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Vidal-Sánchez MI, Cantero-Garlito PA, Gasch-Gallén Á. Professional Perspectives on Children's Health Assets: A Delphi Study. Healthcare (Basel) 2024; 12:506. [PMID: 38470616 PMCID: PMC10930817 DOI: 10.3390/healthcare12050506] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2023] [Revised: 02/08/2024] [Accepted: 02/16/2024] [Indexed: 03/14/2024] Open
Abstract
This study aims to describe a local community expert's perspective on the identification of and access to children's health assets and to gather proposals to promote children's health and well-being within their community. The health asset approach is essential for health promotion, and there is evidence of its benefits to individuals' or communities' health when this approach is observed. Children's health assets are gaining increasing interest, but the literature that captures the perception of professionals working with children is scarce. Qualitative research designed with Delphi methodology was carried out with the participation of 25 professionals working in a neighbourhood with children and families. The participants stated that this neighbourhood was a good environment for the healthy and happy growth of children but pointed out that there were inequities. They emphasised the importance of economic and physical security and feeling loved. The absolute best aspects of the neighbourhood according to these experts were its support networks, mutual help, educational and health services, and green spaces, and the most deficient aspects were the possibility of a hopeful future and emotional support within the family unit. Poverty and/or the scarcity of economic resources were identified as the main barriers to accessing health assets. Special difficulties in access to health for migrant and Roma children were also identified. The panel of experts made concrete action proposals. It was recommended to support resources and services that already exist in their community. The experts prioritised work with families, education, working in conjunction with vulnerable groups, community participation, and networking.
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Affiliation(s)
- María Isabel Vidal-Sánchez
- Physiatrist and Nursing Department, Health Science Faculty, Zaragoza University, 50009 Zaragoza, Spain; (M.I.V.-S.); (Á.G.-G.)
- GIIS104-Wellbeing, Occupation, Participation and Health Research Group (IBiOPS), Institute for Health Research Aragón, Zaragoza University, 50009 Zaragoza, Spain
| | - Pablo A. Cantero-Garlito
- Nursing, Physiotherapy and Occupational Therapy Department, Health Science Faculty, Castilla La Mancha University, 45600 Talavera de la Reina, Spain
| | - Ángel Gasch-Gallén
- Physiatrist and Nursing Department, Health Science Faculty, Zaragoza University, 50009 Zaragoza, Spain; (M.I.V.-S.); (Á.G.-G.)
- GIIS094-Research Group Nursing Research in Primary Care in Aragón (GENIAPA), Institute for Health Research Aragón, Zaragoza University, 50009 Zaragoza, Spain
- GIIS011-Aragonese Research Group in Primary Care (GAIAP), Institute for Health Research Aragón, Zaragoza University, 50009 Zaragoza, Spain
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Seah B, Espnes GA, Hong WT, Wang W. Salutogenic Healthy Ageing Programme Embracement (SHAPE)- an upstream health resource intervention for older adults living alone and with their spouses only: complex intervention development and pilot randomized controlled trial. BMC Geriatr 2022; 22:932. [PMID: 36460959 PMCID: PMC9719210 DOI: 10.1186/s12877-022-03605-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2022] [Accepted: 11/09/2022] [Indexed: 12/04/2022] Open
Abstract
BACKGROUND In view of age-related health concerns and resource vulnerabilities challenging older adults to age in place, upstream health resource interventions can inform older adults about the availability, accessibility, and utility of resources and equip them with better coping behaviours to maintain health and independence. This paper described the development process and evaluated the feasibility of an upstream health resource intervention, titled Salutogenic Healthy Ageing Programme Embracement (SHAPE), for older adults living alone or with spouses only. METHODS A pilot randomised controlled trial design was adopted. SHAPE was designed to equip older adults with resource information and personal conviction to cope with stressors of healthy aging. This 12-week intervention comprised 12 weekly structured group sessions, at least two individual home visits and a resource book. Both the intervention and control groups received usual care provided in the community. Feasibility of SHAPE intervention was evaluated using recruitment rate, intervention adherence, data collection completion rate, satisfaction survey and post-intervention interview. Outcome measures (sense of coherence, health-promoting lifestyle behaviours, quality of life, self-efficacy, and self-rated health) were assessed at baseline and post-intervention. Paired t-tests were used to examine within-group changes in outcome measures. Content analysis was used to analysed qualitative data. RESULTS Thirty-four participants were recruited and randomised. While recruitment rate was low (8.9%), intervention adherence (93.75%) and data collection completion (100%) were high. Participants expressed high satisfaction towards SHAPE intervention and found it useful. Participants experienced mindset growth towards personal and ageing experiences, and they were more proactive in adopting healthful behaviours. Although the programme was tailored according to needs of older adults, it required refinement. Intention-to-treat analysis showed significant increase in overall health-promoting lifestyle behaviours, health responsibility, physical activity, spiritual growth, and stress management among intervention participants. However, they reported a significant drop in autonomy post-intervention. CONCLUSION Findings of this pilot trial suggested that with protocol modifications, SHAPE can be a feasible and beneficial health resource intervention for older adults. Modifications on recruitment strategies, eligibility criteria, selection of outcome measures, training of resource facilitators and strong collaboration bonds with community partners would be needed to increase feasibility robustness and scientific rigor of this complex intervention. TRIAL REGISTRATION This study has been registered with clinicaltrials.gov on 10/05/2017. The trial registration number is NCT03147625.
