has been used in different contexts and among various sample groups across the lifespan, including vulnerable and high-risk populations. The scale has demonstrated sound reliability and studies have confirmed its factor structure. The scale has also been used as an independent, dependent, and intervening variable. Fortitude has been linked to positive and negative indicators of well-being, and intervention studies have indicated that fortitude is amenable to change. The findings of this scoping review provide a foundation for the development of appraisal restructuring programmes and interventions.


Author(s):  
Dwi Reza Wahyuni ◽  
◽  

ABSTRACT Background: The death of a child is a painful experience for parents. The distress of bereaved fathers remained inadequately understood since most of the existing studies had concentrated mainly on the mothers’ experience. This scoping review aimed to investigate the fathers’ experience on the incident of newborn death. Subjects and Method: A scoping review method was conducted in eight stages including (1) Identification of study problems; (2) Determining priority problem and study question; (3) Determining framework; (4) Literature searching; (5) Article selec­tion; (6) Critical appraisal; (7) Data extraction; and (8) Mapping. The research question was identified using population, exposure, and outcome(s) (PEOS) framework. The search included PubMed, Wiley Online Library, Science Direct, ProQuest, EBSCO, gray literature through the Google Scholar search engine databases. The inclusion criteria were English-language and primary studied full-text articles published between 2010 and 2019. A total of 307 articles were obtained by the searched database. After the review process, seven articles were eligible for this review. The data were reported by the PRISMA flow chart. Results: A total of 307 articles were obtained by the searched databases. After screening, 55,052 articles were excluded because of 54,847 articles with irrelevant topics, 22 book review articles, and 183 duplicate articles. Of the remaining 88 articles, only 18 articles met the inclusion criteria. After conducting critical appraisal, a total of six articles from developed countries (Australia, Sweden, Spain, and Columbia) with qualitative studies was selected to further review. This review emphasized three main topics about experiences of fathers after the death of the newborn, namely psychological conditions and coping behaviors of fathers, and supportive care from health professionals. Conclusion: Further support and care of health professionals need to focus on fathers’ experience of grief following newborn death, especially on their physical and mental well-being. Keywords: newborn death, father experience, health professionals, coping behaviors Correspondence: Dwi Reza Wahyuni. Universitas ‘Aisyiyah Yogyakarta. Jl. Ringroad Barat No. 63, Mlangi Nogotirto, Gamping, Sleman, Yogyakarta. Email: [email protected]. Mobile: +6282211318785. DOI: https://doi.org/10.26911/the7thicph.03.63


2021 ◽  
Author(s):  
Maham Saleem ◽  
Lisa Kühne ◽  
Karina Karolina De Santis ◽  
Tilman Brand ◽  
Heide Busse

BACKGROUND Digital interventions offer one solution to address the high demand for mental health promotion, especially when facing physical contact restrictions or lacking accessibility. Engagement with digital interventions is critical for their effectiveness, however, retaining users’ engagement throughout the intervention is challenging. It remains unclear what strategies facilitate the engagement with digital interventions targeting mental health promotion. OBJECTIVE We conducted a scoping review to investigate user engagement strategies and methods to evaluate engagement with digital interventions targeting mental health promotion in adults. METHODS This scoping review adheres to the PRISMA guidelines for scoping reviews. The search was conducted in seven electronic databases until April 2020. The inclusion criteria for studies were: 1) adult (18 years+) users of digital interventions for mental health promotion from the general population, 2) any digital intervention for mental health promotion, 3) user engagement strategies described in intervention design. We extracted the following data items: study characteristics, digital intervention (type, engagement strategy), evaluation of engagement strategy (method and result specifying if the strategy was effective at facilitating engagement) and features of engagement (usage extent and subjective experience of users). RESULTS A total of 2766 studies were identified, and k = 16 studies met the inclusion criteria. The 16 studies included randomized controlled trials (k=6), studies analyzing process data (k=5), observational studies (k=3), and qualitative studies (k=2). Digital interventions for mental health promotion were either web-based (75%) or mobile-app-based (25%). The engagement strategies included: personalized feedback about intervention content or users’ mental health status; guidance of content and progress through e-coaching; social forum and interactivity with peers; content gamification; reminders; goal setting and rewards. The engagement strategies were deemed effective based on qualitative user feedback or responses on questionnaires/tools (k=4), usability data (k=5) or both (k=7). Most studies identified personalized support in the form of e-coaching, peer support through a social platform, automated personalized feedback, or joint video conference session as an engaging feature. CONCLUSIONS Personalized support during the intervention, access to social support, and personalized feedback appear to promote engagement with digital interventions for mental health promotion. These findings need to be interpreted with caution because the included studies were heterogeneous, had small sample sizes, and typically did not address engagement as the primary outcome. Despite the importance of user engagement for the effectiveness of digital interventions, this field has not yet received much attention. Further research is needed on the effectiveness (and cost-effectiveness) of different strategies required to facilitate user engagement in digital interventions for mental health promotion. CLINICALTRIAL Protocol registered in Open Science Framework from the Centre for Open Science (https://osf.io/egyv8).


