Healthy Alliance Research Articles

Building and sustaining a healthy alliance and network facilitated by participatory action research

Abstract Background In health promotion programmes (HPP), it is crucial to have intersectoral collaboration within coalitions and to build networks between health and other societal sectors. However, collaboration in coalitions and networks does not develop just because it is needed. Several factors that affect intersectoral collaboration are identified and defined as prerequisites for success in coordinated action for health in the Healthy Alliances (HALL) framework. A health broker role is recognised as being helpful in connecting the coalition with the broader network, and participatory action research is deemed supportive because it facilitates evaluation, reflection, learning, and action. Because insight into how processes that affect collaboration develop over time lack, this study aimed to provide insights into the processes that facilitate building and maintaining a coalition and its network within a HPP programme. Methods As part of participatory action research, the coordinated action checklist (CAC) and a composed network analysis (CNA) were used in 2018 and repeated in 2019. Respondents were coalition members (n = 6). The CAC and CNA results were linked back into the coalition in five group sessions and used for reflection on progress and future planning. Results Coalition governance, interaction with the context, network building and brokerage, and generating visibility emerged as the most prominent processes. Important insights concerned the health broker's role and positioning, the programme coordinator's leadership, and the importance of visibility and trust leading to investment in continuation. Conclusions The combined research instruments and group sessions supported discussion and reflection, sharing visions, and adjusting working strategies, thereby strengthening the coalition's capacity. Thus, participatory action research was useful for evaluating and simultaneously facilitating the processes that affect collaboration. Key messages Participatory action research is useful for evaluating and simultaneously facilitating the processes that affect collaboration. Besides insights into the processes that facilitate building and sustaining a coalition and its network, the yields of the collaboration became visible through participatory action research.

Family of Origin as Cultural Messengers in the Training Context

A novel Family of Origin as Supervisory Resource Model that harnesses the family of origin of the therapist-in-training as a cultural supervisory resource in the training paradigm is presented. The format of the model comprises three phases: supervisor’s exploration of the trainee’s professional dilemmas, supervisor’s exploration of the same dilemma through stories narrated by the supervisee’s family of origin members, and supervisee’s presentation of a case that is an example of the dilemma. The application of this training model during supervision strengthens the trainee’s flexibility in divergent family systems and enhances the ability to handle dilemmas and to form a healthy therapeutic alliance.

Analysis of Determinant Factors Performance of Alliance Strategy: Empirical Study in Learning Guidance in DKI Jakarta

The alliance strategy is one solution to face the speed of competition in the business world or business. Strategic alliances are cooperative strategies in the form of partnerships that help bring together the strengths of each party in order to benefit each other in the form of long-term benefits and competitiveness in the market. The Alliance strategy can be judged successful or not by measuring the performance of the strategic alliance, because the most commonly used alliance measure is performance. So that a healthy alliance strategy implemented by a company is to see and evaluate the performance of the company's alliance strategy.This research was conducted with a non-sampling method or census of 132 (one hundred thirty-two) branches in DKI Jakarta in one of the companies in the field of education originating from Japan and developing an alliance strategy in Indonesia. Data collection is done by questionnaire and meet with the owners or branch leaders directlyFrom this study it was concluded that Goodwill trust, Competence Trust and Tangible & Intangible Resources Sharing had a positive influence on the performance of the alliance's strategy. Besides Tangible & Intangible Resources Sharing as an intervening variable is able to mediate the relationship of Goodwill trust and Competence Trust on the performance of the alliance's strategy.

Ecological Model of Physical Activity Determinants for Children and Adolescents in Poland Compared to Global Research - Part 1

Aim of research. 1. Presenting the position taken by Poland in the international Active Healthy Kids Global Alliance (AHKGA) ranking of the potential physical activity determinants among children and adolescents aged 10-18. 2. Evaluating the implementation of the ecological model of physical activity according to international criteria. 3. Assessing the effectiveness of implementing the ecological model of physical activity in the world, taking the criteria of its functioning into account. Research methods. In obtaining materials and analysing them, the following methods were used in our research: non-reactive research (research and secondary analysis). In accordance with the methodology of social sciences, in non-reactive research, 2 techniques were used: desk research and content analysis). Research results. The physical activity/behaviour of Polish children can be considered average compared to their peers living in various parts of the world. This means that only a small percentage of children in Poland meet the WHO recommendations for daily physical activity (at a combined moderate and vigorous level) in order to counteract the negative effects of a sedentary lifestyle. The best performing area in this respect is school, where activities are focused on improving school infrastructure and physical education classes. There are no representative studies regarding the physical activity of children under the age of 9, and there is a complete lack of scientific analyses in the area of active play. The evidence for a change concerning the methodological paradigm in the approach to building a model of physical activity determinants is the already widespread use of the ecological model, proposed by Sallis et al. in 2002. Conclusions: The conclusions proposed the experts regarding the first Polish Charter of Physical Activity for Children and Youth indicate a need to disseminate activities supporting physical activity and to undertake constant monitoring of changes taking place in the areas of individual domains of the ecological model of physical activity determinants.

