Applying Salutogenesis in Higher Education

This chapter focuses on how health can be created, maintained and supported in university settings. It first explores the higher education context and introduces key concepts that underpin ‘healthy universities’ and the application of a settings approach within this sector. It then presents a summary of key developments and of theoretical and empirical research in the field, reflecting on the relationship to salutogenesis, before discussing key themes emerging and outlining challenges for the future.

Health Promoting Sports Club in Practice: A Controlled Evaluation of the GAA Healthy Club Project

Sport is a developing setting and a relevant system in health promotion but there are few examples of settings-based initiatives and systems thinking in sport. The Gaelic Athletic Association (GAA) Healthy Club Project (HCP) adopts a settings approach delivered through and by grassroots clubs who respond to local needs while working within a national support system. The aim of this evaluation was to assess and describe the health promotion impact and experience of the HCP. Healthy Clubs (n = 23) and Control Clubs (n = 10) completed a Healthy Club Questionnaire at the start and end of the 20-month HCP and Healthy Clubs took part in focus group discussions. Healthy Clubs, using the structures of the HCP, a commitment to health and community engagement, demonstrated a significant improvement in their overall orientation to health promotion, which was not apparent in Control Clubs. The health promotion message is pervading into many aspects of the GAA club apart from that which relates to the day to day business of coaching and providing physical activity for all. The HCP represents health promotion activity embedded within and across systems, with further development and evaluation recommended to measure delivery and impact at the individual level, organisational, and wider societal levels.

Professional practice.

This book chapter seeks to: (i) explore the role of the settings approach to health promotion and the need for organizational change; (ii) discuss the importance of evidence-based practice and evaluation; (iii) describe some of the ethical issues in practising health promotion; (iv) suggest a means of overcoming the top-down/bottom-up tensions in practice; (v) explore the need for developing partnerships between civil society, NGOs, and private and public sectors; and (vi) outline the skills and competencies of health promoters practising in the 21st century. This chapter has attempted to discuss some challenges in the practice of health promotion, ending on the challenges in terms of the skills required to do health promotion work. Some of these challenges reoccur in the next chapter, particularly when discussing capacity building for health promotion at a societal level rather than the individual level.

Professional practice.

This book chapter seeks to: (i) explore the role of the settings approach to health promotion and the need for organizational change; (ii) discuss the importance of evidence-based practice and evaluation; (iii) describe some of the ethical issues in practising health promotion; (iv) suggest a means of overcoming the top-down/bottom-up tensions in practice; (v) explore the need for developing partnerships between civil society, NGOs, and private and public sectors; and (vi) outline the skills and competencies of health promoters practising in the 21st century. This chapter has attempted to discuss some challenges in the practice of health promotion, ending on the challenges in terms of the skills required to do health promotion work. Some of these challenges reoccur in the next chapter, particularly when discussing capacity building for health promotion at a societal level rather than the individual level.

COVID-19 and the role of health promoters and educators

The role of health promoters and educators in the current and future response to COVID-19 is critical, but, to date, under explored. This opinion paper offers a number of important contributions that this professional group may offer both in the immediate and future strategy of global public health. While the importance of a medical model of health cannot be underplayed, the social model of health suggests that some groups in society are being more disproportionately impacted than others. Health promotion has been committed to reducing inequalities and therefore offers ‘a voice’ to those most marginalised. The paper suggests that bottom-up approaches focusing on building individual and community control is essential and, moreover, the concepts of a settings approach in health promotion, the fostering of critical health literacy and ‘salutogenesis’ may be worthy of further debate and discussion.

COVID-19 and the role of health promoters and educators

The role of health promoters and educators in the current and future response to COVID-19 is critical, but, to date, under explored. This opinion paper offers a number of important contributions that this professional group may offer both in the immediate and future strategy of global public health. While the importance of a medical model of health cannot be underplayed, the social model of health suggests that some groups in society are being more disproportionately impacted than others. Health promotion has been committed to reducing inequalities and therefore offers ‘a voice’ to those most marginalised. The paper suggests that bottom-up approaches focusing on building individual and community control is essential and, moreover, the concepts of a settings approach in health promotion, the fostering of critical health literacy and ‘salutogenesis’ may be worthy of further debate and discussion.

Towards healthy settings for people with intellectual disabilities

People with intellectual disabilities (ID) depend on their environment for support to live healthily. The characteristics of healthy settings for people with ID are unknown. This study aims to conceptualize healthy settings for people with ID by conducting an international and multidisciplinary concept mapping study. As theoretical framework the settings approach, an ecological model with a whole system focus toward health promotion, was used. The integrative mixed-methods approach of this study involved concept mapping with researchers specialized in healthcare for people with ID and researchers specialized in healthy settings. The 41 participants generated statements that were later sorted and rated. Findings encompass 13 clusters relating to the social environment, the physical environment and societal preconditions. Specific factors of healthy settings for people with ID include: (i) universal design of the physical environment, (ii) the role of care professionals in the social environment to empower people with ID, (iii) possibilities for care providers to contribute to a health-promoting setting and (iv) preconditions that allow people to engage in society. These factors can be used in strategies to apply the approach in practice and give directions to put in place policies on developing enabling environments and decreasing health inequities.

Jihadism and crime in Spain: A convergence settings approach

This article explores the melting pot of jihadists and criminals that has featured in some of the most significant jihadist attacks and plots foiled in Spain over the last 15 years. Applying Felson’s offender convergence settings theory to this case, we argue that the confluence of criminality and jihadism observed in other European contexts has also been present in the Spanish case. Individuals with criminal pasts have utilized their skills for terrorist attacks, a variety of forms of crime have been used to fund terrorism, and certain settings such as prisons have facilitated the convergence between criminals and jihadists and enabled a process of identity transition.