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Affiliation(s)
- Betsy Seah
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Clinical Research Centre, Block MD11, Level 3, 10 Medical Drive, Singapore, 117597, Singapore. .,Health Concepts and Measurements-HealthierSG, 116B Rivervale Drive, #12-30, Singapore, 542116, Singapore.
| | - Geir Arild Espnes
- NTNU Center for Health Promotion Research, Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Postbox 8905, Trondheim, N-7491, Norway
| | - Wee Tin Hong
- Health Concepts and Measurements-HealthierSG, 116B Rivervale Drive, #12-30, Singapore, 542116, Singapore
| | - Wenru Wang
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Clinical Research Centre, Block MD11, Level 3, 10 Medical Drive, Singapore, 117597, Singapore
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Pérez-Wilson P, Marcos-Marcos J, Morgan A, Eriksson M, Lindström B, Álvarez-Dardet C. ‘A synergy model of health’: an integration of salutogenesis and the health assets model. Health Promot Int 2020; 36:884-894. [DOI: 10.1093/heapro/daaa084] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Summary
This article proposes to advance the connections between salutogenic theory and assets models for health improvement. There is a need to integrate their use in public health and health promotion so that their respective potentials can be fully developed. This requires their synergies to be made more explicit so that a more coherent approach can be taken to their utilization. A mechanism is therefore needed that helps to raise awareness of them and their value as a resource together. Bronfenbrenner’s bioecological theory provides one framework that can support better integration of salutogenesis with the applied nature of assets-based models. This paper proposes a new ‘synergy model for health’ that integrates key concepts associated with salutogenic theory—generalized and specific resistance resources (GRRs/SRRs) and generalized and specific resistance deficits and the sense of coherence (SOC). In doing so, it highlights those GRRs and SRRs which are assets that, either individually or collectively, help to develop a stronger SOC. Higher levels of SOC can then support the transformations of potential resources into available assets (that people can understand, manage and make sense of), capable of producing positive health development. The proposed ‘Synergy model of health’ aims to contribute to a deeper theoretical understanding of health and development through the integration of the key elements of both salutogenesis and assets models. This can facilitate a better contextualization of the ideas into public health policy and practice by making the salutogenic theory more action-oriented and the assets model more theoretical.