2020 ◽  
pp. bjsports-2020-102085 ◽  
Author(s):  
Steffan A Griffin ◽  
Nirmala Kanthi Panagodage Perera ◽  
Andrew Murray ◽  
Catherine Hartley ◽  
Samantha G Fawkner ◽  
...  

ObjectiveTo scope the relationships between rugby union, and health and well-being.DesignScoping review.Data sourcesPublished and unpublished reports of any age, identified by searching electronic databases, platforms and reference lists.MethodsA three-step search strategy identified relevant published primary, secondary studies and grey literature, which were screened using a priori inclusion criteria. Data were extracted using a standardised tool, to form (1) a numerical analysis and (2) a thematic summary.Results and discussion6658 records were identified, and 198 studies met the inclusion criteria. All forms of rugby union can provide health-enhancing physical activity (PA). ‘Non-contact’ and wheelchair rugby in particular provide a wide range of physical and mental health and well-being benefits. The evidence is either mixed or unclear in relation to ‘contact’ rugby union and its effects on a range of physical health domains. Injury and concussion incidence rates are high for contact rugby union relative to other sports.ConclusionsA wide range of stakeholders as well as existing and potential participants can use this information to make a more informed decision about participating in and promoting rugby union as a health-enhancing activity. Industry and policy-makers can use this review to inform policies and strategies that look to increase participation rates and use rugby union as a vehicle to contribute positively to population health. Further research understanding rugby union’s contribution to PA as well as to muscle-strengthening and balance is indicated, as well as research examining more health and well-being outcomes across more diverse cohorts.


Author(s):  
Migita Vidia Amita ◽  
◽  
Sri Ratnaningsih ◽  

ABSTRACT Background: The accelerated pace of physical and psychological changes during pregnancy can cause discomfort for pregnant women. Several studies claimed that maternal stress, depression, and anxiety level have a negative impact on birth outcomes. Yoga is a well-known exercise for emotional relaxation therapy. This study aimed to investigate the benefits of prenatal yoga exercise during pregnancy. Subjects and Method: A scoping review method was conducted in eight stages including (1) Identification of study problems; (2) Determining priority problem and study question; (3) Determining framework; (4) Literature searching; (5) Article selec­tion; (6) Critical appraisal; (7) Data extraction; and (8) Mapping. The search included Willey Online library, PubMed, and ScienceDirect databases. The inclusion criteria were English-language, full-text, and free access articles published between 2009 and 2019. The selected articles were appraised by Joanna Briggs Institute Critical Appraisal tools. The data were reported by the PRISMA flow chart. Results: A total of 2,232 articles obtained from the search database, in which 2,093 articles were irrelevant, 95 duplicates, and 24 articles unmet inclusion criteria were excluded. Based on the selected 20 articles, eleven articles obtained A grade, and nine articles obtained B grade with quantitative (RCT, quasi-experiment, cross-sectional) and qualitative (focus group discussion) study designs. For main thematic findings reviewed were physical, psychological, labor process, and fetal benefits of prenatal gentle yoga exercise during pregnancy. Conclusion: Prenatal gentle yoga exercise has benefits for both mother and fetus, especially the psychological well-being of mothers by reducing stress and anxiety. Active participation of husbands is required to enhance the effectiveness of prenatal yoga. Keywords: prenatal gentle yoga, pregnancy, benefit Correspondence: Migita Vidia Amita. Faculty of Public Health, Universitas ‘Aisyiyah Yogyakarta. Jl. Siliwangi (Ring Road Barat) No. 63 Mlangi, Nogotirto, Gamping, Sleman, Yogyakarta, 55292. Email: [email protected]. Mobile: +6281466841970. DOI: https://doi.org/10.26911/the7thicph.03.74


