Revitalizing the setting approach - supersettings for sustainable impact in community health promotion.
Revitalizing the setting approach - supersettings for sustainable impact in community health promotion.
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DOI：
10.1186/s12966-014-0118-8
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发表时间：
2014-09-14
期刊：
影响因子：
--
通讯作者：
Jensen BB
中科院分区：
文献类型：
--
作者：
Bloch P;Toft U;Reinbach HC;Clausen LT;Mikkelsen BE;Poulsen K;Jensen BB
健康促进的概念基于旨在使人们增强对健康的控制和改善健康的愿望。在学校、家庭和工作场所等环境中促进健康促进行动。作为对促进健康生活方式的贡献，我们进一步开发了设置方法，努力使其与健康促进和公共卫生行动的当代现实（和复杂性）相协调。本文介绍了一种修改后的概念，即超集方法，该方法建立在对当地社区环境中嵌入的多样化和有价值的资源的优化利用以及社会互动和当地所有权作为变革过程驱动因素的优势的基础上。基于超设置方法的干预措施的首要特点是综合性，但也具有参与性、赋权性、情境敏感性和知识性。基于“健康与当地社区”的介绍，这是一项旨在预防丹麦市生活方式疾病的超级倡议，本文讨论了使用超级方法支持当地社区干预措施的潜力和挑战。超级设置方法是设置方法的进一步发展，其中强调综合协调行动和参与性方法的重要性，并明确重要原则，所有这些都有助于实现超级设置举措的协同效应和可持续影响。超设置方法是一种生态方法，它将个体置于社会、环境和文化背景中，并要求以整体视角从人们的日常生活环境出发，改变潜力和发展过程。超集方法主张通过公共机构、私营企业、非政府组织和民间社会等不同行为者的综合努力和长期伙伴关系，优化健康促进行动的有效性。超设置方法是一个相关且有用的概念框架，用于制定基于干预的举措，以对社区健康促进产生可持续影响。它力求通过在多种环境下以协调的方式开展的活动获得协同效应。超集方法基于生态和全系统思维，规定了整合、参与、赋权、情境和基于知识的发展的重要原则和价值观。
The concept of health promotion rests on aspirations aiming at enabling people to increase control over and improve their health. Health promotion action is facilitated in settings such as schools, homes and work places. As a contribution to the promotion of healthy lifestyles, we have further developed the setting approach in an effort to harmonise it with contemporary realities (and complexities) of health promotion and public health action. The paper introduces a modified concept, the supersetting approach, which builds on the optimised use of diverse and valuable resources embedded in local community settings and on the strengths of social interaction and local ownership as drivers of change processes. Interventions based on a supersetting approach are first and foremost characterised by being integrated, but also participatory, empowering, context-sensitive and knowledge-based. Based on a presentation of “Health and Local Community”, a supersetting initiative addressing the prevention of lifestyle diseases in a Danish municipality, the paper discusses the potentials and challenges of supporting local community interventions using the supersetting approach. The supersetting approach is a further development of the setting approach in which the significance of integrated and coordinated actions together with a participatory approach are emphasised and important principles are specified, all of which contribute to the attainment of synergistic effects and sustainable impact of supersetting initiatives. The supersetting approach is an ecological approach, which places the individual in a social, environmental and cultural context, and calls for a holistic perspective to change potentials and developmental processes with a starting point in the circumstances of people’s everyday life. The supersetting approach argues for optimised effectiveness of health promotion action through integrated efforts and long-lasting partnerships involving a diverse range of actors in public institutions, private enterprises, non-governmental organisations and civil society. The supersetting approach is a relevant and useful conceptual framework for developing intervention-based initiatives for sustainable impact in community health promotion. It strives to attain synergistic effects from activities that are carried out in multiple settings in a coordinated manner. The supersetting approach is based on ecological and whole-systems thinking, and stipulates important principles and values of integration, participation, empowerment, context and knowledge-based development.
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影响因子：
2.7
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