scholarly journals A conceptual framework for psychosocial health management grounded in the therapeutic merits of indigenous KhoiSan health dialogues

2021 ◽  
Vol 26 ◽  
Author(s):  
Khauhelo S. Mahlatsi ◽  
Abel J. Pienaar ◽  
Neo E. Nare ◽  
Tshilidzi M. Mulaudzi
Keyword(s):  
Conceptual Framework ◽  
Teaching And Learning ◽  
Health Management ◽  
Indigenous Health ◽  
Indigenous Communities ◽  
Psychosocial Health ◽  
Culturally Competent ◽  
Positive Health ◽  
Northern Cape ◽  
Positive Health Outcomes

Background: The researchers established that an indigenous KhoiSan community functions healthily without western mental health services. This community relies on indigenous healthcare with positive health outcomes over centuries. Despite this positive evidence, the community’s therapeutic achievements have not been explored previously.Aim: To explore the therapeutic merits embedded in dialogues of healing to formulate a generic approach to managing psychosocial challenges.Setting: The study was conducted in an indigenous KhoiSan community, Northern Cape province, South Africa.Methods: A qualitative approach, by using an indigenous African research design, was followed. An African Indigenous Health Research Framework (AIHRF) was employed, particularly applying a classical African indigenous method of data-collection, namely orature. Theoretical sampling was used for the purpose that the emerging data guide the researcher to the next participants. The four-step analysis of the mentioned framework was deployed for data analysis.Results: It was deduced that the therapeutic merits of dialogues go beyond the word of mouth, leading to the emergence of themes related to the successful management of psychosocial health challenges in the KhoiSan community.Conclusion: These findings were used to generate a baseline conceptual framework for the management of psychosocial challenges in the KhoiSan community.Contribution: Revitalisation of communal indigenous practices for the management of psychosocial health challenges within the KhoiSan community. The latter will sensitise research, teaching and learning to foster culturally informed counseling approaches. Moreover, these will inform policy formations to posses a culturally competent approach towards indigenous communities such as the KhoiSan community in the Northern Cape, South Africa.

scholarly journals (Re)constructing Conceptualizations of Health and Resilience among Native Hawaiians

Genealogy ◽  
2020 ◽  
Vol 4 (1) ◽  
pp. 8
Author(s):  
Mapuana C. K. Antonio ◽  
Samantha Keaulana ◽  
Jane J. Chung-Do ◽  
Ilima Ho-Lastimosa
Keyword(s):  
Cultural Values ◽  
Environmental Changes ◽  
Cultural Practices ◽  
Native Hawaiian ◽  
Historical Trauma ◽  
Holistic Approach ◽  
Indigenous Communities ◽  
Native Hawaiians ◽  
Positive Health ◽  
Positive Health Outcomes

Biomedical definitions of health have conventionally taken problem-based approaches to health, which may disregard indigenous perspectives of health that take a holistic approach and emphasize the importance of maintaining balance between physical, mental, and spiritual health and relationships maintained with others, the land, and the spiritual realm. Resilience-based approaches to health have been shown to foster strengths in indigenous communities, including the Native Hawaiian community, which leads to more positive health outcomes. The research questions of this paper asked, “how do Native Hawaiians conceptualize health and the concept of resilience specific to health?”. Qualitative methods were employed to explore the concept of resilience from the perspective of 12 Native Hawaiian adults. Community leaders and key stakeholders aided in the purposive recruitment process. The themes of this study include: (1) health maintained through balance, (2) being unhealthy vs. being ill, (3) the concept of colonialism and resulting adversities, and (4) protective and resilience factors that foster health. Cultural values and cultural practices may address concerns related to health disparities that stem from cultural and historical trauma, determinants of health, and environmental changes. Health interventions that are culturally-, family-, spiritually-, and land-based may particularly aid in responsiveness to health programs.

Virtual nature, inner forest: Prospects for immersive virtual nature art and well-being

2021 ◽  
Vol 11 (1) ◽  
pp. 125-146
Author(s):  
Jessica Laraine Williams ◽  
Susannah Langley ◽  
Ann Borda
Keyword(s):  
Design Research ◽  
Well Being ◽  
Psychosocial Health ◽  
The Body ◽  
Evidence Based ◽  
Positive Health ◽  
Theoretical Frameworks ◽  
Biophilic Design ◽  
Art Practices ◽  
Positive Health Outcomes

Over a number of decades, studies have revealed compelling relationships between experiences of the natural environment and positive health outcomes in adult communities. These psychosocial health benefits have typically been described via key theoretical frameworks in the health sciences, such as the biophilia hypothesis. Despite the body of evidence for nature design and well-being, propositions for immersive virtual nature experiences are still emerging across the fields of creativity and health. In this article, we identify the potential for immersive virtual nature art as a creative well-being intervention, articulated through a discussion of background literature and concepts leading to the development of our artwork, Inner Forest (2020–21). This article incorporates a transdisciplinary suite of perspectives across three key parts; in the first section, we review key health and design research around beneficial nature experiences, with particular emphasis on designing technological nature. Secondly, we propose considerations for immersive virtual nature experiences, as distinct from prior iterations of technological nature; these considerations are framed through discussion of our artistic and well-being rationale for designing the collaborative artwork Inner Forest. This extended reality (XR) project was developed in response to well-being challenges such as social isolation and restricted nature access- of particular valence during the COVID-19 pandemic. The artwork incorporates multisensory, aesthetic elements drawn from biophilic design guidelineswhich support creative, evidence-based approaches to designed nature and societal health. To conclude this article, we report on prospects for further scaling of the Inner Forest artwork, with ongoing scope to contribute to both nature-health design and immersive virtual nature art practices.

