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1

Roskams, Michael, and Barry Haynes. "Salutogenic workplace design." Journal of Corporate Real Estate 22, no. 2 (2019): 139–53. http://dx.doi.org/10.1108/jcre-01-2019-0001.

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Purpose The purpose of this paper is to identify and discuss opportunities for health promotion through the workplace environment, adopting a “salutogenic” perspective of health which more explicitly focuses on factors that support human health and well-being, as opposed to factors which cause disease. Design/methodology/approach In the introduction, the salutogenic model of health and the Environmental Demands-Resources model are discussed, providing a conceptual framework to represent the workplace environment as a composite of pathogenic “demands” and salutogenic “resources”. Subsequently, a narrative review is performed to discuss the existing literature from the perspective of this novel framework, identifying environmental resources which might strengthen the three components of an employee’s “sense of coherence” (comprehensibility, manageability and meaningfulness), an individual orientation associated with more positive health outcomes. Findings Comprehensibility can be supported by effectively implementing a clear set of rules governing the use of the workplace. Manageability can be supported through biophilic design solutions, and through design which supports social cohesion and physical activity. Meaningfulness can be supported by recognising the importance of personal identity expression and through design which reinforces the employees’ sense of purpose. Originality/value The salutogenic perspective is a potentially valuable but relatively under-considered paradigm in workplace practice. The key contribution of this paper is to encourage researchers and practitioners to recognise the crucial role that an individual’s sense of coherence plays in supporting higher levels of physical and mental health, so that they increase their ability to provide truly “healthy” workplaces, capable of promoting health as well as minimising the risk of disease.
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Eriksson, Monica. "Research supervision as a mutual learning process: introducing salutogenesis into supervision using ‘The Collegial Model’." Health Promotion International 34, no. 6 (2018): 1200–1206. http://dx.doi.org/10.1093/heapro/day088.

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Abstract Research using salutogenic factors to promote health is extensive. Salutogenesis, and its core concept ‘sense of coherence’ (SOC), is a resource-oriented theory and framework, applicable in different contexts. Research combining health promotion and doctoral supervision in higher education is scarce. This article places research supervision in a broader context of sustainable working life by focusing on stress management. It is about health promotion in an area of research supervision, a new approach not described earlier. Research on supervision in general is extensive, focusing on co-generative mentoring, counselling and coaching. A new salutogenic model, ‘The Collegial Model’, is presented as an example of practical application. The aim of the present article is to introduce and discuss how the salutogenic theory and model of health can be applied to research supervision of postgraduate students. Knowledge about how SOC impacts health and learning has benefit from a systematic review on salutogenic research covering published papers from 1992 to 2003 and until today. ‘The Collegial Model’ examines fundamental characteristics of supervision related to ethics and sense of coherence: relations, communication, processes, reciprocity, reflection, learning, comprehensibility, manageability, meaningfulness and coherence. Principles for carrying out supervision ‘the salutogenic way’ are suggested. The conclusion is that doctoral supervision involves mutual learning processes between colleagues in the supervisory team. Supervision has to be theory driven, implying that supervisors could benefit from applying a salutogenic way of thinking and working, particularly in development of guidelines for research supervision.
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Cockrell, Krista, Buck Reed, Gina Agarwal, and Leigh Wilson. "Salutogenesis: the case for a holistic tool for paramedic assessment of wellness." Journal of Paramedic Practice 11, no. 10 (2019): 440–47. http://dx.doi.org/10.12968/jpar.2019.11.10.440.

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Sense of coherence (SOC), the capacity to muster, believe in and value resources to support resilience, is a central component of the salutogenic approach to wellness. Assessing patients' SOC in a salutogenic model may be useful to paramedics as an adjunct to effective referral to care pathways other than via the emergency department and for predicting patient engagement. A tool to help direct practitioners in the prehospital environment towards the most appropriate resources for each patient's unique situation appears to be lacking. This article examines the literature around salutogenic and SOC theories and provides an overview of how a salutogenic assessment tool could be used in paramedic practice. Taking a multifactorial approach to determining health status and predicating patient capacity for adaptive coping may make health professionals better able to assist patients in overcoming health events and build health resilience to improve their future health outcomes.
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Sullivan, Grace C. "Evaluating Antonovsky's Salutogenic Model for its adaptability to nursing." Journal of Advanced Nursing 14, no. 4 (1989): 336–42. http://dx.doi.org/10.1111/j.1365-2648.1989.tb03421.x.

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Mittelmark, Maurice B., and Torill Bull. "The salutogenic model of health in health promotion research." Global Health Promotion 20, no. 2 (2013): 30–38. http://dx.doi.org/10.1177/1757975913486684.

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ANTONOVSKY, AARON. "The salutogenic model as a theory to guide health promotion." Health Promotion International 11, no. 1 (1996): 11–18. http://dx.doi.org/10.1093/heapro/11.1.11.

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Hult, Marja, Anna-Maija Pietilä, and Terhi Saaranen. "The Factors Predicting Quality of Life Among Unemployed Adults: A Model Based on Salutogenic Approach." Social Indicators Research 152, no. 3 (2020): 1197–211. http://dx.doi.org/10.1007/s11205-020-02470-0.

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Abstract Unemployment narrows the realization of individual potential and has a negative effect on the experiences and status of an individual, thereby weakening the quality of life. We explored meaningfulness, health and work ability as predictors of quality of life among unemployed adults. A total of 30,598 persons participated in nationwide Finnish Regional Health and Well-Being Study (N = 76,000) between January 2014 and January 2015. This study used data from 1158 unemployed or laid-off persons aged 20–65. Developed path model based on the salutogenic approach fitted well to the data. Perceived meaningfulness had the most substantial effect on the quality of life. Good health associated with good work ability and they both had a significant impact on the quality of life. Meaningfulness and quality of life were better among women compared to men. The salutogenic approach is suitable for exploring the quality of life in the context of unemployment. Unemployed persons should be encouraged to engage in activities, voluntary work, for instance, that would increase their resources, enhance their quality of life, and contribute to re-employment.
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Juarez, Fernando. "The concept of health: an explanation of its uniqueness, multiplicity and health models." International Journal of Psychological Research 4, no. 1 (2011): 70–79. http://dx.doi.org/10.21500/20112084.801.

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It is showed a health perspective with multiple meanings and the need to use multiple models. From the ancient concept of negative health, which continues in full force, to models of positive health, there is a long road full of theoretical approaches and models, among which are the biopsychosocial model, the salutogenic model, the positive health model from positive psychology, the holistic model, the model of personal choice, the model of health as welfare, the model of health as maturity, the model of emotional intelligence as health, and the health model of resilience as health, among others. The use of these models, in a proper manner, enhances the professional work and makes more efficient use of health resources.
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Gregg, Jane, and Lily O'Hara. "The Red Lotus Health Promotion Model: a new model for holistic, ecological, salutogenic health promotion practice." Health Promotion Journal of Australia 18, no. 1 (2007): 12–19. http://dx.doi.org/10.1071/he07012.

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Charlton, BG, and M. White. "Living on the margin: a salutogenic model for socio-economic differentials in health." Public Health 109, no. 4 (1995): 235–43. http://dx.doi.org/10.1016/s0033-3506(95)80200-2.

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Howarth, Michelle, and Craig Lister. "Social prescribing in cardiology: rediscovering the nature within us." British Journal of Cardiac Nursing 14, no. 8 (2019): 1–9. http://dx.doi.org/10.12968/bjca.2019.0036.

