1,721,009 research outputs found

    Benvinguda

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    Acte de benvinguda del Simposi "Construint Ponts, Creant Sinergies per a la Salut" a càrrec del vicerector de Projectes Estratègics i Economia, Jesús Garcia-Gil, dels coordinadors de l' ETC-PHHP, Lenneke Vaandrager i Klaus D.Plümer, i de la directora de la Càtedra de Promoció de la Salut, Dolors Juvinyà3162.mp4 3162.mp

    Benvinguda al 7è Simposi Concha Colomer

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    Acte de benvinguda al 7è simposi Concha Colomer a càrrec de la Dra. Dolors Juvinyà, directora de la Càtedra de Promoció de la Salut de la UdG; Dra. Lenneke Vaandrager i Dra. Anna Bonmatí, coordinadores ETC-PHHP; Dr. Paolo Contu, vice president de l'IUHPE Europa i Dr. Jaume Feliu, delegat pel rector de territori i sostenibilitat de la UdG5783.mp4 5783.mp

    Towards salutogenichealth promotion : organizing healthy ageing programs at the local level

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    Als gevolg van landelijke wetgeving, zoals de Wet Publieke Gezondheid (WPG) en de Wet Maatschappelijke Ondersteuning (WMO), hebben gemeenten meer verantwoordelijkheden gekregen ten aanzien van hun oudere populatie. Het onderzoek beschreven in het proefschrift ‘Towards salutogenic health promotion. Organizing healthy ageing programs at the local level’ moet bijdragen aan het opdoen van kennis over hoe lokale programma’s ten behoeve van gezond ouder worden te ontwikkelen, te implementeren en te evalueren. Drie punten bleken belangrijk bij het ontwikkelen, implementeren en evalueren van gezondheidsprogramma’s voor gezond ouder worden. De perceptie van ouderen zelf: De ideeën die ouderen zelf hebben ten aanzien van gezond ouder worden zijn belangrijk. Een salutogene benadering biedt handvaten om de perceptie van ouderen ten aanzien van nieuwe gezondheidsprogramma’s te onderzoeken. Samenwerken voor gezond ouder worden. Samenwerken draagt bij aan het opbouwen van kennis nodig om gezondheidsprogramma’s te ontwikkelen. Samenwerking is echter niet vanzelfsprekend. Daarom zou samenwerking een expliciet onderdeel moeten zijn van gezondheidsprogramma’s. Combineren van bewijs. Door samenwerking met verschillende partijen is het mogelijk om verschillende vormen van bewijs te combineren. Een voorbeeld hiervan is het programma ‘Voor Elkaar in de Buurt’

    Community health promotion : facilitating and evaluating coordinated action to create supportive environments

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    Introduction Community programs to promote health have been launched all over the world and fit well with Dutch policy that emphasizes the participation of all citizens in all facets of society. However, researchers, practitioners, and policy makers report uncertainty about how to implement and evaluate health promotion programs. In particular, the social environment of health is still overlooked and underexposed due to a lack of consensus on concepts relating to the social environment of health, a lack of information on interventions that bring about social change, and a lack of feasible methods and tools. Consequently, the effectiveness of health promotion may not be evaluated under all relevant headings. Methods The aim of the studies reported in this thesis was to gain the required knowledge to contribute to the development of methods, tools, and theory to facilitate and evaluate community health promotion. Case studies have been selected that are guided by action research or in which action research was part of the research activities. Methods, tools, and theory have been developed, piloted, and evaluated simultaneously and iteratively in the Eindhoven program Working on Healthy Neighborhoods and the Healthy Lifestyles program in Amsterdam. Based on these case studies and the experiences in other Dutch community health programs, factors that are important in community health promotion were identified and a framework to facilitate and evaluate the social environment of health was developed. Based on the factors and the framework a Checklist for Coordinated Action was developed and assessed for usability in six different partnerships: a national program, an academic collaborative and four local partnerships. Results In the Eindhoven program the participatory action research facilitated the restart and continuation of the program, the achievement of intersectoral collaboration, the initiation of community participation, and other accompanying research. In the Amsterdam program, participatory approaches facilitated the participation of 15% of the target population at the desired level in the different phases of the program. The factors important in community health promotion are representation of relevant societal sectors, discussing aims, objectives, roles and responsibilities, communication infrastructure, visibility and management. These factors helped to develop a framework and guidelines which offer operational variables of participation and collaboration and thereby provide common ground for researchers and practitioners. The developed Checklist for Coordinated Action facilitates and evaluates partnerships that differ in context and level, phase of the program and topics addressed. Conclusion The thesis has revealed that action research methods and tools are valuable because they fit community health promotion, they generate actionable knowledge for relevant stakeholders, and they are essential and complementary in capturing and assessing the full effects of a community health promotion intervention. Scientific quality is assured by the use of different verification techniques and scientific criteria. Participation is of cardinal value as it contributes to health and serves multiple purposes in health promotion programs. Systematic learning processes can make participation manageable, and research activities are a proper way to facilitate those learning processes. Nonetheless, the potential of participation has not yet been harnessed. Participation thrives in principle-based programs: programs that are characterized by the co-generation of knowledge by involved stakeholders in a flexible and tailored way. To further develop and harvest the full benefit of participation and principle-based programs, researchers are challenged to broaden their research paradigm, practitioners are challenged to foster and coordinate principle-based programs, participation and learning processes and policymakers are challenged to stimulate and support science and practice. By participating and collaborating supportive social environments for health can be created. <br/