Assessment of Physical Activity Indicators for Children and Youth in Ethiopia: Evidence from the Global Matrix 3.0 Study (2017\u20132018)

BackgroundRegular physical activity is vital for children’s health, well-being, and development. However, evidence is scant about physical activity indicators for children and youth in Ethiopia. This study aimed to assess physical activity indicators among children and youth in Ethiopia.MethodsThis study was conducted as part of the Active Healthy Kids Global Alliance’s “Global Matrix 3.0” which included 49 countries. Data were collected from December 2017 to April 2018. The country research team included different disciplines related to physical activity. Data were retrieved from pre-reviewed literature, government policy documents, and an expert interview panel. Data were analyzed using the ten physical activity indicators for children and youth. The grading system was done through a harmonized process and the standard grading rubric of the Global Matrix 3.0 study ((A = ≥ 80%, B = 60%–79%, C = 40%–59%, D = 20%–39%, F = < 20%, INC = incomplete data).ResultsFor the overall physical activity indicator, 28% of children and youth in Ethiopia met the recommended physical activity of 60 min per day which resulted in a “D” grade. Likewise, the school and government indicator received a “D” grade. Almost 32% of schools in Ethiopia had access to infrastructures and multipurpose spaces for physical activity including outdoor play. The government policy partially existed in the non-communicable diseases agenda but had less focus on children and youth. The active play indicator scored the highest grade of “B.” About 71% of children and youth were involved in active play for at least 2 h a day before, during, and after school. About 50% of children and youth were engaging in organized sport participation, and this indicator was graded a “C.” Similarly, 48% of children and youth walked to and from school as a means of active transportation resulting in a “C” for this indicator. Three indicators (sedentary behavior, family and peers, and community and environment) were graded as an “F.” Approximately 8% of children and youth were living in communities and environments that did not support opportunities for physical activity. Only 13% of children and youth spent less than 2 h per day in sedentary screen time. There was no adequate information to grade the physical fitness indicator.ConclusionThis study showed that Ethiopian’s children and youth have received low grades for majority of physical activity indicators. Therefore, urgent actions should be taken by the government, policymakers, researchers, and key stakeholders to address the suggested priority areas.

Рівень залученості дітей та підлітків до різних форм рухової активності в Україні та країнах членах Active Healthy Kids Global Alliance

Рівень залученості дітей та підлітків до різних форм рухової активності в Україні та країнах членах Active Healthy Kids Global Alliance

Building Blocks for Healthy Alliance Coordination: A Micro Framework for Macro Efficiency

Building Blocks for Healthy Alliance Coordination: A Micro Framework for Macro Efficiency

Maternalism: a healthy alliance for recovery and transition in eating disorder services.

The therapeutic relationship is pivotal to mental health nursing, but very little is known about how it is experienced in adult eating disorder services. This paper reports on a research project that sought to discover how the therapeutic relationship is experienced between care workers and women with anorexia nervosa in an adult eating disorder service. Both care workers and women spoke of a relationship that had similarities to the mother-daughter relationship, that it felt therapeutic and that it was in keeping with a professional and compassionate nursing approach. These findings provide new insight. Maternalism is seen as a positive, nurturing and transient relationship that ensures the safety of the person and promotes recovery and transition to eventual independence. This paper reports on a UK interpretative phenomenological research study that aimed to explore the lived experience of the relationship between women with anorexia and their care workers in the context of a specialist eating disorder (ED) unit. Here, the concept of maternalism as a phenomenon occurring within the therapeutic relationship in specialist ED units is discussed. Consideration is given to the parallel roles of the health care worker whose duty it is to protect, preserve life and to promote health and that of a mother/guardian. Although seemingly simplistic, the comforting, soothing and nurturing techniques that are used by the workers to diffuse distress and help the person feel cared for have many similarities to 'mothering'. Hence, a maternalistic approach that provides a sense of security and nurturing can be a compassionate way to facilitate hope and a route out of their anorexia into recovery, in the same way that good parenting can facilitate maturation and independence.

Applying science to drug discovery

Scientists and science in the pharmaceutical industry rely heavily on the more academically orientated basic research carried out at Universities, for first of all training, but also as a source of new ideas and approaches to drug discovery. Progress in the discovery and development of novel therapeutics benefits from a healthy alliance with, and the output from, more basic research institutions, and the reverse is also true, with many advances in understanding of physiological and pathological processes being as the result of the application of novel targeted molecules. To illustrate this, some examples related to the themes of this meeting from my experiences in three different companies will be described. The first involves a metabolic angle in the unravelling of the mechanism of the novel anti-anginal agent ranolazine. The second describes the application of detailed knowledge of insulin structure and action to then use recombinant approaches to design novel molecules to be able to offer the Type I (insulin-dependent) diabetic patient therapies allowing a more physiological treatment regime, and also the further application of learned technology to then discover a means of harnessing the potential of GLP-1 (glucagon-like polypeptide 1) for treating Type II (non-insulin-dependent) diabetes. The last illustrates how findings of novel binding sites on glycogen phosphorylase and glucokinase as the result of drug discovery programmes have led to increased understanding of these key metabolic enzymes and also potential new therapies for Type II diabetes.