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Personalised care is integral to the delivery of the NHS England Long Term Plan. Enabling choice and supporting patients to make decisions predicated on ‘what matters to them’, rather than ‘what is the matter with them’ is a fundamental part of the NHS vision. Social prescribing uses non-medical, asset-based, salutogenic approaches to promote this personalised paradigm, and places the patient central to decision making. This article discusses how personalised care can be used to help people with cardiovascular disease using socially prescribed ‘nature-based’ interventions to support the pre-habilitation and rehabilitation of patients with cardiovascular disease. The concept of personalised care outlined and the significance of salutogenic principles as a complementary approach to the pathogenic model is discussed. The authors argue that this seemingly novel approach to using nature-based interventions can help promote wellbeing for people with cardiovascular disease as part of the wider personalised agenda.
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Colomer-Pérez, Natura, Elena Chover-Sierra, Vicente Gea-Caballero, and Joan J. Paredes-Carbonell. "Health Assets, Vocation and Zest for Healthcare Work. A Salutogenic Approach to Active Coping among Certified Nursing Assistant Students." International Journal of Environmental Research and Public Health 17, no. 10 (2020): 3586. http://dx.doi.org/10.3390/ijerph17103586.

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People’s health assets (HA) mapping process and design dynamization strategies for it are paramount issues for health promotion. These strategies improve the health heritage of individuals and communities as both the salutogenic model of health (SMH) and health assets model (HAM) defend. Connecting and mobilizing HA and strengthens the ‘sense of coherence’ (SOC) are both related to enhancing stress active and effective coping strategies. This study aims to describe the HA present in a population of certified nursing assistant students (n = 921) in Spain and then to explore their relationships with the SOC, the motivation to choose healthcare studies and their academic performance. A great variety of HA were identified and mapped. Findings showed that individuals with greater motivation towards self-care and ‘caring for others’ as internal HA, possessed higher SOC levels and a strong vocation for healthcare work. Differences in HA were identified according to gender, age and employment situation. Consistent connections between the care–relation factor and vocational factor with interpersonal and extrapersonal HA were reported. Evidence and results substantiated the salutogenic and asset-based approach as a proper strategy to strengthen SOC, dynamize their HA map, reinforce the sense of calling and enable Certified Nurse Assistant (CNA) students to buffer against caregiving-related stress and thrive in their profession.
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Bauer, G. F., M. Roy, P. Bakibinga, et al. "Future directions for the concept of salutogenesis: a position article." Health Promotion International 35, no. 2 (2019): 187–95. http://dx.doi.org/10.1093/heapro/daz057.

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Abstract Aaron Antonovsky advanced the concept of salutogenesis almost four decades ago (Antonovsky, Health, Stress and Coping. Jossey-Bass, San Francisco, CA, 1979; Unravelling the Mystery of Health. Jossey-Bass, San Francisco, CA, 1987). Salutogenesis posits that life experiences shape the sense of coherence (SOC) that helps to mobilize resources to cope with stressors and manage tension successfully (determining one’s movement on the health Ease/Dis-ease continuum). Antonovsky considered the three-dimensional SOC (i.e. comprehensibility, manageability, meaningfulness) as the key answer to his question about the origin of health. The field of health promotion has adopted the concept of salutogenesis as reflected in the international Handbook of Salutogenesis (Mittelmark et al., The Handbook of Salutogenesis. Springer, New York, 2016). However, health promotion mostly builds on the more vague, general salutogenic orientation that implies the need to foster resources and capacities to promote health and wellbeing. To strengthen the knowledge base of salutogenesis, the Global Working Group on Salutogenesis (GWG-Sal) of the International Union of Health Promotion and Education produced the Handbook of Salutogenesis. During the creation of the handbook and the regular meetings of the GWG-Sal, the working group identified four key conceptual issues to be advanced: (i) the overall salutogenic model of health; (ii) the SOC concept; (iii) the design of salutogenic interventions and change processes in complex systems; (iv) the application of salutogenesis beyond health sector. For each of these areas, we first highlight Antonovsky’s original contribution and then present suggestions for future development. These ideas will help guide GWG-Sal’s work to strengthen salutogenesis as a theory base for health promotion.
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Heiman, Tali. "Examination of the Salutogenic Model, Support Resources, Coping Style, and Stressors Among Israeli University Students." Journal of Psychology 138, no. 6 (2004): 505–20. http://dx.doi.org/10.3200/jrlp.138.6.505-520.

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Bochaver, K. A., А. Danilov, S. K. Nartova-Bochaver, A. Kvitchasty, O. Gavrilova, and N. Zyazina. "Future of Salutogenic Approach to Prevention of Burnout Syndrome in Russian Physicians." Клиническая и специальная психология 8, no. 1 (2019): 58–77. http://dx.doi.org/10.17759/cpse.2019080104.

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Since the onset of the first studies of burnout syndrome in various contingents and professions, as a rule, negative clinical predictors and consequences of this syndrome have been in focus: stress, anxiety, depression, aggressiveness, suicidal behavior. Nevertheless, overcoming the burnout syndrome often occurs not by means of special interventions, but in a spontaneous, natural way. The study shows the character of association of personal authenticity, moral motives, age, experience and some other characteristics in a sample of Russian doctors (N=700) with burnout. The model of salutogenic approach to prophylaxy and prevention of burnout syndrome in modern psychology and medicine substantiated.
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Kinchin, Ian M. "The Salutogenic Management of Pedagogic Frailty: A Case of Educational Theory Development Using Concept Mapping." Education Sciences 9, no. 2 (2019): 157. http://dx.doi.org/10.3390/educsci9020157.

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This paper explores the development of educational theory (pedagogic frailty) that has emerged through the application of concept maps to understand teachers’ conceptions of their roles within the complex higher education environment. Within this conceptual paper, pedagogic frailty is reinterpreted using the lens offered by the concept of salutogenesis to place the model in a more positive frame that can offer greater utility for university managers. This development parallels changes in the consideration of mental health literacy (MHL) across university campuses and avoids misapplication of a deficit model to the professional enhancement of teaching quality. For a detailed explication of this wider perspective of pedagogic health literacy (PHL), the connections with related and supporting concepts need to be explained. These include ‘assets’, ‘wellness’ and a ‘sense of coherence’. Links between these concepts are introduced here. This reframing of the model has used concept mapping to explore the relationship between two complex ideas—pedagogic frailty and salutogenesis. It emphasizes pedagogic health as a continuum operating between frailty and resilience. Brief implications for academic development are included.
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Wiesmann, Ulrich, Jessie Dezutter, and Hans-Joachim Hannich. "Sense of coherence and pain experience in older age." International Psychogeriatrics 26, no. 1 (2013): 123–33. http://dx.doi.org/10.1017/s1041610213001695.

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ABSTRACTBackground:We investigate to what extent pain in older individuals is predicted by on the one hand chronic morbidity as a resistance deficit, and on the other hand psychological resistance resources and the sense of coherence. For the first time, we tested the salutogenic hypothesis that the sense of coherence mediates the relationship between resources/deficits and pain.Methods:In our questionnaire study, we assessed selected psychological resistance resources (self-esteem, generalized self-efficacy, optimism, and social support), the number of self-reported medical diagnoses of chronic illness, the sense of coherence, and pain (SF-36 Bodily Pain subscale) in a sample of 387 older persons (at the mean age of 73.8 years).Results:Using hierarchical regression, we found that morbidity and sense of coherence were the only significant predictors of pain, with morbidity showing the strongest effect. Using path analysis, the sense of coherence was a mediator of the relationship between resistance resources/deficits and pain.Conclusions:With respect to our analytical model, in which pain experience was the criterion variable, morbidity and the sense of coherence are important predictors of pain. Moreover, we found evidence for the salutogenic idea that the sense of coherence represents a mediator variable as it pools resistance/deficits influences on pain. We recommend a prospective design to explore these assumed causal chains in future research.
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Johansson, Björn Axel, Kajsa Pettersson, Katarina Tydesten, Anna Lindgren, and Claes Andersson. "Implementing a salutogenic treatment model in a clinical setting of emergency child and adolescent psychiatry in Sweden." Journal of Child and Adolescent Psychiatric Nursing 31, no. 2-3 (2018): 79–86. http://dx.doi.org/10.1111/jcap.12212.

