Editorial – Wicked problems and Health Promotion: reflections on learning

Beurden, Eric van; Kia, Annie M.

doi:10.1071/he11083

Cited by 11 publications

(5 citation statements)

References 7 publications

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“…The second systemic factor, suggested here, could help practitioners to integrate the two approaches more smoothly. It comprises tools that are suitable for measuring complex and dynamic social processes including communication, psychological and social support issues (Victora Cesar G. et al, 2004;Riley et al, 2005;Aro et al, 2008;van Beurden and Kia, 2011;Macintyre, 2012;McQueen, 2012;Watkins, 2012), and that enable community participation and benefit. This may include methods for measuring community capacity (Goodman et al, 1998;Laverack and Labonte, 2000;Labonte and Laverack, 2001;Ebbesen et al, 2004;Liberato et al, 2011;McQueen, 2012) and applications of complexity science and systems thinking tools to health promotion (Ureda and Yates, 2005;Hammond, 2009;Naaldenberg et al, 2009;Norman, 2009;Best, 2011;Kremser, 2011;BeLue et al, 2012;Van Beurden et al, 2013).…”

Section: Discussionmentioning

confidence: 99%

Integrating relationship- and research-based approaches in Australian health promotion practice

Klinner

Carter

Rychetnik

et al. 2014

Health Promotion International

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We examine the perspectives of health promotion practitioners on their approaches to determining health promotion practice, in particular on the role of research and relationships in this process. Using Grounded Theory methods, we analysed 58 semi-structured interviews with 54 health promotion practitioners in New South Wales, Australia. Practitioners differentiated between relationship-based and research-based approaches as two sources of knowledge to guide health promotion practice. We identify several tensions in seeking to combine these approaches in practice and describe the strategies that participants adopted to manage these tensions. The strategies included working in an evidence-informed rather than evidence-based way, creating new evidence about relationship-based processes and outcomes, adopting 'relationship-based' research and evaluation methods, making research and evaluation useful for communities, building research and evaluation skills and improving collaboration between research and evaluation and programme implementation staff. We conclude by highlighting three systemic factors which could further support the integration of research-based and relationship-based health promotion practices: (i) expanding conceptions of health promotion evidence, (ii) developing 'relationship-based' research methods that enable practitioners to measure complex social processes and outcomes and to facilitate community participation and benefit, and (iii) developing organizational capacity.

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Section: Discussionmentioning

confidence: 99%

Integrating relationship- and research-based approaches in Australian health promotion practice

Klinner

Carter

Rychetnik

et al. 2014

Health Promotion International

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“…Just as the COVID-19 pandemic entails a series of threats, such as health crises, economic declines, and a large amount of disposable plastic waste, the manufacturing risks in modern society are complex problems related to a multidimensional system of advanced industrialisation [1][2][3][4]. Such risks, with a wide range of conflicts and uncertainties, require an approach encompassing the economic, environmental, and societal dimensions of sustainability.…”

Section: Introductionmentioning

confidence: 99%

Designing for Green and Grey: Insights from Single-Use Plastic Water Bottles

Kim

Lee

2022

IJERPH

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Recognizing modern society’s multiple risks, this study examines single-use plastic water bottles at the intersection of environmental degradation and societal carelessness for the elderly. While prioritising economic profits and plastic waste, we have neglected bottles’ typical poor openability for older people. Thus, we evaluated the openability of bottles with environmentally friendly and socially inclusive designs in South Korea by comparing older and younger adults’ experiences. Integrating different attributes than existing studies that analyse opening torque or one-handed opening, the test results show that older adults experience the poorest two-handed openability when bottles have both a weight thickness lower than 14.42 g and an easily squeezable bottle structure. In South Korea, companies advocate eco-friendliness by valuing lighter weight with less plastic and support user-friendliness by adopting easily squeezed sidewall patterns, while the industry maintains broad opening torque regulations; however, we show this combination exceeds older users’ capabilities. That is, for openability, bottles need to keep a weight thickness greater than 12 g, abandon easily squeezed sidewall patterns or reduce the opening torque regulation range to 100 N-cm. These socially favourable but ecologically adverse measures will be sustainable when the efficient linear economy transitions to an effective circular economy.

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“…Health is deeply ingrained in the social contexts of peoples' everyday lives and in uenced by societal, structural and political factors (Arcaya et al, 2015;Nguyen and Peschard, 2003; Nickel and von dem Knesebeck, 2020). Health inequity is thus often described as a 'wicked' problem, where any challenge can be perceived as a symptom of another challenge, and where no immediate and clear solutions can be de ned (Petticrew et al, 2009;van Beurden and Kia, 2011). As a response to the complexity of reducing health inequity, there has been a rise in community-based health promotion interventions emphasizing assets, democracy and empowerment through holistic multi-stakeholder approaches (Carlisle, (Moore et al, 2019) and work adaptively to allow actions and outcomes to emerge gradually as a result of an interplay between stakeholders, intervention and context (Hawe et al, 2009;Khan et al, 2018;Moore et al, 2019;Shiell et al, 2008).…”

Section: Introductionmentioning

confidence: 99%

Tingbjerg Changing Diabetes: Experiencing and navigating complexity in a community-based health promotion initiative in a disadvantaged neighborhood in Copenhagen, Denmark

Termansen

Bloch

Tørslev

et al. 2022

Preprint

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As a response to the complexity of reducing health inequity there has been a rise in community-based health promotion interventions adhering to the principles of complexity thinking. Such interventions often work with adaptive practice and constitute themselves in complex webs of collaborations between multiple stakeholders. However, few efforts have been made to articulate how complexity is experienced by stakeholders or can be addressed in practice. This study explores how partners experience and navigate complexity in the partnership behind Tingbjerg Changing Diabetes (TCD), a community-based intervention addressing health and social development in the disadvantaged neighborhood of Tingbjerg in urban Copenhagen. The study is based on 18 months of ethnographic fieldwork in the local community including participant observations and 9 in-depth interviews with key partner representatives. Findings show that complexity in TCD can be characterized by unpredictability in actions and outcomes, undefined purpose and direction, and differing organizational logics. Factors that support partners’ navigation in complexity include connectivity, embracing a flexible intervention framework, autonomy, and quick responsiveness. The study showcases the interdependency between the intervention and the context of the disadvantaged neighborhood of Tingbjerg and encourages stakeholders and researchers to embrace the messiness of complexity, and to pay attention to ways through which messiness and unpredictability can be handled.

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Editorial – Wicked problems and Health Promotion: reflections on learning

Cited by 11 publications

References 7 publications

Integrating relationship- and research-based approaches in Australian health promotion practice

Integrating relationship- and research-based approaches in Australian health promotion practice

Designing for Green and Grey: Insights from Single-Use Plastic Water Bottles

Tingbjerg Changing Diabetes: Experiencing and navigating complexity in a community-based health promotion initiative in a disadvantaged neighborhood in Copenhagen, Denmark

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