Objectives: To test the validity, reliability, and uses of the multidimensional Salutogenic Wellness Promotion Scale (SWPS). Methods: Self-reported (n=2140) demographic and scale data from a large university (23,000+ students) were collected and analyzed. Dependent measures included grade point average (GPA) and perceived health. Results: Analyses confirmed the SWPS's 7-factor multidimensional structure and its use for describing and predicting associated out-comes. The analyses of frequency distributions, means, correlations, and regressions found significant relationships between measured health behaviors, perceived health, and GPA. Conclusions: The SWPS provides valid and reliable information about positive health potential for research and field health professionals.
Background: Health educators have long advocated health promotion, yet their health measurement techniques have a pathogenic focus. Pathogenesis refers to the origin of a disease and the chain of events (precursors) leading to that disease. Traditional health measurement tools with this focus therefore measure health by assessing for the absence of disease or associated risk factors. Salutogenesis, as proposed by Aaron Antonovsky, refers to associated factors and precursors of good health similar to how pathogenesis focuses on associated factors and precursors of bad health. Purpose: This study proposes a health measurement scale with a salutogenic focus that measures health by assessing for the multidimensional capacity or potential for good health. Methods: Two samples of university students (N=226, N=365) were surveyed to develop and test the psychometric properties of the Salutogenic Wellness Promotion Scale (SWPS). Results: The SWPS demonstrated a multidimensional structure with good internal consistency, that positively correlated with and predicted perceived health (p<.001), and did not invoke socially desirable responses. Discussion: The SWPS demonstrated preliminary evidence of reliability and validity in its measurement of health potential. Translation to Health Education Practice: Using the SWPS could assist health educators in developing methodologies and practices that facilitate improved health status.
Most professional health publications and presentations are not about health, but about how to avoid, prevent, or treat disease or infirmity. Better health cannot be attained by simply avoiding, preventing, or treating problems. Health efforts, therefore, should be directed toward creating physical, mental, and social wellbeing. To guide these efforts, salutogenesis, a theoretical framework about the origins or creation of health, is needed to complement the traditional pathogenesis framework that focuses on the origins and causes of disease. Salutogenic strategies are necessary to help health professionals promote positive health enhancement by making their practices about health.
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