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Buchholz, Aleksandra, and Mariola Wolan-Nowakowska. "Posttraumatic growth as a factor of psychological well-being of parents of children with autism." Problemy Opiekuńczo-Wychowawcze 588, no. 3 (2020): 26–37. http://dx.doi.org/10.5604/01.3001.0013.9123.

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Contemporary research trends in area of social support of people jeopardised or afflicted by a trauma are focused on analysis of salutogenic model. It describes resources, strengths and potential of individuals, which enables them to overcome (oppose) the consequences of encountered crisis. The article presents phenomenon of posttraumatic growth of parents of children, who suffer from autism. Preventive strategies, which are adopted by such parents, are indicated by the authors. It occurs that however demanding disability of a child can be for the family, it might also be the source of emotional and spiritual changes in personality of parents. Such predicament can lead to improvement in quality of life.
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Imaida, Takahiro, Shinichi Oura, Kazuya Matsuo, and Yoshikazu Fukui. "Effects of flexibility of mind and sense of coherence on stress response in salutogenic model: Using cluster analysis." Proceedings of the Annual Convention of the Japanese Psychological Association 81 (September 20, 2017): 3C—031–3C—031. http://dx.doi.org/10.4992/pacjpa.81.0_3c-031.

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Sirasoonthorn, Dr Patcharin. "LIFESTYLE COACHING AND A SALUTOGENIC MODEL FOR LIFE SKILL DEVELOPMENT AND TRANSFERABILITY FOR DIABETES AND HYPERTENSION RISK GROUPS, THAILAND." International Journal of Education and Social Science Research 03, no. 03 (2020): 23–37. http://dx.doi.org/10.37500/ijessr.2020.3033.

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Morrison, Ian, Laura M. Stosz, and Stephen M. Clift. "An evidence base for mental health promotion through supported education: A practical application of Antonovsky's salutogenic model of health." International Journal of Health Promotion and Education 46, no. 1 (2008): 11–20. http://dx.doi.org/10.1080/14635240.2008.10708122.

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23

Gray, Dee, and Katherine Jones. "The resilience and wellbeing of public sector leaders." International Journal of Public Leadership 14, no. 3 (2018): 138–54. http://dx.doi.org/10.1108/ijpl-09-2017-0033.

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Purpose Wellbeing at work inspires global interest (WHO, 1997, 2010) which shapes international wellbeing whilst ensuring national wellbeing initiatives are devolved. This study is set in Wales, UK; the findings, however, are of interest to the global community as they present ways in which health promotion practices that are essentially salutogenic in nature (Antonovsky, 1987; Mittlemark and Bauer, 2017), may be operationalised through leadership development. The study is contextualised during a time of perceived public service overwhelm, and the purpose of this paper is to explore how a salutogenic model (Gray, 2017) captures a leadership narrative shaped by workplace stress, informing what the authors know about the resilience and wellbeing of leaders. Design/methodology/approach The salutogenic model used in this exploratory study is based on the theories of Antonovsky (1979, 1987), and the conceptual work of De la Vega (2009). Participants were invited to take part in qualitative conversations, designed to explore leadership from a sense of coherence (SoC) perspective, and identify resilience and wellbeing descriptors across sectors. The data represented the lived experience of leader’s resilience and wellbeing within their work role. A purposeful sample of leaders (N=356) were invited to take part in the project, others were suggested as part of a snowball sampling approach (N=36). The overall participant numbers were N=68. Findings Using the SoC framework to explore resilience and wellbeing in terms of leadership, enabled participants to make sense of a stressful workplace environment, and share experiential knowledge that contributes to leadership development. The narrative that emerges is one in which leaders are feeling overwhelmed, and the broader influences of BREXIT, workforce and service user demographics, and organisational change are challenges to sustaining resilience. Participants suggest that leaders need to develop self-knowledge/awareness first, and role model the “resilient and well leader” to others. Research limitations/implications The limitations of this study relate to the fact that given the potential for participation was nearer 400 leaders, the N=68 participants could not be deemed large enough to generalise the findings. However, this was a scoping study exercise, designed to explore resilience and wellbeing through SoC conversations and to surface descriptors that would add to what the authors know about contemporary leadership. The study could be improved in the future by the collection of more descriptors, and where practical segmentation of descriptors may provide further insight in terms of comparison between professions/sectors. Practical implications The authors know that leadership is linked to positive and negative outcomes for employees; it is, therefore, prudent to consider how the authors can support both current and future leaders, to incorporate their own and others’ resilience and wellbeing into their leadership repertoire. This may well be best facilitated through health leadership which is known to have a positive association in determining the psychological climate of the workplace. Leadership authenticity means leaders should be able to ask for help, if leaders are struggling with that, then the authors need to examine leadership from a cultural perspective. In practical terms, the generalised resistance resources (GRRs) put forward by the participants may also form local as well as national wellbeing action plans for the future. Social implications Leadership is socially constructed within the organisational context, and the resilience and wellbeing of leaders is affected by the organisational health determinants in the working environment. If the authors are to consider how leaders are to develop an SoC for themselves and others, the authors need to attend to how the leader learns in the context. This is because their SoC is also shaped by the challenges they experience, and socio-constructed learning becomes neurologically embedded, so that ways of thinking, feeling and behaving are reinforced and exhibited over and over again. Originality/value This exploratory study demonstrates the efficacy of the salutogenic model to stimulate dialogue about a potentially sensitive subject. Many of the answers rest with the leaders themselves. The authors held conversations with leaders from the public services in Wales, identified “best self” and “peripheral” variables that leaders manifest across the various organisations they lead, and leaders produced a range of GRRs to support resilience and wellbeing across sectors in the future. There is a growing recognition that in terms of health leadership capability, there will be a premium on knowledge capital that pertains to improving the resilience and wellbeing of employees.
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Kroik, Lena, Carol Tishelman, Krister Stoor, and Anette Edin-Liljegren. "A Salutogenic Perspective on End-of-Life Care among the Indigenous Sámi of Northern Fennoscandia." Healthcare 9, no. 6 (2021): 766. http://dx.doi.org/10.3390/healthcare9060766.

