Review of Spiritual Health: Definition, Role, and Intervention Strategies in Health Promotion

1995 ◽  
Vol 9 (5) ◽  
pp. 371-378 ◽  
Author(s):  
Steven R. Hawks ◽  
Melisa L. Hull ◽  
Rebecca L. Thalman ◽  
Paul M. Richins

Purpose of the Review. Recognition of the spiritual dimension as a vital component of human wellness has led to an increased interest in spirituality education, yet very little progress has been made in identifying possible intervention methods for enhancing spirituality. The purpose of this article is to review current definitions of spiritual health; provide an overview of several successful intervention methods that may enhance spiritual health; and outline potential relationships between spiritual health interventions and behavioral, emotional, and physical health outcomes. Search Method Used. Research and review articles were identified through a CD-ROM computer search of ERIC (1966 to 1994), PSYCHLIT (1974 to 1994), and MEDLINE (1991 to 1994) databases using appropriate key words. Cumulative indexes from Advances (1984 to 1993) were manually searched, and reference lists from identified studies and literature reviews were analyzed. A total of 71 articles were identified and considered. Model interventions were chosen for presentation on the basis of soundness of research design, peer-review publication, clear description of intervention method, and relationship to spiritual health components. Summary of Important Findings. Imagery, meditation, and group support activities may address various components of spiritual health such as meaning and purpose in life; self-awareness; and connectedness with self others, and a larger reality. In turn, positive changes in health behaviors such as communication, diet activity, and treatment compliance were noted, and a variety of beneficial physical and emotional health outcomes such as heart disease, reversal, decreased cancer mortality, reduced anxiety, and improved mood states were reported. Major Conclusions. Health educators are in a position to develop, implement, and evaluate spiritual health interventions within the context of comprehensive programs. There is a need for training in the theoretical and methodologic foundations of interventions like meditation, imagery, and group support and a need for more evaluation research in the impact of such interventions.

Author(s):  
Erica Koopmans ◽  
Katie Cornish ◽  
Trina M. Fyfe ◽  
Katherine Bailey ◽  
Chelsea A. Pelletier

Abstract Objectives Due to accelerating wildland fire activity, there is mounting urgency to understand, prevent, and mitigate the occupational health impacts associated with wildland fire suppression. The objectives of this review of academic and grey literature were to: Identify the impact of occupational exposure to wildland fires on physical, mental, and emotional health; and Examine the characteristics and effectiveness of prevention, mitigation, or management strategies studied to reduce negative health outcomes associated with occupational exposure to wildland fire. Methods Following established scoping review methods, academic literature as well as government and industry reports were identified by searching seven academic databases and through a targeted grey literature search. 4679 articles were screened using pre-determined eligibility criteria. Data on study characteristics, health outcomes assessed, prevention or mitigation strategies studied, and main findings were extracted from each included document. The results of this scoping review are presented using descriptive tables and a narrative summary to organize key findings. Results The final sample was comprised of 100 articles: 76 research articles and 24 grey literature reports. Grey literature focused on acute injuries and fatalities. Health outcomes reported in academic studies focused on respiratory health (n = 14), mental health (n = 16), and inflammation and oxidative stress (n = 12). The identified studies evaluated short-term outcomes measuring changes across a single shift or wildland fire season. Most research was conducted with wildland firefighters and excluded personnel such as aviation crews, contract crews, and incident management teams. Five articles reported direct study of mitigation strategies, focusing on the potential usage of masks, advanced hygiene protocols to reduce exposure, fluid intake to manage hydration and core temperature, and glutamine supplementation to reduce fatigue. Conclusions While broad in scope, the evidence base linking wildland fire exposure to any one health outcome is limited. The lack of long-term evidence on changes in health status or morbidity is a clear evidence gap and there is a need to prioritize research on the mental and physical health impact of occupational exposure to wildland fire.


2016 ◽  
Vol 9 (1) ◽  
pp. 187 ◽  
Author(s):  
Oluwatomisin M. Ogundipe ◽  
Oluranti I. Olurinola ◽  
Adeyemi A. Ogundipe

The study investigates the role of health interventions on child health in developing Africa for the period 1990-2013 using a dynamic panel approach. Among others, the study examines the effect of millennium development intervention programme on child health outcomes. Our analysis reveals MDG intervention as extremely pertinent in reducing the incidence of child mortality in Africa. It implies that introduction of MDGs culminates into increasing the rate of child survival in Africa. Similarly, maternal literacy, maternal health and other child protective measures adopted were found to be statistically significant in improving child health outcomes. The proportion of under-five mortality (proxy for child health) responds more strongly and negatively to immunization coverage, exclusive breastfeeding and DPT vaccines. On the other hand, the quality of institution contributively impact under-five mortality in Africa. Finally, there is need to strengthen institutional arrangement, ensure compulsory basic education for women and strengthen the health system to achieve full packages of intervention, curtain the rising incidence of child deaths and attain the MDGs.


