Handbook of Settings-Based Health Promotion

ISBN-13: 9783030958558 / Angielski / Twarda / 2022

Opis

This book's central focus is to provide academics, students, policy-makers, and practitioners with a unique insight into a wide variety of perspectives on settings-based health promotion. It offers clarity amidst different interpretations and ideological understandings of what applying a settings-based approach means. Emphasis is given to a salutogenic focus, exploring how the creation of wellbeing and fostering of potential in settings to best enable individuals and populations to flourish implies that the setting itself must be the entry point for health promotion. Building on this, the text explores how the settings approach to health promotion strives for changes in the structure and ethos of the setting – detailing how changes and developments in people's health and health behavior are easier to achieve if health promoters focus on settings rather than solely on individuals. 

The book comprises 15 chapters organized in three sections:

• In Part I, Evolution, Foundations and Key Principles of the Settings-Based Approach, the first four chapters present the determinants, theoretical basis, and generic commonalities that are consistent over various settings initiatives and formulate the grounds for the settings-based health promotion approach.
• In Part II, Applying the Settings-Based Approach to Key Settings, Chapters 5-13 introduce the key settings initiatives – both traditional and non-traditional (new and contemporary) – with their developments and specific features. 
  
• In Part III, Gaia – The Ultimate Setting for Health Promotion, the last two chapters consider the settings approach in the context of future challenges and explore possible directions for further development.
  

Handbook of Settings-Based Health Promotion has novel information and perspectives on the topic that provide readers with up-to-date specialist knowledge and application of global developments to develop and enhance a common understanding and generate new thinking in relation to contemporary settings. This timely tome will engage the academic community in the fields of health promotion and public health including students, teaching staff, and researchers. Additionally, it is a useful resource for policy-makers and practitioners in these fields.

Spis treści

Preface: The preface provides a concise introduction to the book, outlining the aims, structure, and

contents.

Part I: Evolution, Foundations and Key Principles of the Settings-Based Approach

Part One provides the rationale for this approach in the context of investing for health and

tackling 21st-century public health problems. In this section, the key characteristics of the settings

approach are discussed with a specific focus on the evolution, approaches and key concepts,

theoretical underpinnings, principles, governance, and evaluation. This part of the book also

explores the relationship of the settings approach to wider public health and health promotion

theory.

1.1 Evolution of the Settings-Based Approach

Professor Mark Dooris, Dr Michelle Baybutt, and Dr Sami Kokko

This chapter sets out the development and evolution of the settings approach utilizing a

chronological perspective on:

- conceptual development (including models for understanding and operationalising the settings

approach – e.g. Barić 1993, Galea et al 2000, Whitelaw et al 2001, Dooris 2004, 2006, Paton et al

2005, Kokko et al. 2014)

- policy development (including WHO charters and declarations, examples of national

commitments)

- practice/programme development (including international networks and collaborating centres,

IUHPE developments, examples of national and sub-national activities)

Emerging themes and debates are highlighted in this chapter, as a means of introduction for

later chapters.

1.2 Underlying Approaches and Theoretical Grounds

Professor Mark Dooris, Dr Michelle Baybutt, and Dr Sami Kokko

This chapter sets out the underlying approaches and theoretical grounds and presents a

conceptual framework for the healthy settings approach.

The introduction sets out the need for a conceptual framework, programme theory, and guiding

principles by drawing on, for example, Dooris, Poland et al 2007, and exploring and linking theory

around systems thinking and complexity and, ecological and salutogenic orientation. The chapter

provides a critical focus on:

 Underpinning values

- equity

- partnership [inter-professional and inter-disciplinary]

- participation, empowerment, and resilience

- sustainable development

 Key characteristics – principles, perspectives, and features, to include:

- ecological model

- systems thinking [including open systems and connections to other settings – including

Bronfenbrenner]

 Whole-system organisational development and community development focus

1.3 Principles for Settings-Based Practice

Professor Mark Dooris, Dr Michelle Baybutt, and Dr Sami Kokko

This chapter sets out the key principles for settings-based practice and comprises:

 Framing practice – key cross-cutting issues, to include:

- assets/salutogenesis and deficits/pathogenesis

- balancing project work with long-term whole system [organisational and community]

development and change including building resilience

- securing top-down commitment and bottom-up engagement

- reflecting public health and core business concerns

- tackling inequalities and working within power structures

- being informed by evidence and prioritising innovation and creativity

 Operational practice (e.g., cycle model) – frameworks for the process of engaging and delivering

the setting-based approach

 Sustainability, health, and the settings-based approach: convergence of agendas

1.4 Governance and Policies for the Settings-Based Work

The necessity of securing a supportive policy context at local, national, and international levels are explored in this chapter and includes a critical reflexive discussion with regard to formal and informal policy. Building on policy development set out in 1.1, a more in-depth discussion of WHO charters and declarations, alongside examples of national commitments, are presented. Additionally, the chapter profiles the widely-endorsed and adopted Health in All Policies approach, exploring how this macro focus across multiple sectors and policy areas provides an important context and framework within which to advocate for and develop settings-based health promotion. It also provides a focus on using mainstream mechanisms to enable effective delivery and enhance programme sustainability (including examples from different countries – e.g., UK Sustainability & Transformation Plans).

1.5 Evaluating Settings-Based Health Promotion

This chapter discusses the challenges of evaluating ecological settings-based initiatives and of

building evidence of its effectiveness. Critical perspectives on research and evidence-based public

health are presented – to include complexity, critical realism, and models of learning.

The chapter concludes with a summary of the key issues and suggests ways forward,

particularly emphasising the importance of forging new directions in research and practice

including complexity and critical realist perspectives.

Part II: Applying the Settings-Based Approach to Key Settings

Part Two provides the reader with the criteria for settings-based practice by focusing on specific

settings. This section discusses how the settings approach recognizes that many health

determinants and influences are interrelated and can be best tackled through comprehensive,

integrated programmes in the contexts and places where people spend their lives.

This section provides an in-depth focus on settings-based health promotion in the

following (suggested) settings:

2.1 Healthy Cities

2.2 Health-Promoting Schools

2.3 Health-Promoting Hospitals

2.4 Health-Promoting Universities and Campuses

2.5 Health-Promoting Workplaces

2.6 Health-Promoting Prisons

2.7 Health-Promoting Sports Clubs

2.8 Internet and Social Media as Settings for Health Promotion

2.9 Other Non-Traditional and Emergent Settings for Health Promotion (e.g. day care/learning

centres/pre-school)

Part III: Gaia -- The Ultimate Setting for Health Promotion

Part Three highlights the key future directions and challenges for the settings approach. Each

chapter explores current policy and implications for practice for practitioners working in a range

of settings. Intended to be a supportive handbook, it gives guidance for delivering settings-based

health promotion in traditional and new/emerging contexts.

This section revisits the principles for practice set out in Part One and distills insights from Part

Two to highlight contemporary challenges facing practitioners, policy-makers, and academics

engaged in advocating, developing, delivering, and evaluating settings-based programmes in the

21st century. The suggested chapter themes comprise:

3.1 Global Issues for the Settings-Based Approach (sustainable development, resilience,

urbanisation, etc.)

3.2 Contrasting Challenges for Settings-Based Health Promotion in Developed and Developing

Countries

3.3 Future Directions for Evaluation and Research: The Need for Practice-Based Research/Evidence

3.4 Generic and Settings-Specific Challenges

Conclusion

Dr Michelle Baybutt and Dr Sami Kokko

A reflective summary that draws together the key themes are presented.

O autorze

Sami Kokko is an Associate Professor in Health Promotion and the Director of Research Center for Health Promotion at the Faculty of Sport and Health Sciences in the University of Jyväskylä, Finland. He is a member of the Nordic Health Promotion Research Network and the Global Working Group on Healthy Settings at the International Union for Health Promotion and Education (IUHPE).

Sami’s main research interests are settings-based health promotion, especially in sports club settings, and physical activity/sports-related topics. He has worked at the University of Jyväskylä for almost twenty years and his publications have contributed not only to science, but also to health and physical activity promotion policy and practice.

Michelle Baybutt is a Reader (Associate Professor) in Sustainable Health and Justice, Co-director of the Healthy and Sustainable Settings Unit (HSSU) and Prisons Strand Lead for the Centre for Criminal Justice Research Partnerships at the University of Central Lancashire in the UK. She is a member of the Global Working Group on Healthy Settings at the International Union for Health Promotion and Education (IUHPE) and is Editor of the International Journal of Health Promotion and Education.

Michelle’s academic expertise linking health promotion practice with research and knowledge exchange forms an academic narrative around prisons as a setting for fostering health and wellbeing; notably, the duality of governance/prison health systems and implementation of sustainable public health interventions. Michelle has extensive health promotion and public health expertise working with people in prisons and those with experience of prison in the wider community. She is committed to improving the health and opportunities of people who are socially excluded or marginalised, and to addressing health inequalities and social injustice.