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There is limited empirical data about both health and end-of-life (EoL) issues among the Indigenous Sámi of Fennoscandia. We therefore aimed to investigate experiences of EoL care and support among the Sámi, both from the Sámi community itself as well as from more formalized health and social care services in Sweden. Our primary data source is from focus group discussions (FGDs) held at a Sámi event in 2017 with 24 people, complemented with analysis of previously collected data from 15 individual interviews with both Sámi and non-Sámi informants familiar with dying, death and bereavement among Sámi; “go-along” discussions with 12 Sámi, and individual interviews with 31 Sámi about advance care planning. After initial framework analysis, we applied a salutogenic model for interpretation, focusing on a sense of community coherence. We found a range of generalized resistance resources in relation to the Sámi community, which appeared to support EoL care situations, i.e., Social Organization; Familiarity with EoL Care, Collective Cultural Heritage; Expressions of Spirituality; Support from Majority Care Systems; and Brokerage. These positive features appear to support key components of a sense of community coherence, i.e., comprehensibility, meaningfulness and manageability. We also found relatively few, but notable deficits that may diminish the sense of community coherence, i.e., lack of communication in one’s own language; orientation, familiarity and/or agreement in contacts with formal health and social care systems; and/or support from extended family. The results suggest that there is a robust basis among Sámi for well-functioning EoL care; a challenge is in developing supportive interactions with the majority health and social care systems that support and complement these structures, for partnership in developing care that is meaningful, comprehensible and manageable even in potentially difficult EoL situations.
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Brauchli, Rebecca, Gregor J. Jenny, Désirée Füllemann, and Georg F. Bauer. "Towards a Job Demands-Resources Health Model: Empirical Testing with Generalizable Indicators of Job Demands, Job Resources, and Comprehensive Health Outcomes." BioMed Research International 2015 (2015): 1–12. http://dx.doi.org/10.1155/2015/959621.

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Studies using the Job Demands-Resources (JD-R) model commonly have a heterogeneous focus concerning the variables they investigate—selective job demands and resources as well as burnout and work engagement. The present study applies the rationale of the JD-R model to expand the relevant outcomes of job demands and job resources by linking the JD-R model to the logic of a generic health development framework predicting more broadly positive and negative health. The resulting JD-R health model was operationalized and tested with a generalizable set of job characteristics and positive and negative health outcomes among a heterogeneous sample of 2,159 employees. Applying a theory-driven and a data-driven approach, measures which were generally relevant for all employees were selected. Results from structural equation modeling indicated that the model fitted the data. Multiple group analyses indicated invariance across six organizations, gender, job positions, and three times of measurement. Initial evidence was found for the validity of an expanded JD-R health model. Thereby this study contributes to the current research on job characteristics and health by combining the core idea of the JD-R model with the broader concepts of salutogenic and pathogenic health development processes as well as both positive and negative health outcomes.
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Appolloni, Letizia, Alberto Giretti, Maria Vittoria Corazza, and Daniela D’Alessandro. "Walkable Urban Environments: An Ergonomic Approach of Evaluation." Sustainability 12, no. 20 (2020): 8347. http://dx.doi.org/10.3390/su12208347.

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Background. The salutogenicity of urban environments is significantly affected by their ergonomics, i.e., by the quality of the interactions between citizens and the elements of the built environment. Measuring and modelling urban ergonomics is thus a key issue to provide urban policy makers with planning solutions to increase the well-being, usability and safety of the urban environment. However, this is a difficult task due to the complexity of the interrelations between the urban environment and human activities. The paper contributes to the definition of a generalized model of urban ergonomics and salutogenicity, focusing on walkability, by discussing the relevant parameters from the large and variegated sets proposed in the literature, by discussing the emerging model structure from a data mining process, by considering the background of the relevant functional dependency already established in the literature, and by providing evidence of the solutions’ effectiveness. The methodology is developed for a case study in central Italy, with a focus on the mobility issue, which is a catalyst to generate more salutogenic and sustainable behaviors.
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Ward, Phillip, Hans van der Mars, Murray F. Mitchell, and Hal A. Lawson. "Chapter 3: PK–12 School Physical Education: Conditions, Lessons Learned, and Future Directions." Journal of Teaching in Physical Education 40, no. 3 (2021): 363–71. http://dx.doi.org/10.1123/jtpe.2020-0241.

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Manifest challenges to physical education teachers merit identification, analysis, and strategic action. New designs for schools, threats to the well-being of a growing number of children and families, and financial problems confronting school systems are among the external challenges. Meanwhile, too many physical education teachers confront marginalization, isolation, and morale issues. Contributing causes include suboptimal policy; disagreements regarding subject matter, curriculum models, and purposes; working conditions that prevent teachers from implementing evidence-based practices; and two disconnects: (a) between physical education and health and (b) between school programs and community-based programs. Reflecting and fueling these challenges, the field lacks a common purpose and shared direction. This chapter addresses future alternatives for PK–12 physical education. Key recommendations include (a) integrating physical education and health, treating them both instructionally and as integrated content in the curriculum; (b) changing our focus on our instruction from a deficiency-based model to a salutogenic model of health, including stronger connections with the community in which schools exist; and (c) connecting to the community to leverage resources to support students, teachers, and schools. These alternatives derive from a grand claim: we cannot continue to do “business as usual,” producing the same results, because past–present results consistently have been suboptimal.
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Ostrowski, Tadeusz. "Self-esteem and social support in the occupational stress-subjective health relationship among medical professionals." Polish Psychological Bulletin 40, no. 1 (2009): 13–19. http://dx.doi.org/10.2478/s10059-009-0003-5.

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Self-esteem and social support in the occupational stress-subjective health relationship among medical professionals The starting point for the presented study was the concept by House who construed social support as buffering the impact of work-related stress on health. Self-esteem was taken under consideration as the other potential stress buffer. It was hypothesized that both social support and self-esteem would have a salutogenic effect, since they attenuate the experience of occupational stress and reduce health problems associated with the experienced job stress. Participants in the study were 361 medical professionals representing various specialties. They were examined using the Subjective Job Evaluation Questionnaire by Dudek et al., the Mood and Health State Questionnaire by Rząsa, the Self-Esteem Scale by M. Rosenberg and Significant Other Scale by Power et al. The higher was the respondents' occupational stress, the poorer was their subjective physical health. Such components of occupational stress as responsibility, psychological strain due to job complexity, lack of rewards at work, and a sense of threat were found to be most important in this respect. These four components of occupational stress were interrelated and constituted a feedback loop. The study confirmed a salutogenic role of self-esteem, contributing to subjective health improvement. Satisfaction with social support had also a positive role, since it reduced the amount of experienced job stress, thus exerting a health-promoting effect. There was a direct negative feedback loop between self-esteem and somatic health problems. Irrespective of that, satisfaction with social support was found to interact with perceived occupational stress in a negative feedback loop. However, neither of these two factors, i.e. self-esteem and social support, had an effect of buffering the impact of occupational stress on health. This suggests that the initial model proposed by House as well as the present author's earlier research findings obtained from a smaller sample should be revised.
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Jackson, Colleen A., and Glen W. Bates. "A wellness approach to the management of traumatic loss in schools: an examination of teachers' stress responses and coping strategies, and school response mechanisms." Journal of Psychologists and Counsellors in Schools 7 (November 1997): 75–92. http://dx.doi.org/10.1017/s1037291100001266.

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This study was a qualitative examination of the stress responses and coping strategies of 21 teachers (12 women & 9 men), and school response mechanisms following a critical incident involving the death of a student or colleague. In order to explore the possibility that deaths of a relatively common nature can evoke high stress and grief responses, exceptional or large scale events, or those generating widespread public or media attention, were excluded. Findings showed that the impact on participants was high, and included cognitive, emotional, functional and physiological responses. Six discrete wellness factors, considered to contribute to effective coping, were identified: emotional and practical support, active involvement, responding according to individual need, access to information, readiness, and leadership. A salutogenic (wellness) approach to critical incident management was considered to provide a comprehensive and effective model for supporting individual teachers and the school in mobilising coping and restorative strategies and mechanisms. Implications for critical incident management in schools, and directions for further study, are discussed.
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Kumsa, Diribe Makonene, and Gudina Terefe Tucho. "The Impact of Formal and Informal Institutions on ART Drug Adherence." Journal of the International Association of Providers of AIDS Care (JIAPAC) 18 (January 1, 2019): 232595821984541. http://dx.doi.org/10.1177/2325958219845419.

