Pathways to health: a framework for health-focused research and practice

Fleischer, Nancy L.; Weber, Ann M.; Gruber, Susan; Arambula, Karina; Mascarenhas, Maya; Frasure, Jessica A; Wang, Constance; Syme, S. Leonard

doi:10.1186/1742-7622-3-18

Cited by 8 publications

(3 citation statements)

References 27 publications

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“…Ward et al have argued that this model could be applied to a general population, whereas earlier research centred on children becoming resilient. The Ward et al model of resilience is based on an assets model of health that is focussed on health and wellbeing (Fleischer and Weber et al, 2006;Sen, 1999), as opposed to a medical model that is fixed towards illness. Bond et al have highlighted that when engaging Indigenous people with respect to smoking abstinence, wellness rather than illness needs to be emphasised (Bond and Brough, et al, 2012).…”

Section: Resilience To Smokingmentioning

confidence: 99%

Is resilience relevant to smoking abstinence for Indigenous Australians?

Tsourtos

Ward

Lawn

et al. 2014

Health Promotion International

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The prevalence rate of tobacco smoking remains high for Australian Indigenous people despite declining rates in other Australian populations. Given many Indigenous Australians continue to experience a range of social and economic structural problems, stress could be a significant contributing factor to preventing smoking abstinence. The reasons why some Indigenous people have remained resilient to stressful adverse conditions, and not rely on smoking to cope as a consequence, may provide important insights and lessons for health promotion policy and practice. In-depth interviews were employed to collect oral histories from 31 Indigenous adults who live in metropolitan Adelaide. Participants were recruited according to smoking status (non-smokers were compared with current smokers to gain a greater depth of understanding of how some participants have abstained from smoking). Perceived levels of stress were associated with encouraging smoking behaviour. Many participants reported having different stresses compared with non-Indigenous Australians, with some participants reporting having additional stressors such as constantly experiencing racism. Resilience often occurred when participants reported drawing upon internal psychological assets such as being motivated to quit and where external social support was available. These findings are discussed in relation to a recently developed psycho-social interactive model of resilience, and how this resilience model can be improved regarding the historical and cultural context of Indigenous Australians' experience of smoking.

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Section: Resilience To Smokingmentioning

confidence: 99%

Is resilience relevant to smoking abstinence for Indigenous Australians?

Tsourtos

Ward

Lawn

et al. 2014

Health Promotion International

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“…In research partnerships, the generation of evidence is directly connected with advocacy and activism [ 30 , 39 ]. People are empowered to have an influence on study design including the development of research questions [ 69 ]. For example, a participatory research design was applied in the community-driven monitoring study AirBeat on the links between high asthma rates and air pollution in a Boston (USA) neighborhood.…”

Section: Methodsmentioning

confidence: 99%

Participatory epidemiology: the contribution of participatory research to epidemiology

Bach

Jordan

Härtung

et al. 2017

Emerg Themes Epidemiol

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BackgroundEpidemiology has contributed in many ways to identifying various risk factors for disease and to promoting population health. However, there is a continuing debate about the ability of epidemiology not only to describe, but also to provide results which can be better translated into public health practice. It has been proposed that participatory research approaches be applied to epidemiology as a way to bridge this gap between description and action. A systematic account of what constitutes participatory epidemiology practice has, however, been lacking.MethodsA scoping review was carried out focused on the question of what constitutes participatory approaches to epidemiology for the purpose of demonstrating their potential for advancing epidemiologic research. Relevant databases were searched, including both the published and non-published (grey) literature. The 102 identified sources were analyzed in terms of comparing common epidemiologic approaches to participatory counterparts regarding central aspects of the research process. Exemplary studies applying participatory approaches were examined more closely.ResultsA highly diverse, interdisciplinary body of literature was synthesized, resulting in a framework comprised of seven aspects of the research process: research goal, research question, population, context, data synthesis, research management, and dissemination of findings. The framework specifies how participatory approaches not only differ from, but also how they can enhance common approaches in epidemiology. Finally, recommendations for the further development of participatory approaches are given. These include: enhancing data collection, data analysis, and data validation; advancing capacity building for research at the local level; and developing data synthesis.ConclusionThe proposed framework provides a basis for systematically developing the emergent science of participatory epidemiology.

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“…This concept, its effects on self-management practices and differences in resilience between individuals will be discussed later in the paper. Finally, contemporary research on resilience focuses on an assets rather than deficits model, including factors leading to wellbeing and happiness [ 49 , 50 ]. This approach attempts to understand the underlying social and psychological processes and practices, by which, resilience and ultimately improved self-management and well-being may be achieved.…”

Section: Introductionmentioning

confidence: 99%

Understanding the links between resilience and type-2 diabetes self-management: a qualitative study in South Australia

et al. 2017

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BackgroundResearch conducted by Ward, Muller, Tsourtos, et al. (Soc Sci Med 72(7):1140–1148, 2011) has led to the development of the psycho-social interactive model of resilience, which reveals the interaction between individual resilience factors (i.e. coping, confidence and self esteem) and external resilience environments (i.e. employment, supportive family environments and health promoting policies) in facilitating the development of resilience. This present study explored the utility of this model of resilience for understanding how people self-manage type-2 diabetes.MethodsData were collected via 14 semi-structured life-history interviews with women and men living with type-2 diabetes mellitus (T2DM). Participants varied according to socio-demographics (gender, age, education level, income) and were recruited based on their self-reported management (or lack thereof) of T2DM.ResultsThe inter-play of internal traits and external resources with additive and subtractive resilience strategies were consistent with the psycho-social interactive model of resilience. Self-management was influenced by life history. Differences in self-management and material disadvantage were also identified. Alongside increased disadvantage are higher levels of external barriers to self-management practices.ConclusionsThis paper supports the concepts of additive and subtractive resilience strategies for use with diabetes populations; providing health professionals and policy makers with an increased understanding of how to recognize and foster patient resilience for the improvement of self-care, disease management and ultimately health outcomes.

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Pathways to health: a framework for health-focused research and practice

Cited by 8 publications

References 27 publications

Is resilience relevant to smoking abstinence for Indigenous Australians?

Is resilience relevant to smoking abstinence for Indigenous Australians?

Participatory epidemiology: the contribution of participatory research to epidemiology

Understanding the links between resilience and type-2 diabetes self-management: a qualitative study in South Australia

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