Applying science to drug discovery

Scientists and science in the pharmaceutical industry rely heavily on the more academically orientated basic research carried out at Universities, for first of all training, but also as a source of new ideas and approaches to drug discovery. Progress in the discovery and development of novel therapeutics benefits from a healthy alliance with, and the output from, more basic research institutions, and the reverse is also true, with many advances in understanding of physiological and pathological processes being as the result of the application of novel targeted molecules. To illustrate this, some examples related to the themes of this meeting from my experiences in three different companies will be described. The first involves a metabolic angle in the unravelling of the mechanism of the novel anti-anginal agent ranolazine. The second describes the application of detailed knowledge of insulin structure and action to then use recombinant approaches to design novel molecules to be able to offer the Type I (insulin-dependent) diabetic patient therapies allowing a more physiological treatment regime, and also the further application of learned technology to then discover a means of harnessing the potential of GLP-1 (glucagon-like polypeptide 1) for treating Type II (non-insulin-dependent) diabetes. The last illustrates how findings of novel binding sites on glycogen phosphorylase and glucokinase as the result of drug discovery programmes have led to increased understanding of these key metabolic enzymes and also potential new therapies for Type II diabetes.

News

Linda leads a healthy alliance on diet Campaigning for the health of the world Stamping out stigma News in brief: Tobacco ad ban Allergenic weather Public demand say

Healthy alliances and social action broadcasting: assessment of a local radio project

The Listen To Your Heart (LTYH) project is an example of a 'healthy alliance' between district health authorities in the West Midlands, a local radio station and the Health Education Authority. The project had a number of innovative features - institutional, educational and organisa tional — which underpinned its social action broadcasting approach to health-related lifestyle changes, This paper focuses mainly on the organisa tional aspect of innovation, involving health professionals as co-designers and co-producers of health promotion materials in partnership with broadcasters and other media professionals, and the development of their competence in using the mass media.

Celebrating health in Humberside schools

The Humberside Health Promoting School Award Scheme aims to provide a common framework for schools to address several issues on the education and health agendas. It encourages a whole‐school approach and enables development of policy, curriculum and school ethos in relation to health. The scheme is designed to be developmental and supportive rather than judgemental or prescriptive, and enables the celebration of achievements in health promotion in all schools, whatever their circumstances. The management group, comprising commissioners and service providers from health, education and business, is a model of “healthy alliance” good practice.

Healthy alliance? The relevance of health professionalsto housing management

British public policy now relies on the development of ‘healthy alliances’ to meet thecare, support and servicing needs of people with health problems and mobility difficulties. Such alliances are not, however, new; notably, housing policy is frequently used as a health intervention. This paper examines the character and effectiveness of the resulting alliance between health professionals and housing managers, and considers its future prospects.

A healthy alliance

Sex education in many schools is inadequate, argues Gill Lenderyou, with community health nurses ideally placed to fill the gap

Treatment implications of chemical dependency models an integrative approach.

Five basic models of chemical dependency and their treatment implications are described. The moral model, although disdained by most treatment professionals, actually finds expression in over half the steps of Alcoholics Anonymous. The learning model, albeit the center of the controlled drinking controversy, is also utilized by most abstinence-oriented programs. The disease model, which enjoys current popularity, sometimes ignores the presence of coexisting disorders. The self-medication model, which tends to regard chemical dependency as a symptom, can draw needed attention to coexisting disorders. The social model emphasizes the importance of environmental and interpersonal influences in treatment, although the substance abuser may endorse it as a justification to adopt a victim's role. A sixth model, the dual diagnosis model, is presented as an example of how two of the basic models can be integrated both to expand the treatment focus and to increase treatment leverage. Whereas the five basic models are characterized by a singular, organizing treatment focus, the dual diagnosis model is viewed as an example of a multifocused, integrative model. It is concluded that effective therapy requires (a) flexibility in combining elements of different models in order to individualize treatment plans for substance abusers, and (b) careful assessment of both the therapist's and the substance abuser's beliefs about treatment models in order to insure a treatment match based on a healthy alliance.

Coping with the Interminable Patient

Severely disturbed patients who remain with a therapist for lengthy treatment can pose unique and problematic issues for the therapist. Eight concrete suggestions are outlined and discussed in an effort to help therapists minimize negative countertransference issues and preserve a healthy therapeutic alliance. Areas covered include fees, time allowances, supervision and support, limit setting, use of resources, and realistic therapy goals.