Rethinking an Ecologic‐system Model of Man's Health, Disease, Aging, Death

Hoyman, Howard S.

doi:10.1111/j.1746-1561.1975.tb04527.x

Cited by 21 publications

(12 citation statements)

References 8 publications

(2 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the course of the study 7 participants discontinued participation before completion. Reasons for attrition varied and included death of spouse (1), illness/ hospitalization (2), and other time commitments (3). The issue of attrition due to illness/hospitalization introduces the problem of missing data not at random which must be carefully addressed in future studies to avoid bias.…”

Section: Attritionmentioning

confidence: 99%

“…1 Hoyman further explored the multidimensional nature of wellness by emphasizing that the person needs to be examined in their everyday milieu and suggested that four dimensions are addressed: (1) physical well-being/ fitness; (2) mental and cognitive health; (3) social well-being; and (4) spiritual well-being. 2 (For full discussion, please see Demiris et al 3 )…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A Holistic Approach to Assess Older Adults' Wellness Using e-Health Technologies

Thompson

Demiris

Rue

et al. 2011

Telemedicine and e-Health

View full text Add to dashboard Cite

Objectives: To date, methodologies are lacking that address a holistic assessment of wellness in older adults. Technology applications may provide a platform for such an assessment, but have not been validated. We set out to demonstrate whether e-health applications could support the assessment of older adults' wellness in communitydwelling older adults. Materials and Methods: Twenty-seven residents of independent retirement community were followed over 8 weeks. Subjects engaged in the use of diverse technologies to assess cognitive performance, physiological and functional variables, as well as psychometric components of wellness. Data were integrated from various e-health sources into one study database. Correlations were assessed between different parameters, and hierarchical cluster analysis was used to explore the validity of the wellness model. Results: We found strong associations across multiple parameters of wellness within the conceptual model, including cognitive, functional, and physical. However, spirituality did not correlate with any other parameter studied in contrast to prior studies of older adults. Participants expressed overall positive attitudes toward the e-health tools and the holistic approach to the assessment of wellness, without expressing any privacy concerns. Conclusions: Parameters were highly correlated across multiple domains of wellness. Important clusters were noted to be formed across cognitive and physiological domains, giving further evidence of need for an integrated approach to the assessment of wellness. This finding warrants further replication in larger and more diverse samples of older adults to standardize and deploy these technologies across population groups.

show abstract

Section: Attritionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A Holistic Approach to Assess Older Adults' Wellness Using e-Health Technologies

Thompson

Demiris

Rue

et al. 2011

Telemedicine and e-Health

View full text Add to dashboard Cite

show abstract

“…According to Dunn [2], maintaining overall wellness can actually slow the progression and even potentially prevent the deterioration of functionality that is caused by chronic disease. Expanding upon this idea, Hoyman [3] emphasized the need to address the multiple dimensions of wellness: (1) physical well-being/fitness; (2) mental and cognitive health; (3) social well-being; and (4) spiritual well-being. To help older adults remain independent, we must maximize wellness.…”

Section: Introductionmentioning

confidence: 99%

Older adults' acceptance of a community-based telehealth wellness system

Demiris

Thompson

Boquet

et al. 2012

Informatics for Health and Social Care

View full text Add to dashboard Cite

The development of ongoing assessment tools to monitor older adult health and wellness can support improved quality of life and independence. These technologies have often been employed within private residences. Our work describes a telehealth kiosk system implemented within a community setting, which reduces the costs of installing and maintaining individual systems. Though user acceptance of telehealth systems has been studied within the context of home residences, this has yet to be addressed for community-based systems. Older adults in a retirement community were recruited to use a telehealth system including assessment of vital signs and cognitive performance. With a series of focus groups (N = 12, average age 79.3 years), we examined user perceptions of the telehealth kiosk, addressing issues of usability, effectiveness and privacy. Older adults were favorable towards the collection of health monitoring information, recognizing the utility of these data sources. There were issues of usability, especially regarding ergonomics of the telehealth kiosk. We found no concerns over privacy, with some participants expressing increased preference for the social interactions afforded through the community setting. Understanding the social, technical and human factors involved with a community-based telehealth system can inform the design of cost-effective health monitoring systems.

show abstract

“…A number of other disciplines, most notably ecology (Xlcfarland, 1985;Hoyman, 1975;Bronfenbrenner, 1997) also informed our thinking, but it became apparent that nothing provided us with the kind of definition and framework that was needed. Consequently, guided by the political and conceptual thinking set out above, we decided to devclop our own definition and conceptual framework.…”

Section: Organising Thinking About the Health Environmentmentioning

confidence: 96%

The health environment: A definition and conceptual framework for research and practice

Brocklehurst

Allan

1998

NT Research

View full text Add to dashboard Cite

Lecturer in Nursing Royal College of NursingInstitute, London This paper explores the history of the concept of health environment in nursing discourse. The prompt to investigating the subject followed the national research and development (R&D) initiative set up through the Royal College of Nursing and the Centre for Policy in Nursing Research. Subsequent developments in national healthcare policy, particularly in relation to primary care-based commissioning and public health highlight the timeliness of such a debate. A conceptual framework for the health environment is suggested which is dynamic and practice-oriented. It is hoped that this will appeal both to academics and practitioners in order to build a base of research and practice around the health environment within and beyond the nursing professions. KEY WORDS Health environment, Conceptual framework, Broadening the scope of nursing INTRODUCTIONThe link between human health and the environment has a long history. Harkness (1995) reminds us that it was Hippocrates, in the 5th century BC, who recommended that the study of disease should include an investigation of the external environment as well as of the body's internal composition. Nearly two thousand years later, the link between infectious host, agent and environment has become a kind of holy trinity through the development of epidemiology. Although Florence Nightingale was a pioneering epidemiologist of the 19th century (NNoodham-Smith, 1950), nurses since then have tended to consider the environment as a context for care rather than as a focus of'discrete investigation (Dickson, 1997). More recently, however, nurses' perceptions of the health environment appear to have shifted, so that not only is it a geographical area, but it is also increasingly recognised as a socio-political entity, subject to change through human inventiveness (Dickson, 1997;Hoskins and Lakey, 1997).The emergence of the health environment as a legitimate area of nursing investigation was recently highlighted by its inclusion as one of six themes in a national research and development initiative aimed at developing a set of R&D priorities for the nursing professions in the United Kingdom. It therefore seems timely to consider the meanings and concepts underpinning the term health environment. This paper describes the development of a definition and conceptual framework of the health environment, which was circulated to members of the expert groups of the priority-setting exercise, with particular reference to the R&D initiative. In the first part of the paper the background to the inclusion of the term in the priority-setting exercise is explored, before moving on, in the second part, to the development of the definition and the framework itself. Finally, the utility of the framework is considered, using a number of examples of how it might be applied to nursing

show abstract

Rethinking an Ecologic‐system Model of Man's Health, Disease, Aging, Death

Cited by 21 publications

References 8 publications

A Holistic Approach to Assess Older Adults' Wellness Using e-Health Technologies

A Holistic Approach to Assess Older Adults' Wellness Using e-Health Technologies

Older adults' acceptance of a community-based telehealth wellness system

The health environment: A definition and conceptual framework for research and practice

Contact Info

Product

Resources

About