“…The transcripts were imported into ATLAS.ti and coded. The data were coded top-down, guided by the SMH (Antonovsky, 1996). We identified themes encompassing stressors and coping mechanisms using identified resources (see Table I).…”
Purpose: For many people living in low-income countries, poverty implies an increased exposure to conditions that threaten health and wellbeing as well as reduced capacity to maintain health. Despite the challenging conditions caused by poverty, people may consider themselves healthy because they have learned to cope with their situation probably as a result of life experiences which expose people to both challenges and potential solutions. In this paper we present results from studying health and wellbeing challenges and mechanisms to cope with challenges among two different groups of people who are living under conditions of poverty: workers of the Cameroon Development Corporation (CDC) and students of the university of Buea and the university of Yaoundé.
Methods: We performed a cross-sectional study, interviewing 21 CDC workers and 21 students.
Results Our study reveals context-specific stressors emerging from poor work conditions and study pressure as well as non-context-specific stressors perceived by respondents as living conditions, poor healthcare and financial uncertainty. Respondents devised coping mechanisms to overcome exactly those stressors such as searching for additional money sources, preventive action towards hazardous living conditions and alternative medical support.
Conclusion: We conclude that supporting and promoting such avenues is essential for enhanced and continuous coping with stressors.
“…The transcripts were imported into ATLAS.ti and coded. The data were coded top-down, guided by the SMH (Antonovsky, 1996). We identified themes encompassing stressors and coping mechanisms using identified resources (see Table I).…”
Purpose: For many people living in low-income countries, poverty implies an increased exposure to conditions that threaten health and wellbeing as well as reduced capacity to maintain health. Despite the challenging conditions caused by poverty, people may consider themselves healthy because they have learned to cope with their situation probably as a result of life experiences which expose people to both challenges and potential solutions. In this paper we present results from studying health and wellbeing challenges and mechanisms to cope with challenges among two different groups of people who are living under conditions of poverty: workers of the Cameroon Development Corporation (CDC) and students of the university of Buea and the university of Yaoundé.
Methods: We performed a cross-sectional study, interviewing 21 CDC workers and 21 students.
Results Our study reveals context-specific stressors emerging from poor work conditions and study pressure as well as non-context-specific stressors perceived by respondents as living conditions, poor healthcare and financial uncertainty. Respondents devised coping mechanisms to overcome exactly those stressors such as searching for additional money sources, preventive action towards hazardous living conditions and alternative medical support.
Conclusion: We conclude that supporting and promoting such avenues is essential for enhanced and continuous coping with stressors.
“…The Norwegian Directorate of Health (2016) has recommended that HLCs adopt an approach based on salutogenesis (Antonovsky, 1987, 1996) and use motivational interviewing (MI) as a counselling approach. Research looking at the evidence of behavioural interventions aiming to promote physical activity and healthy eating among overweight and obese adults has found that interventions emphasizing a person-centred and autonomy-supportive communication style through MI and Self-Determination Theory (SDT) are associated with long-term positive effects (Grieco, Sheats, Winter, & King, 2014; Samdal, Eide, Barth, Williams & Meland, 2017).…”
The aim of this study was to explore how professionals experience user involvement at an individual level and how they describe involving users at Healthy Life Centres. Four focus group interviews were conducted with a total of 23 professionals. Data were analysed using systematic text condensation. Four themes were identified: (1) Involving users through motivational interviewing; (2) Building a good and trustful relation; (3) Assessing and adjusting to the user’s needs and life situation; and(4) Strengthening the user’s ownership and participation in the lifestyle change process. Motivational interviewing was described by the professionals as a way to induce and ensure user involvement. However, seeing motivational interviewing and user involvement as the same concept might reduce user involvement from being a goal in itself and evolve into a means of achieving lifestyle changes. The professionals might be facing opposing discourses in their practice and a dilemma of promoting autonomy and involvement and at the same time promoting change in a predefined direction. Greater emphasis should thus be put on systematic reflection among professionals about what user involvement implies in the local Healthy Life Centre context and in each user’s situation.
Abbreviations: HLC: Healthy Life Centre; MI: Motivational Interviewing; NCD: Non-communicable diseases; STC: Systematic Text Condensation. SDT: Self-determination theory
“…It connects cognition, behaviour and motivation and indicates sense of coherence (SOC) as the single most important ability to mentally survive hardship. A SOC consists of three components: comprehensibility, manageability and meaningfulness (Antonovsky, 1996); it is not bound by cultural context, but any culture can fit the concept in accordance with their culture (Antonovsky, 1996). The Momentary contentment theory emerged from applying classic grounded theory methodology to study the mechanisms behind dealing with life conditions before World War II in an isolated Arctic village where deaths, fishing boats perishing in ocean storms and tuberculosis and other diseases on shore were a natural part of life (Bottolfsen, 1995; Lauritzen, 2005; Sandén, Harrysson et al, 2015).…”
Section: Theoretical Frame Of Referencesmentioning
Purpose: The technocratic and medicalized model of healthcare is rarely optimal for patients. By connecting two different studies we explore the possibilities of increasing quality of life in cancer care.
Methods: The first study captures survival strategies in a historically isolated Arctic village in Norway resulting in Momentary contentment theory, which emerged from analysing four years of participant observation and interview data. The second study conceptualizes everyday life of cancer patients based on in-depth interviews with 19 cancer patients; this was conceptualized as Navigating a new life situation. Both studies used classic grounded theory methodology. The connection between the studies is based on a health design approach.
Results: We found a fit between cancer patients challenging life conditions and harsh everyday life in an Arctic village. Death, treatments and dependence have become natural parts of life where the importance of creating spaces-of-moments and a Sense of Safety is imminent to well-being. While the cancer patients are in a new life situation, the Arctic people show a natural ability to handle uncertainties.
Conclusion: By innovation theories connected to design thinking, Momentary contentment theory modified to fit cancer care would eventually be a way to improve cancer patients’ quality of life.
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