It's time to reconsider how we define health: Perspective from disability and chronic condition

Krahn, Gloria L.; Robinson, Ann C.; Murray, Alexa; Havercamp, Susan M.; Andridge, Rebecca; Arnold, L. Eugene; Barnhill, Jarrett; Bodle, Shawn; Boerner, Ethan; Bonardi, Alixe; Bourne, Mary Lou; Brown, Christine; Buck, Andrew; Burkett, Sarah; Chapman, Richard L.; Cobranchi, Chelsea; Cole, Christopher; Davies, Dan; Dresbach, Travis; Farr, Jeanne; Fay, Mary Lee; Fletcher, Robert J.; Gertz, Braden; Hollway, Jill A.; Izzo, Margo Vreeburg; Lawrence-Slater, Rosie; Lecavalier, Luc; Page, Kristin; Perry, Samantha; Poling, Ashley; Rabidoux, Paula; Rice, R. W.; Rosencrans, Margaret; Ryan, Megan; Sanford, Christopher; Schaeffer, Colin; Seeley, John R.; Shogren, Karrie A.; Stepp, Kristy; Straughter, Marci; Sucheston‐Campbell, Lara E.; Tassé, Marc J.; Taylor, Christopher E.; Walton, Katherine M.; Wehmeyer, Michael L.; Williams, Craig R.; Witwer, Andrea N.

doi:10.1016/j.dhjo.2021.101129

Cited by 33 publications

(20 citation statements)

References 30 publications

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“…Furthermore, Krahn et al (2021) propose a reconsidered definition of health, as “health is the dynamic balance of physical, mental, social, and existential well-being in adapting to the conditions of life and the environment”. Therefore, health is disconnected from limitations caused by chronic diseases or disabilities, and the key issue for an individual to experience good health and purpose in their life is finding ways to adapt to their situations using internal and external resources [ 30 ].…”

Section: Discussionmentioning

confidence: 99%

Individually Tailored Remote Physiotherapy Program Improves Participation and Autonomy in Activities of Everyday Life along with Exercise Capacity, Self-Efficacy, and Low-Moderate Physical Activity in Patients with Pulmonary Arterial Hypertension: A Randomized Controlled Study

et al. 2022

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Background and Objectives: Pulmonary arterial hypertension (PAH) is a rare, chronic, progressive, and life-threatening disease; however, the appropriate target medical treatment today allows patients with PAH not only to survive but also to live a relatively normal life. However, patients face the challenge of adapting and maintaining a good quality of life, thus it is important to consider complex interventions related not only to medical treatment. Methods: This was a prospective, randomized, controlled, single-blind study. Twenty-one (21) patients diagnosed with PAH were included and randomly assigned to training or control group. All participants continued target medical therapy. Furthermore, TG underwent the individually tailored 12-week remote physiotherapy program. As a primary outcome measurement, the Impact on Participation and Autonomy Questionnaire (IPA) was used. Secondary outcome included aerobic capacity (6MWT), accelerometery and general self-efficacy (GSE). Data were collected at baseline, after 12 weeks and at follow-up 6 months after the beginning of the intervention. Results: A significant difference between the groups was found in the follow-up assessment on three of the four IPA subscales analyzed, AO, RF, and AI. The total IPA score decreased significantly in TG after the program, indicating an improved participation. In addition, in TG a significant increase in 6MWT results, daily time in low- or moderate-intensity physical activities, and GSE was observed. Conclusions: In summary, the individually tailored physiotherapy program investigated added to stable target medical therapy in patients with PAH encourages improvement and prevents possible deterioration of perceived participation of patients in activities of their everyday life in the context of one’s health condition in the long term, along with improved exercise capacity and increased time spent in low- or moderate-intensity physical activities. Future studies are needed to develop and evaluate long-term intervention to support patients living with this rare, chronic, and life-threatening disease.