    Healthy aging in complex environments : exploring the benefits of systems thinking for health promotion practice

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    Background Many different stakeholders and contextual factors influence the success or failure of health promotion activities. Conventional approaches and evaluation designs underlying health promotion interventions, often explicitly take contextual variables out of consideration by controlling them. In doing so, relevant information about why a project was successful or failed to reach success remains invisible and ‘black boxed’. Next to this, in health promotion practice, control over contextual variables often is not possible. Aim Given the complexity of health promotion practice, research approaches often do not fit the realities of practice. As a result, health promotion activities are not always experienced as meaningful by all stakeholders involved. This thesis aims to appreciate the complex environment in which health promotion takes place by applying a systems thinking perspective to healthy aging in order to contribute to more robust strategies and interventions to support the aging population. Methods Systems thinking aims to include a diversity of viewpoints on an issue. Therefore, to be able to answer the research questions, multiple methods were required. A combination of literature review, semi-structured and open interviews, interactive workshops, case study and survey research was used. Different sources for data collection included the aging population, local and national stakeholders, and AGORA project members. Results Part I of this thesis concludes that a systems thinking approach strengthens health promotion by 1) including diverse stakeholder perspectives, 2) explicitly addressing contextual factors, and 3) co-creating solutions with all involved. Following this conclusion, Part II addressed the application of systems thinking at the local level by investigating different stakeholders perspectives on healthy aging. Results show how there is a discrepancy between the way aging individuals experience healthy aging as an integral part of everyday life and the way services and interventions are presented with a focus on isolated health themes. Local healthy aging strategies can benefit by taking into account an assets based approach that better matches aging persons’ perspectives. Next to this, collaboration between local stakeholders can be facilitated when shared issues are made visible and contextual preconditions are taken into account. Since the operationalization of systems thinking in health promotion can benefit from learning experiences with application in practice, findings from Part II were discussed in interactive presentations and workshop formats within participating municipalities. This resulted in the co-creation of a model to facilitate collaboration and the co-creation of an intervention through application of this model. The salutogenic concept Sense of Coherence was identified as a promising concept to operationalize systems approaches in health promotion practice. It was therefore expected that quantitative measurement of SOC could provide useful information for both the development and evaluation of health promotion. The OLQ-13 scale to measure Sense of Coherence was therefore investigated for its psychometric properties. Results indicate difficulties with the use of this scale in aging populations. Deleting two items from the original 13 items, improved the functioning of OLQ. Conclusion The importance of the fact that health issues and possible intervention strategies are perceived differently by involved actors was argued within this thesis. Research is one amongst many stakeholders and a systems thinking approach implies linking all kinds of actors in order to enable co-creation of projects. Consequently, the definition of health risks, health determinants, and possible intervention effects have to be verified in both scientific research and everyday practice. Strategies to improve health are context sensitive, and consequently, certain strategies may not work in some settings whereas they function perfectly well in others. Measurement of successes of interventions should therefore use multi-method evaluations combining the use of quantitative and qualitative approaches to gain insight in the ‘black box’ of why an intervention failed or was successful. If not, alternatives are overlooked and at the same time successes may go unnoticed. </p

    Going Beyond Counting First Authors in Author Co-citation Analysis

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    The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed

    Variations on the Author

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    “Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship

    Appropriate Similarity Measures for Author Cocitation Analysis

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    We provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis

    Dispelling the Myths Behind First-author Citation Counts

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    We conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more sophisticated methods
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