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Affiliation(s)
- Patricia Pérez-Wilson
- Health and Family Medicine Program, School of Medicine, University of Concepcion, Concepcion, Chile
- Public Health Research Group, University of Alicante, Alicante, Spain
| | | | - Antony Morgan
- Yunus Centre for Social Business and Health, Glasgow Caledonian University in London, UK
| | - Monica Eriksson
- Department of Health Sciences, University West, Trollhättan, Sweden
| | - Bengt Lindström
- Nordic School of Public Health, NHV, Västra Frölunda, Sweden
| | - Carlos Álvarez-Dardet
- Public Health Research Group, University of Alicante, Alicante, Spain
- Public Health and Epidemiology Biomedical Research Network (CIBERESP), Madrid, Spain
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Pérez-Wilson P, Álvarez-Dardet C, Ruiz Cantero MT, Martínez-Riera JR, Carrasco-Portiño M. Desarrollo del sentido de comunidad: una propuesta para las universidades promotoras de la salud. Glob Health Promot 2019. [DOI: 10.1177/1757975919859572] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Resumen: Las Universidades Promotoras de la Salud (UPS) promueven que las personas movilicen sus recursos para participar e influir en las decisiones que les afectan, creando oportunidades de desarrollo para la mejora continua de la salud y el bienestar en el campus. La búsqueda de las condiciones que generan salud es la base de la salutogénesis. Desde el modelo de activos en salud, podría visualizarse la comunidad universitaria como un recurso que potencia la capacidad de sus integrantes para mantenerse sanos. Se propone incorporar de manera más explícita entre los lineamientos de la UPS el desarrollo del sentido de comunidad como elemento clave que actuaría de forma sinérgica individual y colectivamente, facilitando que las personas se sientan parte de la comunidad universitaria, se apropien de esta iniciativa y puedan participar activamente de ella, lo que podría ser un elemento de distinción que contribuiría a revitalizar la estrategia de las UPS.
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Affiliation(s)
- Patricia Pérez-Wilson
- Programa de Salud y Medicina Familiar, Facultad de Medicina, Universidad de Concepción, Concepción, Chile
- Programa Universidad Promotora de la Salud (Promosalud) Universidad de Concepción, Concepción, Chile
- Grupo de Investigación de Salud Pública Universidad de Alicante, Alicante, España
| | - Carlos Álvarez-Dardet
- Grupo de Investigación de Salud Pública Universidad de Alicante, Alicante, España
- Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública. CIBERESP, Madrid, España
- Área de Medicina Preventiva y Salud Pública, Universidad de Alicante, Alicante, España
| | - María Teresa Ruiz Cantero
- Grupo de Investigación de Salud Pública Universidad de Alicante, Alicante, España
- Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública. CIBERESP, Madrid, España
- Área de Medicina Preventiva y Salud Pública, Universidad de Alicante, Alicante, España
| | - José Ramón Martínez-Riera
- Grupo de Investigación de Salud Pública Universidad de Alicante, Alicante, España
- Área de Enfermería Comunitaria, Universidad de Alicante, Alicante, España
| | - Mercedes Carrasco-Portiño
- Programa Universidad Promotora de la Salud (Promosalud) Universidad de Concepción, Concepción, Chile
- Grupo de Investigación de Salud Pública Universidad de Alicante, Alicante, España
- Depto. de Obstetricia y Puericultura, Facultad de Medicina, Universidad de Concepción, Concepción, Chile
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Gállego-Diéguez J, Aliaga Traín P, Benedé Azagra CB, Bueno Franco M, Ferrer Gracia E, Ipiéns Sarrate JR, Muñoz Nadal P, Plumed Parrilla M, Vilches Urrutia B. [Networks of experiences on community health as an information system in health promotion: lessons learned in Aragon (Spain)]. GACETA SANITARIA 2018; 30 Suppl 1:55-62. [PMID: 27837796 DOI: 10.1016/j.gaceta.2016.05.016] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/10/2015] [Revised: 05/21/2016] [Accepted: 05/23/2016] [Indexed: 11/18/2022]
Abstract
Networks of community health experiences promote interaction and knowledge management in health promotion among their participants. These networks integrate both professionals and social agents who work directly on the ground in small environments, with defined objectives and inclusion criteria and voluntary participation. In this article, networks in Aragon (Spain) are reviewed in order to analyse their role as an information system. The Health Promotion Projects Network of Aragon (Red Aragonesa de Proyectos de Promoción de la Salud, RAPPS) was launched in 1996 and currently includes 73 projects. The average duration of projects is 12.7 years. RAPPS interdisciplinary teams involve 701 people, of which 89.6% are professionals and 10.6% are social agents. The Aragon Health Promoting Schools Network (Red Aragonesa de Escuelas Promotoras de Salud, RAEPS) integrates 134 schools (24.9% of Aragon). The schools teams involve 829 teachers and members of the school community, students (35.2%), families (26.2%) and primary care health professionals (9.8%). Experiences Networks boost citizen participation, have an influence in changing social determinants and contribute to the formulation of plans and regional strategies. Networks can provide indicators for a health promotion information and monitoring system on: capacity building services in the territory, identifying assets and models of good practice, cross-sectoral and equity initiatives. Experiences Networks represent an opportunity to create a health promotion information system, systematising available information and establishing quality criteria for initiatives.