The Benefits and Challenges of Using Mobile-Based Tools in Self-Management and Care

2016 ◽  
pp. 1-13 ◽  
Author(s):  
Rupananda Misra
Keyword(s):  
Health Management ◽  
Mobile Apps ◽  
Mobile App ◽  
Self Management ◽  
User Privacy ◽  
Positive Health ◽  
Doctor Visits ◽  
Hospitalization Costs ◽  
The Us ◽  
Positive Health Outcomes

An effective intervention tool in self-management and care is the patients' use of mobile-based devices. This tool reflects a paradigm shift in many areas of health management from healthcare professionals to the patients themselves. These mobile devices contribute to a growing public interest in self-care. This new use will save patients not only expensive hospitalization costs and doctor visits but will also save the US treasury millions of dollars. To successfully empower the patients who use these mobile-based tools to manage their own health as well as to see positive health outcomes, Mobile app developers need to consider many things when developing these mobile apps such as an engaging and easy-to-use interface, relevant content, and more. In addition, the developers must secure patient data and ensure user privacy.

A CUSTOMISED FRAMEWORK FOR EFFECTIVE PODCAST INTEGRATION IN A SOUTH AFRICAN HIGHER EDUCATION ENVIRONMENT

2016 ◽  
Vol 38 (1) ◽  
pp. 14-32
Author(s):  
Shane Pachagadu ◽  
Liezel Nel
Keyword(s):  
Higher Education ◽  
Conceptual Framework ◽  
South African ◽  
Teaching And Learning ◽  
Teaching And Learning Environment ◽  
Education Environment ◽  
University Of Technology ◽  
African Higher Education ◽  
South African Higher Education ◽  
Effective Integration

Numerous studies have explored the potential of podcast integration in teaching and learning environments. This paper first presents and organises perspectives from literature in a conceptual framework for the effective integration of podcasting in higher education. An empirical study is then discussed in which the guidelines presented in the framework were evaluated for applicability in a selected course at a South African University of Technology. Since the results of the study revealed a number of aspects not accounted for in the conceptual framework, the framework was customised to make it more applicable for the particular higher education environment. The customised framework identifies four principles and a series of related guidelines for the effective integration of podcasts in a South African higher education teaching and learning environment. This framework can become a valuable resource for effective podcast integration in similar environments.

scholarly journals The power-trust cycle in global health: Trust as belonging in relations of dependency

2021 ◽  
pp. 1-21
Author(s):  
Emma-Louise Anderson ◽  
Laura Considine ◽  
Amy S. Patterson
Keyword(s):  
Global Health ◽  
Health Outcomes ◽  
Positive Health ◽  
Global Health Initiatives ◽  
Health Initiatives ◽  
Power Trust ◽  
Trust And Power ◽  
Positive Health Outcomes ◽  
Exercise Of Discretion ◽  
The Relationship

Abstract Trust between actors is vital to delivering positive health outcomes, while relationships of power determine health agendas, whose voices are heard and who benefits from global health initiatives. However, the relationship between trust and power has been neglected in the literatures on both international politics and global health. We examine this relationship through a study of relations between faith based organisations (FBO) and donors in Malawi and Zambia, drawing on 66 key informant interviews with actors central to delivering health care. From these two cases we develop an understanding of ‘trust as belonging’, which we define as the exercise of discretion accompanied by the expression of shared identities. Trust as belonging interacts with power in what we term the ‘power-trust cycle’, in which various forms of power undergird trust, and trust augments these forms of power. The power-trust cycle has a critical bearing on global health outcomes, affecting the space within which both local and international actors jockey to influence the ideologies that underpin global health, and the distribution of crucial resources. We illustrate how the power-trust cycle can work in both positive and negative ways to affect possible cooperation, with significant implications for collective responses to global health challenges.

Reproductive Healthcare Beliefs and Behaviours Among Displaced Tribal Communities in Odisha and Chhattisgarh: An Analysis Using Health Belief Model

2021 ◽  
pp. 2277436X2110059
Author(s):  
Madhulika Sahoo ◽  
Jalandhar Pradhan
Keyword(s):  
Health Belief Model ◽  
Cultural Distance ◽  
Indigenous Health ◽  
Belief Systems ◽  
Health Belief ◽  
Indigenous Communities ◽  
Tribal Communities ◽  
Traditional Health ◽  
Belief Model ◽  
Reproductive Healthcare

The modern healthcare system often experiences difficulties in understanding and providing care to indigenous communities. This is mainly because of the cultural distance between mainstream healing methods and indigenous health belief systems. The Lancet series (2006) on indigenous health discussed the integration of Western and traditional health practices and identified the importance of this integration for betterment of the human world. To understand what health and health care signify to tribal communities in India, it is necessary to examine the whole social system and the beliefs and behaviours related to their culture that provides meaning to people. This study examines the traditional medicinal practices and socio-cultural healthcare beliefs and behaviours of diplaced tribal communities in Odisha and Chattisgarh. The current study has used the health belief model (HBM) to examine the perceived susceptibility and severity of diseases among tribal communities, pertaining to their reproductive healthcare beliefs and practices.

