Reducing social inequities in health through settings-related interventions — a conceptual framework

Shareck, Martine; Frohlich, Katherine L.; Poland, Blake

doi:10.1177/1757975913486686

Cited by 55 publications

(60 citation statements)

References 71 publications

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“…for' [48,49] -and that outcomes are dependent on the activation of generative mechanisms within particular contexts. When applied to evaluative research, critical realist theory can thus help us understand better how and why particular settings programmes work or fail in particular circumstances and at particular times.…”

Section: Resultsmentioning

confidence: 99%

Theorizing healthy settings: a critical discussion with reference to Healthy Universities

Dooris

Wills

Newton

2014

Scand J Public Health

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The settings approach appreciates that health determinants operate in settings of everyday life. Whilst subject to conceptual development, we argue that the approach lacks a clear and coherent theoretical framework to steer policy, practice and research.Aims: To identify what theories and conceptual models have been used in relation to the implementation and evaluation of Healthy Universities.Methods: A scoping literature review was undertaken between 2010-2013, identifying 26 papers that met inclusion criteria.Findings: Seven theoretical perspectives or conceptual frameworks were identified: the Ottawa Charter; a socio-ecological approach (which implicitly drew on sociological theories concerning structure and agency); salutogenesis; systems thinking; whole system change; organisational development; and a framework proposed by Dooris. These were used to address interrelated questions on the nature of a setting, how health is created in a setting, why the settings approach is a useful means of promoting health, and how health promotion can be introduced into and embedded within a setting.Conclusion: Although distinctive, the example of Healthy Universities drew on common theoretical perspectives that have infused the settings discourse more generally. This engagement with theory was at times well-developed and at other times a passing reference. The paper concludes by pointing to other theories that offer value to healthy settings practice and research and by arguing that theorisation has a key role to play in understanding the complexity of settings and guiding the planning, implementation and evaluation of programmes.

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Section: Resultsmentioning

confidence: 99%

Theorizing healthy settings: a critical discussion with reference to Healthy Universities

Dooris

Wills

Newton

2014

Scand J Public Health

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“…In a period of declining resources for many health care organizations, it is only prudent therefore to introduce and evaluate workplace wellness interventions with implications for employee wellbeing included in the design. Creating a "culture of health" has been advocated to promote health behavior change and improve the health of individuals (Shareck et al 2013). It has been identified that this "culture of health" can be achieved through settings-based health promotion and intervention (World Health Organisation WHO).…”

Section: Creating a Positive Workplacementioning

confidence: 99%

Evaluation of a Tai Chi Intervention to Promote Well-Being in Healthcare Staff: A Pilot Study

Marshall¹,

Donohue

Morrissey

et al. 2018

Religions

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Whilst healthcare professions are already considered one of the most stressful occupations, workplaces are becoming busier, and the potential for workplace absenteeism and burnout has intensified. There is growing evidence that the mind-body practice of Tai Chi, which originated in China as a martial art, has value in treating or preventing many health-related problems, such as stress and anxiety, and that regular practice helps to significantly improve wellbeing, attention, focus, and resilience. This intervention provided 12 sessions of Tai Chi for a group of 12 multidisciplinary healthcare workers and was general wellbeing was measured pre-and post-intervention. Using a mixed methods research design, it was discovered that there were statistically significant gains in well-being during this timeframe with results indicating a strong case for further roll out of the program to a larger pool and more extensive study.

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“…Furthermore, in context of emergent innovative settings there is a particular demand that these setting are accessible to individuals and meet health needs in ways that other settings might not (Torp et al, 2014). In this context, returning to Poland et al's (2009) In relation to the first question, and in keeping with the general belief that a settings approach can address inequalities (Shareck et al, 2013) the ubiquity and broad accessibility of the library setting with relatively high levels of usage by a relatively broad spectrum of people was considered by informants to make them unique, leading to the ability to potentially access those with greatest health needs and ultimately address deeper inequalities. The significance of the presence of many library 'hubs' was in this context seen as central to the fulfilment of MCISS initiative aims; expressed by Steering Group informants as: "the hubs are critical"; "establishing a presence in every library in Glasgow"; "it is a place for local people….people use it to access other services as well".…”

Section: Discussion: Libraries As Health Promoting Settingsmentioning

confidence: 99%

Libraries as ‘everyday’ settings: the GlasgowMCISSproject

Whitelaw

Coburn²,

Lacey³

et al. 2016

Health Promot. Int.

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A settings-based approach is now well-established in health promotion, initially undertaken in conventional places like schools and workplaces but more recently being expressed in a wider range of what Torp et al call 'everyday' settings (e.g. care homes, sports stadia and shopping malls). In this context, libraries have emerged as another potential setting whose ubiquity and accessibility suggests that they may be particularly effective in addressing health inequalities. Drawing on a case study -the Glasgow Macmillan Cancer Information and Support Services Library project -this paper reports on the potential for seeing 'libraries as settings' and in the context of a set of associated theoretical resources, specifically scrutinises the nature of initiative implementation. Data was draw from multiple sources: semi-structured interviews and focus groups with strategic partners and stakeholders, operational staff, project volunteers, service users and members of the general public. Qualitative data was complemented by quantitative insights from surveys with members of the partnership, libraries staff and volunteers. Despite some concerns associated with potentially hostile cultural and financial contexts that might threaten longer term sustainability, insights suggested that in pragmatic terms, the project was attracting sizable 'footfall' and successfully addressing a range of needs. Additionally, the formal implementation processes associated with project implementation were considered to have been highly successful in embedding the model into the library culture. In summary, there is evidence that libraries have the potential to be considered as supportive settings and could act as a model for an emergent vision of what libraries do.

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Reducing social inequities in health through settings-related interventions — a conceptual framework

Cited by 55 publications

References 71 publications

Theorizing healthy settings: a critical discussion with reference to Healthy Universities

Theorizing healthy settings: a critical discussion with reference to Healthy Universities

Evaluation of a Tai Chi Intervention to Promote Well-Being in Healthcare Staff: A Pilot Study

Libraries as ‘everyday’ settings: the GlasgowMCISSproject

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