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Section: Discussionmentioning

confidence: 99%

Individually Tailored Remote Physiotherapy Program Improves Participation and Autonomy in Activities of Everyday Life along with Exercise Capacity, Self-Efficacy, and Low-Moderate Physical Activity in Patients with Pulmonary Arterial Hypertension: A Randomized Controlled Study

et al. 2022

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“…According to the World Health Organization, health is a state of physical, mental, and social well-being ( 44 ). Health is dynamic, multidimensional, and continuous.…”

Section: Methodsmentioning

confidence: 99%

Can leisure and entertainment lifestyle promote health among older people living alone in China?—A simultaneous equation approach

Qin

Liu²,

Wang³

et al. 2022

Front. Public Health

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ObjectivesWith the surging number of older people living alone, their lifestyles and health status have aroused increasing concern. This study aims to investigate whether a leisure and entertainment lifestyle (LEL) can improve the multidimensional health among older people living alone and try to identify the latent mechanisms among them.MethodFor this purpose, we extracted data from the Chinese General Social Survey (CGSS) and established a simultaneous equations model, comprising ordinary least square regression (OLS), two-stage least squares (2SLS), and the mediating effect model.ResultsOlder people living alone in China reported relatively better mental health status (3.64 ± 1.07), followed by physical health (3.41 ± 1.26) and social health (2.75 ± 1.18). In the OLS model, LEL significantly improved the social health of older people living alone (β = 0.054, P < 0.01), followed by physical health (β = 0.042, P < 0.01) and mental health (β = 0.027, P < 0.01). After endogenous tests from 2SLS model and robustness tests, we found that more active LEL was associated with higher levels of physical health and mental health. However, LEL had no significant effect on the improvement of the social health of the older people living alone. Using the mediation analysis, exercise efficacy partially mediated the relationship of LEL with physical health and mental health, and the ratios were 19.75 and 24.85%, respectively. Similarly, positive life attitudes partially mediated the relationship between LEL and physical health, and LEL and mental health, with ratios of 10.65 and 26.83%, respectively.ConclusionOur findings suggested that LEL is significantly associated with better physical and mental health for older people living alone in China, and the association is mediated by exercise efficacy and positive attitudes toward life. Promoting more leisure and recreational activities, upgrading exercise efficacy, and encouraging positive life attitudes are necessary health promotion measures in active aging policies for the wellbeing of older people living alone.

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“…The development of a new, composite healthcare system represents the path for health management in the new century with the need for programs that facilitate the approach to the dimension of health ( 7 , 8 ). In addition, the pandemic has shown how new digital solutions (telemedicine, wearables, artificial intelligence) can help in improving the quality of health and well-being.…”

Section: Introductionmentioning

confidence: 99%

Six Drivers to Face the XXI Century Challenges and Build the New Healthcare System: “La Salute in Movimento” Manifesto

Blasi

Caiani

Cereda

et al. 2022

Front. Public Health

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The aging of the population, the burden of chronic diseases, possible new pandemics are among the challenges for healthcare in the XXI century. To face them, technological innovations and the national recovery and resilience plan within the European Union can represent opportunities to implement changes and renovate the current healthcare system in Italy, in an effort to guarantee equal access to health services. Considering such scenario, a panel of Italian experts gathered in a multidisciplinary Think Tank to discuss possible design of concepts at the basis of a new healthcare system. These ideas were summarized in a manifesto with six drivers for change: vision, governance, competence, intelligence, humanity and relationship. Each driver was linked to an action to actively move toward a new healthcare system based on trust between science, citizens and institutions.

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It's time to reconsider how we define health: Perspective from disability and chronic condition

Cited by 33 publications

References 30 publications

Individually Tailored Remote Physiotherapy Program Improves Participation and Autonomy in Activities of Everyday Life along with Exercise Capacity, Self-Efficacy, and Low-Moderate Physical Activity in Patients with Pulmonary Arterial Hypertension: A Randomized Controlled Study

Individually Tailored Remote Physiotherapy Program Improves Participation and Autonomy in Activities of Everyday Life along with Exercise Capacity, Self-Efficacy, and Low-Moderate Physical Activity in Patients with Pulmonary Arterial Hypertension: A Randomized Controlled Study

Can leisure and entertainment lifestyle promote health among older people living alone in China?—A simultaneous equation approach

Six Drivers to Face the XXI Century Challenges and Build the New Healthcare System: “La Salute in Movimento” Manifesto

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