Maass Ruca, Lindström Bengt, Lillefjell Monica
Department of Neuromedicine and Movement Science, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway.
NTNU Center for Health Promotion Research, Norwegian University of Science and Technology, Trondheim, Norway.
BMC Public Health. 2017 Sep 12;17(1):704. doi: 10.1186/s12889-017-4705-x.
Providing individuals with psychosocial resources such as sense of coherence (SOC) seems a beneficial strategy for health promotion in the neighborhood. In order to become a supporting theory for health promotion, Salutogenesis should renew its focus on resources for health, and explore how the development of a strong SOC can be facilitated.
Relevant issues were explored using a Grounded Theory- approach. Three focus-group-sessions and three in-depth interviews were conducted with strategically sampled participants. The transcripts of the focus groups were initially analyzed line-by-line to ensure that insights emerged from the data. We then applied focused and systemic analyses to achieve axial coding, and to include insights into how social interactions during focus groups may reveal social processes in real-life-neighborhoods. The data from the in-depth interviews were used to validate and fill emerging categories, as well as to ensure data-saturation.
Findings indicate the importance of repeated experiences with resources and every-day-challenges to develop a strong SOC. Active engagement with resources is a favorable condition for significant experiences, which enhance the internalization of resources. Core experiences are characterized by a re-organization of resources. Participation in intellectual meaning-making through equal power dialogue seems to broaden perspectives and promote the strengthening of SOC. A strong SOC can also be described as a deeper understanding of how and why resources work, which allows for a more flexible use of resources, including replacing missing resources.
A new understanding of SOC as an intuitive understanding of how, why and under which circumstances resources work, as well as a new focus on everyday life and repeated experiences might facilitate new approaches to a purposeful strengthening of SOC through the planning and implementation of public measures.
为个人提供诸如连贯感（SOC）等心理社会资源似乎是邻里健康促进的有益策略。为了成为健康促进的支持理论，健康生成学应重新关注健康资源，并探索如何促进强大的连贯感的发展。
采用扎根理论方法探讨相关问题。对经过策略性抽样的参与者进行了三次焦点小组会议和三次深入访谈。焦点小组的记录最初逐行分析，以确保从数据中得出见解。然后应用聚焦和系统分析来进行轴心编码，并纳入关于焦点小组期间的社会互动如何揭示现实生活邻里中的社会过程的见解。深入访谈的数据用于验证和填补新出现的类别，并确保数据饱和。
研究结果表明，通过资源和日常挑战的反复体验对于培养强大的连贯感很重要。积极利用资源是获得重要体验的有利条件，这会增强资源的内化。核心体验的特点是资源的重新组织。通过平等权力对话参与智力意义构建似乎能拓宽视野并促进连贯感的增强。强大的连贯感也可以被描述为对资源如何以及为何起作用有更深入的理解，这使得能够更灵活地使用资源，包括替代缺失的资源。
对连贯感的一种新理解，即直观地理解资源如何、为何以及在何种情况下起作用，以及对日常生活和反复体验的新关注，可能会通过规划和实施公共措施促进有目的地增强连贯感的新方法。