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Affiliation(s)
- Javier Gállego-Diéguez
- Sistema de Asesoramiento y Recursos en Educación para la Salud (SARES), Dirección General de Salud Pública, Gobierno de Aragón, Zaragoza, España.
| | - Pilar Aliaga Traín
- Sistema de Asesoramiento y Recursos en Educación para la Salud (SARES), Dirección General de Salud Pública, Gobierno de Aragón, Zaragoza, España
| | - Carmen Belén Benedé Azagra
- Grupo PACAP (Programa de Actividades Comunitarias en Atención Primaria) de Aragón, Sociedad Aragonesa de Medicina de Familia y Comunitaria (SAMFYC), Zaragoza, España
| | - Manuel Bueno Franco
- Sistema de Asesoramiento y Recursos en Educación para la Salud (SARES), Dirección General de Salud Pública, Gobierno de Aragón, Zaragoza, España
| | - Elisa Ferrer Gracia
- Sistema de Asesoramiento y Recursos en Educación para la Salud (SARES), Dirección General de Salud Pública, Gobierno de Aragón, Zaragoza, España
| | - José Ramón Ipiéns Sarrate
- Sistema de Asesoramiento y Recursos en Educación para la Salud (SARES), Dirección General de Salud Pública, Gobierno de Aragón, Zaragoza, España
| | - Pilar Muñoz Nadal
- Sistema de Asesoramiento y Recursos en Educación para la Salud (SARES), Dirección General de Salud Pública, Gobierno de Aragón, Zaragoza, España
| | - Manuela Plumed Parrilla
- Sistema de Asesoramiento y Recursos en Educación para la Salud (SARES), Dirección General de Salud Pública, Gobierno de Aragón, Zaragoza, España
| | - Begoña Vilches Urrutia
- Sistema de Asesoramiento y Recursos en Educación para la Salud (SARES), Dirección General de Salud Pública, Gobierno de Aragón, Zaragoza, España
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Cofiño R, Aviñó D, Benedé CB, Botello B, Cubillo J, Morgan A, Paredes-Carbonell JJ, Hernán M. [Health promotion based on assets: how to work with this perspective in local interventions?]. GACETA SANITARIA 2018; 30 Suppl 1:93-98. [PMID: 27481068 DOI: 10.1016/j.gaceta.2016.06.004] [Citation(s) in RCA: 44] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/07/2016] [Revised: 06/01/2016] [Accepted: 06/14/2016] [Indexed: 11/15/2022]
Abstract
An asset-based approach could be useful to revitalise health promotion or community health interventions combining work with multiple partnerships, positive health, community engagement, equity and orientation of health determinants. We set some recommendations about how to incorporate the assets model in programmes, projects and interventions in health promotion. Some techniques are described for assets mapping and some experiences with this methodology being developed in different regions are systematised. We propose the term "Asset-based Health Promotion/Community Health" as an operational definition to work at the local level with a community engagement and participatory approach, building alliances between different institutions at the state-regional level and trying to create a framework for action with the generation of evaluations and evidence to work on population interventions from the perspective of positive health.
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Affiliation(s)
- Rafael Cofiño
- Observatorio de Salud en Asturias, Dirección General de Salud Pública, Oviedo (Asturias), España; Escuela Andaluza de Salud Pública, Granada, España.
