Health as a Resource, Not an Outcome!

just Health as a Resource… not an Outcome Jane Ellery, Ph.D. Director of Wellness Management Fisher Institute for Wellness and Gerontology Ball State University1 jellery@bsu.edu

Outline Overview of Breslow’s 2006 Commentary in AJPH. http://ajph.aphapublications.org/cgi/reprint/96/1/17 Summary of Antonovsky’s 1992 presentation at the WHO seminar in Copenhagen http://heapro.oxfordjournals.org/cgi/reprint/11/1/11 Health as a resource… coherence as the outcome Consumer-centered resource development as intervention planning2

Health Measurement in the Third Era of Health – Lester Breslow (2006) 1st era: Revolution against communicable diseases 2nd era: Revolution against chronic diseases 3rd era: Emerging… Health as a resource for doing things—a capacity, not a state of well- being “Probably more than achieving some degree of health status, people want health as a resource for doing the things they want to do.”3

The Salutogenic Model as a Theory to Guide Health Promotion – Aaron Antonovsky (1994) Origins of Health/Sense of Coherence Concern with the person… not just the disease “What explains movement toward the health pole of the health ease/dis-ease continuum?” Generalized Resistance Resources - GRRs4

Generalized Resistance Resources “What do GRRs have in common?... they all fostered repeated life experiences which… helped one to see the world as making sense, cognitively, instrumentally and emotionally.” The strength of ones SOC is shaped by three kinds of life experiences: consistency, underload-overload balance, and participation in socially valued decision-making.5

Health as a Resource for Living AND/BOTH! Health as the outcome (important and necessary… but not sufficient) – Risk reduction/disease prevention – Health Promotion/prevention Health as a Resource for Living (important and necessary… but not sufficient) – Quality of Life/Well-being enhancement/Wellness Management6 – www.well-beingindex.com

How does this change our thinking? Consumer-centered intervention planning – Consumers as organismic experts on their lives (organismic- wanting to engage in the what is going on in the world around them) – Consumer as a unique being… with unique needs – What internal resources does the individual have? What resources can we help instill? What resources do we need to build into the environment? – What can occur that makes an individual’s life more coherent? More MEANINGFUL, MANAGABLE, AND7 COMPREHENSIBLE.

Sample Ideas Parenting intervention – – Maid service (manageability) – Support group (comprehensibility) – Children experiencing success (meaningfulness) Workplace interventions – – Positive work environment (comprehensibility) – Good job skills (manageability) – Purposeful position/understanding of the importance/value of job function (meaningfulness)8

Your ideas Nutrition interventions – – Meaningful – Manageable – Comprehensible/understandable Exercise interventions – – Meaningful – Manageable – Comprehensible/understandable9

Review Breslow: Health is a resource for living… and how should we measure it! Antonovsky: Health is a generalized resistance resource Both/And Consumer-centered resource development as intervention planning10

Questions…11

Health as a Resource… not just an Outcome Jane Ellery, Ph.D. Director of Wellness Management Fisher Institute for Wellness and Gerontology Ball State University12 jellery@bsu.edu

Institute of Medicine (2001) Core Needs for Healthcare: Safe: avoiding injuries to patients from the care that is intended to help them. Effective: providing services based on scientific knowledge to all who could benefit, and refraining from providing services to those not likely to benefit. Patient-centered: providing care that is respectful of and responsive to individual patient preferences, needs, and values, and ensuring that patient values guide all clinical decisions. Timely: reducing waits and sometimes harmful delays for both those who receive and those who give care. Efficient: avoiding waste, including waste of equipment, supplies, ideas, and energy. Equitable: providing care that does not vary in quality because of personal characteristics such as gender, ethnicity, geographic location, and socioeconomic status.14

Health as a Resource, Not an Outcome!

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Health as a Resource, Not an Outcome! — Presentation Transcript

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