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A successful antiretroviral therapy (ART) drug adherence is achieved when patients follow their prescribed regimen. This is determined by patient’s motivation that is influenced by resources associated with the patient, society, and relevant institutions. The aim of this study is to assess the impact of formal and informal actors on patients’ ART drug adherence. A qualitative study approach was conducted through face-to-face in-depth interviews of HIV-infected patients and key informants. The analysis was guided by a salutogenic model focusing on generalized resistance resources and a sense of coherence. The finding shows that 76% of the study participants achieved the recommended 95% adherence level. Several resources attributed to individuals, society, and public institutions influencing patients’ day-to-day life and their drug adherence were identified. Patients who are able to use the available resources easily develop sense of coherence and follow their prescribed drug regimen. Therefore, encouraging HIV-infected patients through formal and informal actors can enhance ART drug adherence.
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Howarth, Michelle, Alistair Griffiths, Anna da Silva, and Richard Green. "Social prescribing: a ‘natural’ community-based solution." British Journal of Community Nursing 25, no. 6 (2020): 294–98. http://dx.doi.org/10.12968/bjcn.2020.25.6.294.

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This paper discusses social prescribing as part of the wider NHS England universal personalised care model, and it describes how community nurses can engage with social prescribing systems to support community resilience. A case study based on the example of gardening, as a nature-based social prescription provided by the RHS Bridgewater Wellbeing Garden, is provided to illustrate the scope, reach and impact of non-medical, salutogenic approaches for community practitioners. The authors argue that social prescribing and, in particular, nature-based solutions, such as gardening, can be used as a non-medical asset-based approach by all health professionals working in the community as a way to promote health and wellbeing. They consider how the negative impact of social distancing resulting from COVID-19 restrictions could be diluted through collaboration between a holistic, social prescribing system and community staff. The paper presents a unique perspective on how community nurses can collaborate with link workers through social prescribing to help combat social isolation and anxiety and support resilience.
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Imaida, Takahiro, and Yoshikazu Fukui. "Effects of the variety of general resistance resources and sense of coherence on stress response in salutogenic model Part 1: Mediation effects and moderation effects." Proceedings of the Annual Convention of the Japanese Psychological Association 83 (September 11, 2019): 2A—024–2A—024. http://dx.doi.org/10.4992/pacjpa.83.0_2a-024.

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Von Humboldt, S., and I. Leal. "Predictors of satisfaction with life among older adults." European Psychiatry 41, S1 (2017): S177—S178. http://dx.doi.org/10.1016/j.eurpsy.2017.01.2080.

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IntroductionIncreasing longevity brings challenges for older adults’ satisfaction with life (SWL).AimsThis study aims at exploring a structural model of predictors of SWL in a cross-national sample of older adults.MethodsA community-dwelling sample of 1234 older adults was assessed regarding SWL, sense of coherence (SOC) and socio-demographic, lifestyle and health-related characteristics. Structural equation modeling was used to investigate a structural model of the self-reported SWL, comprising SOC, socio-demographic characteristics (age, sex, education, marital and professional status, household, adult children, income, living setting and religion), lifestyle and health-related characteristics (physical activity, recent disease and medication).ResultsSignificant predictors are SOC (β = .733; P < .001), religion (β = .725; P < .001), income (β = .551; P < .001), adult children (β = .546; P < .001), education (β = –.403; P < .001), living setting (β = –.292; P < .001) and medication (β = –.197; P < .001). The variables accounted for 24.8% of the variability of SWL. Moreover, differences between the four nationality groups (F(3, 671) = 3.671, P = .066) were not found concerning SWL.ConclusionsSense of coherence is the strongest predictor of self-reported SWL. Other predictors are religion, income, adult children, education, living setting and medication. The four nationalities did not present significant differences, concerning SWL. This study highlights the factors that influence older adults’ SWL, namely, SOC, religion and income, as promoters of aging well, within a salutogenic model of health for older populations.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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MacKay, J. Morag, and Mark Andrew Ryan. "Human rights-based approach to unintentional injury prevention." Injury Prevention 24, Suppl 1 (2018): i67—i73. http://dx.doi.org/10.1136/injuryprev-2017-042692.

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Unintentional injury remains an important global public health issue, and efforts to address it are often hampered by a lack of visibility, leadership, funding, infrastructure, capacity and evidence of effective solutions. The growing support for a socioecological model and a systems approach to prevention—along with the acknowledgement that injury prevention can be a byproduct of salutogenic design and activities—has increased opportunities to integrate unintentional injury prevention into other health promotion and disease prevention agendas. It has also helped to integrate it into the broader human development agenda through the Sustainable Development Goals. This growing support provides new opportunities to use a human rights-based approach to address the issue. The human rights-based approach is based on the idea that all members of society have social, economic and cultural rights and that governments are responsible and accountable for upholding those rights. It incorporates a systems approach, addresses inequity and places an emphasis on the most vulnerable corners of humanity. It also leverages legal statutes and provides organisations with the opportunity to build existing international goals and benchmarks into their monitoring efforts. This paper describes the approach and highlights how it can leverage attention and investment to address current challenges for unintentional injury.
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Jakobsson, Britta Thedin, and Suzanne Lundvall. "Learn, Have Fun and Be Healthy! An Interview Study of Swedish Teenagers’ Views of Participation in Club Sport." International Journal of Environmental Research and Public Health 18, no. 13 (2021): 6852. http://dx.doi.org/10.3390/ijerph18136852.

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In Sweden, participation in club sport is a vital part of many children’s lives. Despite this, many stop in their teenage years, raising questions concerning if and in what ways club sport can provide health-promoting activities via longer, sustained participation. The aim of this cross-sectional study is to explore and discuss young people’s views of club sport from a health-promoting perspective. The analysis draws on three sets of qualitative data: results from focus groups interviews conducted in 2007 (n = 14) and in 2016 (n = 8) as well as 18 in-depth interviews conducted 2008. Antonovsy’s salutogenic theory and his sense of coherence (SOC) model inspired the analysis. Teenagers want to be a part of club sport because of a sense of enjoyment, learning, belonging and feeling healthy. Teenagers stop when sport becomes too serious, non-flexible, time-consuming and too competitive. The urge for flexibility and possibilities to make individual decisions were emphasised in 2016. The organisation of club sport, it seems, has not adapted to changes in society and a generation of teenagers’ health interests. Club sport has the potential to be a health-promoting arena, but the focus should be on changing the club sport environment, instead of a focus on changing young people.
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Von Humboldt, S., and I. Leal. "Older Adults’ Adjustment to Aging: The Impact of Sense of Coherence, Subjective Well-being and Socio-demographic, Lifestyle and Health-related Factors." European Psychiatry 41, S1 (2017): S666—S667. http://dx.doi.org/10.1016/j.eurpsy.2017.01.1134.