2018 ◽  
Vol 4 ◽  
pp. 205520761877086 ◽  
Author(s):  
Ana Howarth ◽  
Jose Quesada ◽  
Jessica Silva ◽  
Stephanie Judycki ◽  
Peter R Mills

Background The impact of employee health on productivity in the workplace is generally evidenced through absenteeism and presenteeism. Multicomponent worksite health programmes, with significant online elements, have gained in popularity over the last two decades, due in part to their scalability and low cost of implementation. However, little is known about the impact of digital-only interventions on health-related outcomes in employee groups. The aim of this systematic review was to assess the impact of pure digital health interventions in the workplace on health-related outcomes. Methods Multiple databases, including MEDLINE, EMBASE, PubMed and PsycINFO, were used to review the literature using PRISMA guidelines. Results Of 1345 records screened, 22 randomized controlled trial studies were found to be eligible. Although there was a high level of heterogeneity across these studies, significant improvements were found for a broad range of outcomes such as sleep, mental health, sedentary behaviours and physical activity levels. Standardized measures were not always used to quantify intervention impact. All but one study resulted in at least one significantly improved health-related outcome, but attrition rates ranged widely, suggesting sustaining engagement was an issue. Risk of bias assessment was low for one-third of the studies and unclear for the remaining ones. Conclusions This review found modest evidence that digital-only interventions have a positive impact on health-related outcomes in the workplace. High heterogeneity impacted the ability to confirm what interventions might work best for which health outcomes, although less complex health outcomes appeared to be more likely to be impacted. A focus on engagement along with the use of standardized measures and reporting of active intervention components would be helpful in future evaluations.


2020 ◽  
Vol 13 ◽  
Author(s):  
Jennifer Hayes ◽  
Rosarie Crowley ◽  
Yvonne O’Brien ◽  
Geraldine Hannon ◽  
Emma Hennessey ◽  
...  

Abstract Mental health problems have a significant impact globally in terms of social and economic costs. Increasing access to and uptake of mental health interventions (particularly by men) remains a challenge for service providers. The current study sought to examine the efficacy of a delivering a Stress Control intervention in partnership with a community sporting organisation (the Gaelic Athletic Assocaition, GAA) in ameliorating mental health difficulties in a general population. Measures of anxiety, depression and quality of life were administered before and after the delivery of the 6-week programme. A focus group was conducted afterwards to gather qualitative data on participants’ experiences of the intervention. Statistically significant decreases in depression scores were found following attendance at the course: t (94) = 3.14, p = .002, with a large effect size (0.5) (n = 95). There was an increase in the number of male attendees compared with clinic-based courses. Thematic analysis of the focus group data revealed a number of key themes including increased accessibility in terms of the scale and context of the delivery of the course. Delivering large-scale psychoeducational courses like Stress Control in partnership with the GAA represents a promising avenue for increasing access (for males in particular) to an effective intervention for improving mental health outcomes Key learning aims (1) To gain an understanding of the impact of delivering a large-scale psychological intervention in partnership with a community sports organisation on accessibility and stigma reduction for participants. (2) To become aware of the potential benefits of considering non-clinic-based locations in running public mental health interventions. (3) To understand the key role of the normalisation of the experience of common mental health problems and the impact on intervention uptake.


BMJ Open ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. e043544
Author(s):  
Sara Rizvi Jafree ◽  
Rubeena Zakar ◽  
Humna Ahsan ◽  
Mudasir Mustafa ◽  
Florian Fischer

ObjectiveThe purpose of this study is to assess the impact of microfinance health interventions (health insurance and health-awareness programmes) on health-related outcomes among female informal workers in Pakistan.DesignWe conducted a retrospective, quasi-experimental study among a total of 442 female borrowers from seven microfinance providers (MFPs) across four provinces of Pakistan in 2018. A standardised tool was used for data collection. Probit regression was used to identify the probability of female borrowers gaining improvements in health outcomes based on their sociodemographic characteristics. Propensity score matching (PSM) was used to assess the overall impact of health interventions.Primary outcome measuresFour health-related outcomes reported by the women were used: perception of good health overall, ability to visit a general practitioner, ability to purchase prescribed medicine and intake of multivitamins.ResultsWe found that women receiving health interventions had a greater probability of better health outcomes when they were from Punjab province, borrowing in groups and attending monthly meetings at MFPs. Even with a small loan amount, all four health-related outcomes were significantly associated with receiving health insurance and health-awareness programmes. PSM results show a greater likelihood of overall perceived good health (nearest neighbour matching (NNM) =17.4%; kernel matching (KM) =11.8%) when health insurance is provided and a significant improvement in the ability to purchase prescribed medicine when a health-awareness programme is provided (NNM=10.1%; KM=11.7%).ConclusionHealth and social policies are vital to secure health and well-being among poor women working in the informal sector. Targeting improved equity across female population groups for health interventions will in the long run improve poor women’s health, income-earning abilities and capacity expansion for small businesses.


