Presentation on theme: "Ability Expectations of Health Promotion Practitioners Natalie Ball, Dr. Gregor Wolbring Faculty of Medicine, University of Calgary, Calgary, Alberta Canada."— Presentation transcript:
Ability Expectations of Health Promotion Practitioners Natalie Ball, Dr. Gregor Wolbring Faculty of Medicine, University of Calgary, Calgary, Alberta Canada Background Health promotion is the process of enabling people to increase control over, and to improve, their health(1). Advocates of health promotion have expressed the need for increased training of health promotion practitioners and a greater focus on community empowerment and cooperation with (rather than control of) communities and stakeholders in the future (2). Given the changing landscape in health promotion (3) the authors examined current issues, methods and theories in health promotion through an ableism lens and asked the question: what abilities are being expected of health promotion practitioners or will be expected of them in the future? A compilation of core competencies expected of health promotion was produced, which may have implications for training health promotion practitioners Method A scoping review was performed following Arksey and OMalley (4). It examined the ability expectation of health promotion and its practitioners. First set of inclusion criteria for all articles included: Published in full-text English in Google Scholar between January 1, 2010 and December 31, 2011 We found for the following keywords "health promotion method" (n=21) ; "health promotion theory" (n=217); "Future of health promotion" (n= 85); "Vision for health promotion" (n=15) and health promotion framework" (n=126 ) articles Second set of inclusion criteria Must be published in a peer-reviewed journal Focus of article must be health promotion Article must introduce or discuss a method, theory or framework within health promotion; result n=54) References Discussion The abilities that were identified in the HP literature highlighted how much we are expecting of our health promotion practitioners. The abilities expected are multiple and wide-ranging, from researcher to mediator to counselor. The great number of abilities expected, we believe, illustrates the need for many health promotion practitioners in a wide variety of settings from a wide variety of backgroundsit would be near impossible for one person to possess all of the abilities that were identified in the literature. Additionally, these expectations showcase just how much we expect health promotion as an institution to accomplish: we expect to change health by taking into account all of the factors that impact it, which could be infinite. For such an expansive task, it seems that a great deal of labour and resources are justified to accomplish it. Needs in Health Promotion# of articles appeared in (n=54) More Accurate Assessment12 More Practical Methods14 Use of Appropriate Methods6 More Research Needed29 More Training/Education for Practitioners15 Increasing Accessibility (see above for breakdown) 17 Using Multiple Methods to Achieve Outcomes 17 More Focus on Vulnerable Populations6 More Focus on Consumer/Participant Opinion 13 Increased EmpowermentCommunity19 Increased EmpowermentIndividual19 Engage Stakeholders13 Increase Advocacy9 Increased Focus on Context35 Clearer/Agreed-Upon Definitions13 Need to Provide Evidence25 Improved Leadership11 Decreased Focus on Individual Behaviours11 Increased Cohesion/Collaboration Between Groups 24 Increased Funding/Resources5 Increased Focus on Gender Issues2 Clearer Implications for Practice14 Decreased Use of Strict Medical Model11 Greater Bridging Between Theory/Practice14 More Focus on Culture7 Smaller Scope2 View Health as a Whole13 Decreased Use of Reductionism3 Better Dissemination3 Ability Expectations in Health Promotion# of articles appeared in (n=54) Changing levels of physical activity2 Evaluating Interventions4 Translating Research into Practice7 Strengthen/Encourage Community Action5 Building Skills/Capacities5 Get Funding/Have Flexible Funding2 Be Creative1 Building Relationships5 Change Public Policy4 Create Supportive Environments5 Change Health Care Services3 Generate Knowledge5 Provide Evidence3 Prioritize1 Holistic View of Health6 Focus on SDOH8 Increasing Access to Services2 Evidence-Based Practice4 Realistic Expectations1 HP Practitioners have a Collective Identity 1 Use Theory in Practice3 Work Across Multiple Sectors3 Change/Increasing Employment1 Encouraging Education2 Increasing Cohesion Between Sectors/Groups 4 Sensitive to the Needs/Expectations of Stakeholders/Intervention Targets 3 Prevent Injuries1 Consider Gender in Frameworks1 Develop Common, Clear Definitions2 Lead in Public Health Governance1 Influence Eating Habits1 Empower Others5 Sensitivity to Culture2 Understanding of Underlying Contextual Factors 5 Understanding of Development/Behaviour2 1.Geneva W. 1. World Health Organisation: Ottawa charter for health promotion. J Health Promotion. 1986;1: Mittelmark M. Shaping the future of health promotion: priorities for action. Promotion and Education. 2008;23: Lindström B, Eriksson M. Salutogenesis. Journal of Epidemiology and community health. 2005;59(6): Arksey H, O'Malley L. Scoping studies: towards a methodological framework. International journal of social research methodology. 2005;8(1): Table 1. Identified needs within health promotion. Numbers on the right represent the raw number of articles that the theme was found to appear in. Table 2. Identified ability expectations within health promotion. Numbers on the right represent the raw number of articles that the theme was found to appear in.