| | - Dory Aviñó
- Fundación para la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO), Valencia, España
| | - Carmen Belén Benedé
- Unidad de Investigación Atención Primaria Aragón, Grupo PACAP Aragón, Zaragoza, España
| | - Blanca Botello
- Distrito de Atención Primaria Condado-Campiña, Servicio Andaluz de Salud, La Palma del Condado (Huelva), España
| | - Jara Cubillo
- Centro de Salud Leganés Norte, Leganés (Madrid), España
| | - Antony Morgan
- Glasgow Caledonian University, Glasgow, United Kingdom
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García-Moya I, Morgan A. The utility of salutogenesis for guiding health promotion: the case for young people's well-being. Health Promot Int 2018; 32:723-733. [PMID: 26893502 DOI: 10.1093/heapro/daw008] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Twenty years have passed since the publication of the seminal paper 'The salutogenic model as a theory to guide health promotion' (Health Promot Int 1996;11:11-18.), in which Antonovsky proposed salutogenesis and its central construct sense of coherence as a way of boosting the theoretical basis for health promotion activities. Since then there has been a notable amount of conceptual and empirical work carried out to further explore its significance. The aim of this paper is to critically assess the current theoretical status of salutogenesis and its utility to advance effective health promotion practice for young people. The assessment was carried out in the context of contemporary international policy agendas on well-being. An analytic framework was developed using the previous literature on the definition and function of theory. This organizing framework comprised four criteria: description, explanation, prediction and measurability. The paper concludes with a perspective on the status of salutogenesis as a theory and how it can be further developed. Specifically, the critical assessment highlighted that salutogenesis has been subjected to considerable empirical testing over the last few decades resulting in convincing evidence of the relevance and subsequent advancement of the idea. However, less emphasis seems to have been placed on a systematic process of testing and iteration to develop its theoretical basis. The paper identifies a number of aspects that should be developed to support the progression of salutogenesis to the next level. A research-practice cycle approach is proposed that can facilitate that important next step.
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Affiliation(s)
- Irene García-Moya
- Department of Developmental and Educational Psychology, University of Seville, C/ Camilo José Cela, s/n, C.P. 41018 Sevilla, Spain
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Pons-Vigués M, Berenguera A, Coma-Auli N, Pombo-Ramos H, March S, Asensio-Martínez A, Moreno-Peral P, Mora-Simón S, Martínez-Andrés M, Pujol-Ribera E. Health-care users, key community informants and primary health care workers' views on health, health promotion, health assets and deficits: qualitative study in seven Spanish regions. Int J Equity Health 2017; 16:99. [PMID: 28610633 PMCID: PMC5470288 DOI: 10.1186/s12939-017-0590-2] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2016] [Accepted: 05/26/2017] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Although some articles have analysed the definitions of health and health promotion from the perspective of health-care users and health care professionals, no published studies include the simultaneous participation of health-care users, primary health care professionals and key community informants. Understanding the perception of health and health promotion amongst these different stakeholders is crucial for the design and implementation of successful, equitable and sustainable measures that improve the health and wellbeing of populations. Furthermore, the identification of different health assets and deficits by the different informants will generate new evidence to promote healthy behaviours, improve community health and wellbeing and reduce preventable inequalities. The objective of this study is to explore the concept of health and health promotion and to compare health assets and deficits as identified by health-care users, key community informants and primary health care workers with the ultimate purpose to collect the necessary data for the design and implementation of a successful health promotion intervention. METHODS A descriptive-interpretive qualitative research was conducted with 276 participants from 14 primary care centres of 7 Spanish regions. Theoretical sampling was used for selection. We organized 11 discussion groups and 2 triangular groups with health-care users; 30 semi-structured interviews with key community informants; and 14 discussion groups with primary health care workers. A thematic content analysis was carried out. RESULTS Health-care users and key community informants agree that health is a complex, broad, multifactorial concept that encompasses several interrelated dimensions (physical, psychological-emotional, social, occupational, intellectual, spiritual and environmental). The three participants' profiles consider health promotion indispensable despite defining it as complex and vague. In fact, most health-care users admit to having implemented some change to promote their health. The most powerful motivators to change lifestyles are having a disease, fear of becoming ill and taking care of oneself to maintain health. Health-care users believe that the main difficulties are associated with the physical, social, working and family environment, as well as lack of determination and motivation. They also highlight the need for more information. In relation to the assets and deficits of the neighbourhood, each group identifies those closer to their role. CONCLUSIONS Generally, participants showed a holistic and positive concept of health and a more traditional, individual approach to health promotion. We consider therefore crucial to depart from the model of health services that focuses on the individual and the disease toward a socio-ecological health model that substantially increases the participation of health-care users and emphasizes health promotion, wellbeing and community participation.