2021 ◽  

Patient-provider communication is the domain in health communication focused on the relationship between a clinical provider and the patient. Traditionally, research on patient-provider communication has focused on face-to-face interaction during clinical encounters, but more recent scholarship has expanded to include communication that occurs outside the clinical encounter, especially electronic communication modalities such as secure messaging between clinicians and patients. Patient-provider communication is of interest across multiple disciplines including medicine and medical education, sociology, anthropology, (socio)linguistics, and communication studies, among others. Clinically, effective patient-provider communication enables clinicians the ability to gather information, facilitate diagnosis, give instructions and advice with the goal of building and maintaining a strong therapeutic relationship, all of which are widely recognized as essential ingredients of high-quality care. Effective patient-provider communication has been associated with improved patient health outcomes that range from improved emotional health and overall functioning; biological health, including reduced pain, anxiety, blood pressure; and behavioral health, including increased adherence to recommended treatment, lower malpractice litigation, increased ability for self-management and for making medical decisions, and higher satisfaction with care. Because of these positive outcomes, communication skills are widely taught in both undergraduate and graduate medical education with an eye toward measuring improvement and modifying behavior over time. Methodologically, common approaches to studying patient-provider communication range from quantitative studies looking to explore relationships among context, participants, and communication; qualitative studies that seek to investigate personal experiences of health and illness and health care through the lens of communication; and mixed and multiple method studies that combine quantitative and qualitative studies or employ multiple research methods. Theoretically, patient-provider communication also adopts a wide focus. Topics range from the impact of authority in the form of knowledge and power asymmetries in the clinical encounter, how relationships and social support encourage or mitigate health outcomes and personal experiences of illness, and a naturalistic approach that prioritizes study of how clinicians and patients orient to, define, and create the clinical situation in real time. Overall, patient-provider communication is a robust area of research with both basic and applied significance.


2019 ◽  
Author(s):  
Caroline Perrin ◽  
Mirana Randriambelonoro ◽  
Antoine Geissbuhler

BACKGROUND Digital health interventions are recognized for their potential and are increasingly implemented globally. The evidence base is growing, but currently there are still relatively few studies evaluating improvements of digital health interventions in health outcomes OBJECTIVE The objectives of this article were to understand, analyze and map how researchers approach digital health outcome evaluations in different settings through a scoping review and to develop an algorithm, based on these results, to provide a pedagogical overview of methods for evaluating health outcomes of digital health interventions. METHODS For the scoping review PubMed, EMBASE, and the Cochrane Central Register of Controlled Trials (CENTRAL) were scanned using a predefined search strategy to identify articles measuring the impact of digital health interventions on health outcomes. The algorithm was developed based on analysis and insights from the scoping review. RESULTS The database search retrieved 3584 citations of which 208 were included. These articles were reviewed in detail and were classified into different categories: level of income (of the country where the study was conducted), system categories, disease addressed by the intervention, and evaluation method. The gap analysis identified additional emerging approaches that were included in the algorithm. CONCLUSIONS Through analysis of the literature, we were able to demonstrate that digital health outcome studies rely on traditional clinical evaluation designs, even though these interventions are often more complex and depended on the context, culture, and the individual than classical interventions like insulin on its receptor. In addition to the methodologies extracted from studies through the database search we identified study methodologies through desk research, whose design features address some of the shortcomings of traditional clinical methodologies, when applying them to digital health interventions. We integrated all identified methodologies into an algorithm that provides a high-level overview, enables the user to navigate through these methodologies based on the design features and investigator’s priorities, and to facilitate the identification of one or more potential appropriate methodologies.


2019 ◽  
Vol 118 (9) ◽  
pp. 52-60
Author(s):  
Dr.S. Gunapalan ◽  
Dr.K. Maran

Emotional Intelligence is play a vital role to decide  leadership excellence. So this paper to study the  impact of emotional intelligence on leadership excellence of executive employee in public sector organization.Hence the objective of this  research   is to identify the  impact of emotional intelligence on leadership excellence of executive employee in Public Sector Organization in Ampara districtof Sri Lanka.emotional intelligence includes the verbal and non-verbal appraisal and expression of emotion, the regulation of emotion in the self and others, and the utilization of emotional content in problem solving. Cook (2006)[1]. Emotional intelligence is one of the  essential skill for leaders to manage their subordinate. Accordingly although there is some research done under “Emotional intelligence on leadership excellence of the executive employee in the public organization in Ampara district so this study full filed the gap. Based on the analysis, Self-awareness, Self-management, Social-awareness and Relationship management are the positively affect to the Leadership excellence. So, executive employees should consider about the Emotions of their subordinators when they completing their targets. leaders should pay the attention for recognize the situation, hove to impact their feelings for the performance & recognized their own feelings. Leaders should consider and see their own emotions when they work with others by listening carefully, understand the person by asking questions, identifying non-verbal expressions and solving problems without helming someone’s. Leadersshould consider their subordinators emotions when they find a common idea, government should give to moderate freedom to executive employees in public organization to take the decision with competing the private sector organizations.


Sign in / Sign up

Export Citation Format

Share Document