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IntroductionLiterature lacks of studies assessing correlates of adjustment to aging (AtA) among older populations.ObjectiveThe aim of this study was to build a structural model to explore the predictors of adjustment to aging (AtA) in a community-dwelling older population.MethodsA community-dwelling sample of 1270 older adults aged between 75 and 102 years answered a questionnaire to determine socio-demographic (sex, age, professional and marital status, education, household, adult children, family's annual income, living setting and self-reported spirituality), lifestyle and health-related characteristics (perceived health, recent disease, medication and leisure). Several instruments were used to assert psychological variables, namely AtA, sense of coherence and subjective well-being. Structural equation modeling was used to explore a structural model of the self-reported AtA, encompassing all variables.ResultsSignificant predictors are self-reported spirituality (β = .816; P < .001), perceived health (β = .455; P < .001), leisure (β = .322; P < .001), professional status (β = .283; P < .001), income (β = .230; P = .035), household (β = -.208; P = .007), sense of coherence (β = -.202; P = .004) and adult children (β = .164; P = .011). The variables explain 60.6% of the variability of AtA.ConclusionsSelf-reported spirituality is the strongest predictor of AtA. This study emphasizes the need for deepening the variables that influence older adults’ AtA, in particular perceived health and further lifestyle-related characteristics, as being relevant for promoting aging well in later life, within a salutogenic context for health care.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Tye, Sue Kiat, Syarifah Azizah Wan Ahmadul Badwi, Azlin Alwi, and Geetha Kandavello. "The development and evaluation of a “HeartBEAT” Adolescent Transition Psychoeducational Program for adolescents with congenital heart defects: a preliminary study." Cardiology in the Young 31, no. 1 (2021): 166–73. http://dx.doi.org/10.1017/s1047951120004722.

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AbstractObjectives:The present study aims to develop and test the effectiveness of a “HeartBEAT” Adolescent Transition Psychoeducation Program (ATPP) in facilitating the well-being of adolescents who have been diagnosed with congenital heart defects (CHD).Methods:The HeartBEAT ATPP was developed after reviewing existing transition interventions and determining adolescents’ needs. It was based upon two theories, namely the Shared Management Model and Antonovsky’s Salutogenic Model and included five aspects: (i) knowledge on illness and treatments, (ii) self-management and transition skills, (iii) purpose of life, (iv) social support, and (v) emotional regulation skills. Mixed-methods pilot testing was then conducted. Paired t-test was used to explore the effectiveness and qualitative interviews were also conducted.Results/Conclusions:Fourteen patients aged 16–19 enrolled in this study, but only eight patients successfully complete the programme. Results showed that a paired t-test was conducted to determine its effectiveness. Results showed that the programme had significantly increased self-management knowledge (t (7) = −6.328, p < 0.05) and affectionate support (t (7) = −1.029, p < 0.05). Qualitative findings also showed that all patients were able to share emotional regulation and identify their purpose of life after the programme. However, there was no significant increase in their self-management skills. In summary, the “HeartBEAT” ATPP has demonstrated efficacy in enhancing self-management knowledge, affectionate support, identifying the patients’ life plan, and enhancing the emotional regulation skills of the adolescents with CHD.
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Sardu, Claudia, Alessandra Mereu, Alessandra Sotgiu, Laura Andrissi, Maria Katarina Jacobson, and Paolo Contu. "Antonovsky’s Sense of Coherence Scale: Cultural Validation of Soc Questionnaire and Socio-Demographic Patterns in an Italian Population." Clinical Practice & Epidemiology in Mental Health 8, no. 1 (2012): 1–6. http://dx.doi.org/10.2174/1745017901208010001.

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Background: The theory of salutogenesis entails that the ability to use resources for one’s wellbeing is more important than the resources themselves. This ability is referred to as the Sense of Coherence (SOC). This paper present the cross-culturally adapted version of the Italian questionnaire (13 items), and the psychometric and statistical testing of the SOC properties. It offers for the first time a view of the distribution of SOC in an Italian sample, and uses a multivariate method to clarify the effects of socio-demographic determinants on SOC. Methods: The cross-cultural adaptation of the English SOC questionnaire was carried out according to the guidelines reported in literature. To evaluate the psychometric and statistical properties we assessed reliability, validity and frequency distribution of the collected data. A Generalised Linear Model was used to analyse the effects of socio demographic variables on SOC. Results: The Italian SOC scale demonstrates a good internal consistency (α = 0.825). The model obtained with factorial analysis is not related to the traditional dimensions of SOC represented in more than one factor. The multivariate analysis highlights the joint influence of gender, age and education on SOC. Conclusion: The validated Italian questionnaire is now available. Socio-demographic variables should be taken into account as confounders when SOC values among different populations are compared. Presenting data on SOC of the Italian population makes a control population available for comparisons with specific subgroups, such as patient populations. Now, the Italian challenge is to integrate the salutogenic approach into Public Health police.
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Houle, Janie, Sophie Meunier, Simon Coulombe, et al. "Peer Positive Social Control and Men’s Health-Promoting Behaviors." American Journal of Men's Health 11, no. 5 (2017): 1569–79. http://dx.doi.org/10.1177/1557988317711605.

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Men are generally thought to be less inclined to take care of their health. To date, most studies about men’s health have focused on deficits in self-care and difficulties in dealing with this sphere of their life. The present study reframes this perspective, using a salutogenic strengths-based approach and seeking to identify variables that influence men to take care of their health, rather than neglect it. This study focuses on the association between peer positive social control and men’s health behaviors, while controlling for other important individual and social determinants (sociodemographic characteristics, health self-efficacy, home neighborhood, spousal positive social control, and the restrictive emotionality norm). In a mixed-method study, 669 men answered a self-reported questionnaire, and interviews were conducted with a maximum variation sample of 31 men. Quantitative results indicated that, even after controlling for sociodemographic variables and other important factors, peer positive social control was significantly associated with the six health behaviors measured in the study (health responsibility, nutrition, physical activity, interpersonal relations, stress management, and spirituality). Interview results revealed that peer positive social control influenced men’s health behaviors through three different mechanisms: shared activity, being inspired, and serving as a positive role model for others. In summary, friends and coworkers could play a significant role in promoting various health behaviors among adult men in their daily life. Encouraging men to socialize and discuss health, and capitalizing on healthy men as role models appear to be effective ways to influence health behavior adoption among this specific population.
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Kato, Greimel, Hu, et al. "The Relationship between Sense of Coherence, Stress, Body Image Satisfaction and Eating Behavior in Japanese and Austrian Students." Psych 1, no. 1 (2019): 504–15. http://dx.doi.org/10.3390/psych1010039.

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Background: Restrained, emotional, and external eating are related to obesity and eating disorders. A salutogenic model has confirmed sense of coherence (SOC) as a health resource that moderates stress and helps limit the occurrence of overweightness and eating disorders. This study aimed to examine the relationship between SOC, social support, stress, body image satisfaction (BIS) and eating behaviors in different cultural environments. Methods: A total of 371 Austrian (161 men, 210 women) and 398 Japanese (226 men, 172 women) university students participated. The SOC-13 scale, Multidimensional Scale of Perceived Social Support, Dutch Eating Behavior Questionnaire, BMI-Based Silhouette Matching Test and an analogue single-stress item were used as measurements. Results: SOC negatively affected all three types of eating in Austrian students (men: β = −0.227 to −0.215; women: β = −0.262 to −0.214). In Japanese students, SOC negatively affected external eating in both sexes (men: β = −0.150; women: β = −0.198) and emotional eating (β = −0.187) in men. BIS indicated that the desire to become slim predicted restrained eating, women’s emotional eating, and men’s and Austrian women’s external eating. Stress was only predictive of emotional eating in Japanese men. Conclusions: This study found that SOC, BIS and stress might be valuable factors regulating eating behavior in a cultural context. However, the relationship between SOC, BIS, stress and eating behavior differs between cultures.
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Robinson, Mark, Steve Robertson, Mary Steen, Gary Raine, and Rhiannon Day. "Doing and rethinking. Building resilience with men." Mental Health Review Journal 20, no. 3 (2015): 185–98. http://dx.doi.org/10.1108/mhrj-12-2014-0045.