2018 ◽  
Vol 123 (2) ◽  
pp. 140-163 ◽  
Author(s):  
E. Andrew Pitchford ◽  
Alicia Dixon-Ibarra ◽  
Janet L. Hauck

Abstract Through a scoping review, the current state of physical activity research in people with intellectual disability was examined. A search of publications between 2000 and 2014 retrieved 362 articles that met inclusion criteria. Eligible studies were coded according to the Behavioral Epidemiological Framework. Of the articles identified, 48% examined associations between physical activity and health outcomes, 9% developed or tested methodology to measure physical activity, 34% examined factors that influence physical activity, 8% evaluated interventions to change physical activity, and 1% examined the dissemination of physical activity/health promotion programming. The categories with lower proportions of studies represent the need for greater population-specific research in physical activity measurement, interventional designs, and translational programs.


2021 ◽  
pp. 088541222110129
Author(s):  
Phillippa Carnemolla ◽  
Vivienne Skinner

As governments and service agencies across the world grapple with chronic rates of homelessness and housing instability, there is a growing need to understand the value that providing secure, stable housing brings to the lives of people who are homeless and the broader community. The complex nature of homelessness is revealed across a variety of academic fields including planning, pharmacology, urban affairs, housing policy, nutrition, psychiatry, sociology, public health, urban health, and criminology. We undertook a scoping review according to PRISMA-P (Preferred Reporting Items for Systematic Review and Meta-analysis) that mapped the breadth and scale of the evidence-base and identified themes and gaps. We identified 476 reports and after excluding duplicates and ones that did not relate to our criteria, were left with 100 studies from eight countries. Each of them identified benefits and/or changes that occurred when people experiencing homelessness or housing insecurity transitioned into a secure, stable home. Outcomes measured were distributed across a range of domains including physical and mental health, well-being, mortality rates, criminal justice interaction, service use, and cost-effectiveness. Findings varied by degree but overwhelmingly found improvements in all domains once people were permanently housed. Housing provided a foundation for people to envisage a better life and make plans for the future. As one woman who had fled a violent home was quoted as saying: “housing made everything else possible.” The research identified savings for taxpayers and the wider community once people left homelessness for the stability of a permanent home, even after factoring in the cost of housing and rental help. We found numerous gaps. For example, there was a prevalence of studies that focused on those who are visibly homeless, in particular chronically homeless men with mental illness and/or substance use issues. Much less research looked at women whose patterns of homelessness are more varied and even less at homelessness involving children and families. Women who had left domestic and family violence were investigated in a very small number of studies and sample sizes were small. Few reports undertook the complex task of quantifying and comparing cost savings. Other notable gaps were older women, older people more generally, refugees, recent migrants, veterans, Indigenous people and those with a disability.


2020 ◽  
pp. 089198872092471
Author(s):  
Catherine M. Alexander ◽  
Anthony Martyr ◽  
Sharon A. Savage ◽  
Robin G. Morris ◽  
Linda Clare

Background: Awareness of the diagnosis or related changes in functioning varies in people with dementia (PwD), with implications for the well-being of PwD and their carers. Measuring awareness in a clinical setting could facilitate tailored support and optimize involvement in personal health and care decisions. This scoping review aimed to identify validated methods of assessing awareness in dementia and appraise their clinical utility. Method: A systematic search was conducted of English-language publications that measured awareness in PwD, in 6 electronic databases. Search terms included dement*, Alzheimer*, Pick disease, and awareness, unawareness, anosognosia, insight, denial, metacognit*, or discrepanc*. Results: We screened 30,634 articles, finding 345 articles that met our inclusion criteria. We identified 76 measures, most commonly using a discrepancy questionnaire comparing evaluations of function by PwD and an informant. There were 30 awareness measures developed and validated for use in dementia populations but few designed for general clinical use. Conclusions: Although we found a range of clinical indications for measuring awareness, there were few studies investigating clinical applications and few tools designed for clinical purposes. Further investigation and development of a person-centered tool could facilitate health and care choices in mild-to-moderate dementia.


Sign in / Sign up

Export Citation Format

Share Document