When Religion Hurts: Structural Sexism and Health in Religious Congregations

2021 ◽  
pp. 000312242199668
Author(s):  
Patricia Homan ◽  
Amy Burdette
Keyword(s):  
General Social Survey ◽  
State Level ◽  
Religious Participation ◽  
Religious Institutions ◽  
Religious Congregations ◽  
Positive Health ◽  
Nationally Representative ◽  
Positive Health Outcomes ◽  
High Degree ◽  
The Relationship

An emerging line of research has begun to document the relationship between structural sexism and health. This work shows that structural sexism—defined as systematic gender inequality in power and resources—within U.S. state-level institutions and within marriages can shape individuals’ physical health. In the present study, we use a novel dataset created by linking two nationally representative surveys (the General Social Survey and the National Congregations Study) to explore the health consequences of structural sexism within another setting: religious institutions. Although religious participation is generally associated with positive health outcomes, many religious institutions create and reinforce a high degree of structural sexism, which is harmful for health. Prior research has not reconciled these seemingly conflicting patterns. We find that among religious participants, women who attend sexist religious institutions report significantly worse self-rated health than do those who attend more inclusive congregations. Furthermore, only women who attend inclusive religious institutions exhibit a health advantage relative to non-participants. We observe marginal to no statistically significant effects among men. Our results suggest the health benefits of religious participation do not extend to groups that are systematically excluded from power and status within their religious institutions.

‘You should tell somebody’: An evaluation of a survivor stories blog project to motivate sexual assault victims

2021 ◽  
pp. 001789692110164
Author(s):  
Rachel E Riggs
Keyword(s):  
Sexual Assault ◽  
Health Outcomes ◽  
Thematic Analysis ◽  
Social Cognitive ◽  
Cognitive Theory ◽  
Positive Health ◽  
Sexual Assault Survivors ◽  
Assault Victims ◽  
Positive Health Outcomes ◽  
Blog Posts

Objective: Sexual assault victims often do not disclose their assaults or seek positive health outcomes. The RAINN Survivor Stories project shares testimonials in the form of online blogs from sexual assault survivors to motivate and encourage others to come forward and disclose their assaults. This study aimed to better understand the themes present in the survivor stories to motivate victims to disclose their assaults and seek positive health outcomes. Design: A theoretical thematic analysis was conducted on blog posts created for the project to identify (a) how the posts tell survivor stories and (b) how the posts model positive health outcomes using social cognitive theory and the disclosure processes model as a guide. Setting: Online setting linked to the rainn.org website. Method: Blog posts were collected for inductive thematic analysis. Themes were identified based on their prevalence in the data and their pertinence to the research questions. Results: Emerging themes included (a) overcoming initial disclosure, (b) overcoming the lasting effects of victimisation, (c) utilising support and (d) advocating for others after assault. Conclusion: Findings offer insight to researchers and practitioners creating media messages for sexual assault victims and other stigmatised groups by expanding understanding of modelled positive health outcomes in media and the disclosure process of victims.

Transforming a global order in New Zealand to reduce health inequities in service provision

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
E Rawson
Keyword(s):  
Public Health ◽  
New Zealand ◽  
Indigenous Knowledge ◽  
Best Practice ◽  
Indigenous Health ◽  
Indigenous Communities ◽  
Health Inequities ◽  
Medical Emergency ◽  
Major Work ◽  
Health Initiatives

Abstract St John has been providing service in New Zealand for nearly 140 years since its arrival. It has now close to 4000 staff and nearly 20000 Members and over 8500 volunteers. In New Zealand the major work of St John is its Ambulance service providing front line first responders to crash, medical emergency and other life-threatening situations. St John New Zealand also provides a number of 'Community Health' initiatives focused on strengthening communities and prevention. In recent years St John has recognised that they have not engaged well with Indigenous communities and that their organisation in New Zealand must become skilled and relevant in addressing the needs of the Indigenous people of New Zealand, as they suffer the greater burden of disease and illness than any other population in the country. St John NZ Community and Health Services are embarking on a process of transformation through re-orienting its culture and practice by adopting Public Health approaches and an equity lens over all its programmes. They also have committed to understanding and using Indigenous knowledge to support this re-orientation to most effectively engage and implement programmes that will reduce Indigenous health inequities. This presentation will describe the process by which they will be implementing their strategy for change and highlight best practice for working with Indigenous communities. Key messages Indigenous Knowledge is key to addressing Indigenous Health inequities. Mainstream Public Health can learn from Indigenous Public Health approaches.

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