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Purpose – The purpose of this paper is to present findings from an evaluation of a mental health resilience intervention for unemployed men aged 45-60. The focus is on examining the place of activities within a multi-dimensional men’s mental health programme, and exploring interactions between social context factors and models of change. Design/methodology/approach – The paper draws on before and after survey data and qualitative interviews, to report results concerning effectiveness in changing men’s perceived resilience, to consider project processes concerning activities, social support and coping strategies, and to situate these within wider environments. Findings – The programme significantly raised the perceived resilience of participants. Activities were engaging for men, while the complex intersection between activities, social networking, and coping strategies course provided opportunities for men to develop resilience in contexts resonant with their male identities. Research limitations/implications – A limitation is that the evaluation could not measure longer term impacts. Practical implications – The paper discusses emerging considerations for resilience building, focusing on gender-sensitive approaches which can engage and retain men by focusing on doing and talking, in the contexts of men’s life-course, highlighting embodied (male) identities not disembodied “mental states”, and facilitating social support. There are challenges to recruit men despite stigma, support men to speak of feelings, and facilitate progression. Social implications – Potential exists for gender-aware programmes to sustain salutogenic change, co-producing social assets of peer support, male-friendly activities, and context sensitive course provision. Originality/value – The paper adds fresh evidence of gendered intervention approaches, including effects on male resilience. Application of a context-sensitive change model leads to multi-component findings for transferring and sustaining programme gains.
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Pusswald, Gisela, Martina Fleck, Johann Lehrner, Dietrich Haubenberger, Germain Weber, and Eduard Auff. "The “Sense of Coherence” and the coping capacity of patients with Parkinson disease." International Psychogeriatrics 24, no. 12 (2012): 1972–79. http://dx.doi.org/10.1017/s1041610212001330.

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ABSTRACTBackground: Antonovsky's salutogenic model of the “Sense of Coherence” (SOC) is an important resource in dealing with chronic diseases. The aim of this study was to investigate SOC as a psychological factor and its correlation with illness, subjective well-being, and health-related quality of life (QoL) in patients with Parkinson disease (PD) compared to patients with other chronic diseases.Methods: Fifty-one patients suffering from PD and 59 participants with other chronic non-neurological diseases took part in this study. The PD patients were assessed through medical routine examinations and all participants were asked to complete several questionnaires for psychological assessment. In order to compare controls with the PD group, t-tests, U-tests, and multivariate analysis were conducted. Multiple regression analysis was calculated to identify predictor variables.Results: Patients with PD were characterized by lower SOC and higher scores concerning depression compared to the control group (CG). Furthermore, the PD group showed fewer active coping strategies and lower scores concerning well-being. There were correlations between depression, coping, well-being and QoL, and SOC. The SOC had a particular predictive value with regards to the outcome “quality of life” and coping strategies.Conclusions: There are a number of differences regarding psychological characteristics of coping mechanisms in neurological and non-neurological patients. The SOC correlated with several psychological factors; however, there was no correlation with medical data. The SOC predicts scores pertaining coping mechanism and health-related QoL.
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Hernantes, Naia, María J. Pumar-Méndez, Olga López-Dicastillo, Andrea Iriarte, and Agurtzane Mujika. "Volunteerism as adolescent health promotion asset: a scoping review." Health Promotion International 35, no. 3 (2019): 610–23. http://dx.doi.org/10.1093/heapro/daz026.

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Abstract The Aim of this scoping review was to explore the available literature on volunteerism in adolescence and the benefits that this activity may report in their healthy development, from a salutogenic perspective. Searches were conducted in Pubmed, Cinahl, PsycINFO and Cochrane Library home databases; 15 articles were selected. Almost all of the studies were conducted in the United States between 1990 and 2000, primarily developed by psychologists and sociologists. The impact of volunteering was reflected in aspects that can be classified based on Lerner's dimensions of the PYD model. Volunteer activities promote an Improved academic, social, cognitive, and vocational competence in adolescents. An increase in conflict resolution capacity, leadership and personal agency, as well as improved pro-social attitudes and relationships with adults and peers, all of which contributed to their self-identification with the community. Moreover, increased positive development of adolescents reduces the rates of risky behaviors. Volunteerism may represent an opportunity for health promotion in adolescence. The concept of volunteering as an asset for health promotion during adolescence evokes the need to adopt and favor this view with regard to key areas of study associated with this stage such as education and health. Teams that work in community health, especially those in primary care, should recognize and value existing volunteer groups as an asset to promote the healthy development of adolescents. Friendlier health services should be encouraged that include comprehensive services from within educational institutions to community actions.
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Sáinz-Ruiz, Pablo Alberto, Javier Sanz-Valero, Vicente Gea-Caballero, et al. "Dimensions of Community Assets for Health. A Systematised Review and Meta-Synthesis." International Journal of Environmental Research and Public Health 18, no. 11 (2021): 5758. http://dx.doi.org/10.3390/ijerph18115758.

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Since Aaron Antonovsky’s salutogenesis theory and Morgan and Ziglio’s health assets model were first proposed, there has been a growing concern to define the resources available to the individual and the community to maintain or improve health and well-being. The aim of the present study was to identify the dimensions that characterise community assets for health. To this end, we conducted a systematised review with a meta-synthesis and content analysis of research or projects involving asset mapping in the community. Articles that met our eligibility criteria were: (1) based on the salutogenic approach and (2) described an assets mapping process and among their results, explained what, how and why particular community assets for health had been selected. The search included primary studies in the published and grey literature which were selected from websites and electronic databases (Web of Science, MEDLINE, Scopus, EBSCOhost, Dialnet, SciELO). Of the 607 records examined by a single reviewer, 34 were included in the content analysis and 14 in the qualitative synthesis. Using an inductive process, we identified 14 dimensions with 24 categories, for which in-depth literature reviews were then carried out to define specific indicators and items. These dimensions were: utility, intention, previous use, accessibility (“circumstances–opportunity–affordability”), proximity-walkability, connectivity, intelligibility (visibility, transparency), identity (uniqueness, appropriability, attachment), design (configuration, functionality, comfort), safety (objective/subjective), diversity, the dimension of public and private, and sustainability (which includes maintenance, profitability or economic sustainability, environmental sustainability, centrality-participation and equity-inclusiveness).
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Roussin, Melanie, John Lowe, Anita Hamilton, and Lisa Martin. "Factors of sexual quality of life in gynaecological cancers: a systematic literature review." Archives of Gynecology and Obstetrics 304, no. 3 (2021): 791–805. http://dx.doi.org/10.1007/s00404-021-06056-0.

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Abstract Background The impact of cancer diagnosis and treatment on sexual quality of life (SQoL) is a well-established survivorship issue for gynaecological cancer survivors (GCS), yet little is known on how to intervene. Purpose The aim of this systematic review was to identify the factors explaining the variability in SQoL for GCS. Methods We used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework and the software Covidence. Electronic databases Scopus, Web of Science, PUBMED and CINAHL were searched for original research on GCS published between 2002 and 2018. We performed a two-stage screening process against selection criteria and quality assessment of individual studies. The Salutogenic Theory and the PRECEDE–PROCEED model were used as theoretical frameworks to identify and categorise factors. Results The initial search yielded 3,505 articles resulting in a total of 46 studies used to examine the association between factors of SQoL and gynaecological cancers. Our findings suggested that SQoL varies across subgroups based on age, menopausal status, relationship status, and treatment modality. Protective factors included clinicians’ knowledge and confidence, preventive medical approach, risk and needs assessment, patient–clinician communication, relationship quality, psychosocial support, symptom management, accessibility of psychosexual care, and self-efficacy in the rediscovery of sexuality. Conclusion Despite the high incidence and long-term impact of sexual health issues on quality of life, supportive care needs are not being met. A better understanding of the evidence base around the factors of SQoL can help health professionals take steps to protect and improve SQoL in GCS.
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Robertson, Emma. "A sense of coherence: Drawing for the mind." Drawing: Research, Theory, Practice 5, no. 2 (2020): 333–50. http://dx.doi.org/10.1386/drtp_00042_1.