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Affiliation(s)
- Mariona Pons-Vigués
- Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Av. Gran Via de les Corts Catalanes 587, àtic, 08007, Barcelona, Spain. .,Universitat Autònoma de Barcelona, Bellaterra (Cerdanyola del Vallès), Spain. .,Universitat de Girona, Girona, Spain.
| | - Anna Berenguera
- Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Av. Gran Via de les Corts Catalanes 587, àtic, 08007, Barcelona, Spain.,Universitat Autònoma de Barcelona, Bellaterra (Cerdanyola del Vallès), Spain
| | - Núria Coma-Auli
- Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Av. Gran Via de les Corts Catalanes 587, àtic, 08007, Barcelona, Spain
| | - Haizea Pombo-Ramos
- Primary Care Research Unit of Bizkaia, Basque Health Service-Osakidetza, Bilbao, Spain
| | - Sebastià March
- Primary Care Research Unit of Mallorca, Balearic Health Services-IbSalut, Palma, Spain.,Instituto de Investigación Sanitaria de Palma, Palma, Spain
| | - Angela Asensio-Martínez
- Aragon Institute for Health Research (IIS Aragon), Zaragoza, Spain.,Department of Psychology and Sociology, University of Zaragoza, Zaragoza, Spain
| | - Patricia Moreno-Peral
- Instituto de Investigación Biomédica de Málaga (IBIMA), Distrito Sanitario Málaga-Guadalhorce, Málaga, Spain
| | - Sara Mora-Simón
- Primary Care Research Unit, The Alamedilla Health Centre, Castilla and León Health Service (SACyL), Biomedical Research Institute of Salamanca (IBSAL), Salamanca, Spain
| | - Maria Martínez-Andrés
- Social and Health Care Research Centre, University of Castilla- La Mancha, Cuenca, Spain
| | - Enriqueta Pujol-Ribera
- Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Av. Gran Via de les Corts Catalanes 587, àtic, 08007, Barcelona, Spain.,Universitat Autònoma de Barcelona, Bellaterra (Cerdanyola del Vallès), Spain.,Universitat de Girona, Girona, Spain
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Moreno C, García-Moya I, Rivera F, Ramos P. Characterization of Vulnerable and Resilient Spanish Adolescents in Their Developmental Contexts. Front Psychol 2016; 7:983. [PMID: 27458397 PMCID: PMC4931796 DOI: 10.3389/fpsyg.2016.00983] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2015] [Accepted: 06/14/2016] [Indexed: 11/13/2022] Open
Abstract
Research on resilience and vulnerability can offer very valuable information for optimizing design and assessment of interventions and policies aimed at fostering adolescent health. This paper used the adversity level associated with family functioning and the positive adaptation level, as measured by means of a global health score, to distinguish four groups within a representative sample of Spanish adolescents aged 13-16 years: maladaptive, resilient, competent and vulnerable. The aforementioned groups were compared in a number of demographic, school context, peer context, lifestyles, psychological and socioeconomic variables, which can facilitate or inhibit positive adaptation in each context. In addition, the degree to which each factor tended to associate with resilience and vulnerability was examined. The majority of the factors operated by increasing the likelihood of good adaptation in resilient adolescents and diminishing it in vulnerable ones. Overall, more similarities than differences were found in the factors contributing to explaining resilience or vulnerability. However, results also revealed some differential aspects: psychological variables showed a larger explicative capacity in vulnerable adolescents, whereas factors related to school and peer contexts, especially the second, showed a stronger association with resilience. In addition, perceived family wealth, satisfaction with friendships and breakfast frequency only made a significant contribution to the explanation of resilience. The current study provides a highly useful characterization of resilience and vulnerability phenomena in adolescence.
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Affiliation(s)
- Carmen Moreno
- Developmental and Educational Psychology, University of SevilleSevilla, Spain
| | - Irene García-Moya
- Developmental and Educational Psychology, University of SevilleSevilla, Spain
| | - Francisco Rivera
- Department of Behavioral Sciences, University of HuelvaHuelva, Spain
| | - Pilar Ramos
- Developmental and Educational Psychology, University of SevilleSevilla, Spain
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Alvarez-Dardet C, Morgan A, Cantero MTR, Hernán M. Improving the evidence base on public health assets—the way ahead: a proposed research agenda. J Epidemiol Community Health 2015; 69:721-3. [DOI: 10.1136/jech-2014-205096] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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