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As part of the award-winning Big Anxiety Festival in Australia, an exhibition of mixed-media drawings of plants and seeds was displayed at the University of Sydney, at the same time as two public drawing workshops in the Royal Botanic Garden Sydney. This paper describes and summarizes the various drawing techniques used in these workshops, and discusses the feedback from participants, who self-identified as having anxiety. Drawing using different types of approaches allowed workshop participants to mediate their tacit knowledge of the symptoms and solutions of living with anxiety, and to transition to a lived experience of proactively using drawings to improve their individual cognition, mindsets and mental health. Utilizing the platform afforded by the promotion of Mental Health Month in New South Wales, allowed the drawing exhibitions and workshops to be understood more broadly within an interdisciplinary context, which embedded their impact on other fields of research, including ecopsychology and biophilia, in a salutogenic model of practice. Specific to this approach, a ‘sense of coherence’ was deliberately embedded in both of the workshops’ sequential drawing exercises, which were observational and objective in intent. The exhibitions in 2017 and 2019 also consciously deployed a ‘sense of coherence’ in their design. Documentation drawings have recently been used as a tool to alleviate anxiety and promote wellness in medical staff working in a UK Emergency Department during the COVID-19 pandemic. This demonstrated the widespread potential applications for drawings to provide an antidote and a method of communication to proactively and positively assist mental health. Further research and exploration of the role that drawing plants and nature can play in the construction of learning in the context of individuals struggling with anxiety may offer routes to new knowledge and better understanding and potentially enhance connections between art and health researchers and institutions globally.
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Robinson, Mark, Gary Raine, Steve Robertson, Mary Steen, and Rhiannon Day. "Peer support as a resilience building practice with men." Journal of Public Mental Health 14, no. 4 (2015): 196–204. http://dx.doi.org/10.1108/jpmh-04-2015-0015.

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Purpose – The purpose of this paper is to present findings from an evaluation of a community mental health resilience intervention for unemployed men aged 45-60. The focus is on examining the place of facilitated peer support within a multi-dimensional men’s mental health programme, and exploring implications for resilience building delivery approaches for men. Design/methodology/approach – The paper draws on a mixed methodology design involving before and after survey data and qualitative interviews, to report results concerning effectiveness in changing men’s perceived resilience, to consider project processes concerning peer support, and to situate these within wider community environments. Findings – The programme significantly raised the perceived resilience of participants. Project activities promoted trusting informal social connections, gains in social capital arose through trusting relations and skill-sharing, and peer-peer action-focused talk and planning enhanced men’s resilience. Research limitations/implications – The paper considers facilitated peer support on a programme, rather than on-going informal peer support or more formal peer support roles (a limitation reflecting the boundaries of the funded programme). Practical implications – The paper discusses emerging considerations for resilience building, focusing on gender-sensitive approaches which can engage and retain men by focusing on doing and talking. It highlights the importance of peer support in community interventions which feature a social model of change. There is potential for encouraging further peer mentoring and peer led support beyond facilitated peer support in programme delivery. Social implications – Potential exists for gender-aware programmes to sustain salutogenic change, co-producing social assets of peer support, male-friendly activities, and context sensitive course provision. Originality/value – The paper adds fresh evidence of gendered intervention approaches with a specific focus on facilitated community peer support, including effects on male resilience. Little previous resilience research is gendered, there is little gendered research on peer support, and unemployed middle-aged men are a significant risk group.
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Höltge, Jan, Shauna L. Mc Gee, Andreas Maercker, and Myriam V. Thoma. "A Salutogenic Perspective on Adverse Experiences." European Journal of Health Psychology 25, no. 2 (2018): 53–69. http://dx.doi.org/10.1027/2512-8442/a000011.

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Abstract. Research has predominantly focused on the negative effects of adversity on health and well-being. However, the salutogenic perspective suggests that adversity may not always be detrimental ( Antonovsky, 1996 ). In fact, under certain circumstances, adversity may have the potential for positive outcomes, such as increased resilience and thriving ( Carver, 1998 ; Rutter, 1987 ). The “steeling effect” suggests that past experiences of adversity may increase resistance to later adversities. It proposes that moderate adversity may facilitate more adaptive functioning than no adversity or high levels of adversity ( Rutter, 2006 , 2012 ). The relationship between adversity and health may be optimally assessed using curvilinear models, yet the majority of previous studies have examined linear associations ( Masten & Cicchetti, 2016 ). It is therefore the aim of this review to determine whether moderate adversity is associated with more adaptive functioning when compared to no and high levels of adversity. Practical implications and future research are also discussed.
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49

Kakavand, Benjamin, Jean-Pierre Neveu, and Aria Teimourzadeh. "Workplace corruption: a resource conservation perspective." Personnel Review 49, no. 1 (2019): 250–64. http://dx.doi.org/10.1108/pr-08-2018-0303.

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Purpose The purpose of this paper is to provide elements for human resource management to better understand workplace corruption in order to prevent and to manage corrupt behaviors at work. Design/methodology/approach In this study, a quantitative research methodology (n=575) is used; the sample is selected from French public sector employees. Multiple regression analysis assesses the impact on corrupt behaviors (e.g. bribary and property deviance) of selected determinant psychological resources (e.g. powerlessness, distributive and procedural justice and sense of mastery). Findings Main results highlight that sense of mastery, distributive justice and procedural justice have a negative impact on workplace corruption, whereas powerlessness has a positive impact on workplace corruption. The direct impact and relationships that are explored between selected determinant psychological resources and workplace corruption contribute to the literature on corrupt acts and conservation of resources (COR) theory. Sense of mastery, power, procedural and distributive justices are considered as personal resources for employees at workplace. Individuals thoughtfully engage in corrupt acts and behaviors as a defensive move to protect perceived threats on valued motivation factors. Research limitations/implications At an empirical level, the research is limited to a sample from public sector employees. Similar to the structures of public and private organizations, which are different, determinants of organizational corruption in public and private sectors are also different. Another main limitation is the cross-sectional design. Investigating motivation-based dynamics of corruption would benefit from longitudinal methodology. Practical implications The present research suggests that a COR-based management of human resources can be of functional use on at least two grounds. First, COR theory shifts the perspective from a moral and macro-economic issues to a psychological plane. Second, and by staying in tune with motivational processes, a COR-based management is suited to prevent corrupt mechanisms fueled by frustrated or endangered motivational resources. Originality/value On the basis of an original taxonomy of workplace corruption, a research model is developed using the framework of COR theory (Hobfoll, 1989). As a non-inductive approach, corruption is considered from the standpoint of a rational defensive attitude on the part of employees seeking to preserve valued psychological resources. A COR-based perspective also allows for a preventive “salutogenic” management style of corrupt behaviors.
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50

Bag, Beyhan. "Ruh Sağlığı ve Psikiyatri Hemşireliğinde Salutogenez Modeli." Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry 9, no. 3 (2017): 284. http://dx.doi.org/10.18863/pgy.286487.

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