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一种关于高水平健康的体验式学习理论:澳大利亚健康源研究。

An experiential learning theory of high level wellness: Australian salutogenic research.

作者信息

Allen Connie, Boddy Jennifer, Kendall Elizabeth

机构信息

Menzies Health Institute Queensland, The Hopkins Centre, and the School of Human Services and Social Work, Griffith University, Logan, Australia.

出版信息

Health Promot Int. 2019 Oct 1;34(5):1045-1054. doi: 10.1093/heapro/day051.

Abstract

At the broadest level, salutogenesis refers to an emphasis on the origins of health, as opposed to a predilection with the determinants of disease. Kickbusch urges health promotion professionals to adopt a salutogenic orientation; directing research and practice towards the question of 'what creates health?' This salutogenic study focused on the most pleasant part of the health continuum by asking: (i) what is high level wellness and (ii) how do people attain and maintain this way of being? Semi-structured interviews were conducted with 25 Australian adults who reported a 'high' or 'very high' level of wellness, health and happiness. Participants described what high level wellness meant to them, their wellness journeys, and the things that helped and hindered their wellbeing. This information was coded, compared and crafted into a constructivist grounded theory. Our interpretation of the data suggests that high level wellness is the sense of peace (wellbeing) that comes from knowing, liking and being one's best self. Happy, healthy people seem to attain and maintain this way of being over time, through a series of self-initiated experiential learning cycles. The 'experiential learning theory of high level wellness' links and extends literature on salutogenesis, eudaimonic wellbeing, self-actualization and experiential learning; positioning everyday people as the leaders of their own life-long wellness journeys. It also suggests a new dimension for Antonovsky's salutogenic theory: aspiring, not just adapting. Future research could explore the utility of our approach with a range of populations and professions, progressing towards 'high level wellness for all'.

摘要

从最广泛的层面来看,健康生成学强调的是健康的起源,而非对疾病决定因素的偏好。基克布施敦促健康促进专业人员采用健康生成学导向;将研究和实践导向“什么创造了健康?”这一问题。这项健康生成学研究聚焦于健康连续体中最令人愉悦的部分,通过询问:(i)什么是高水平的健康状态,以及(ii)人们如何获得并维持这种生存方式?对25名报告处于“高”或“非常高”水平的健康、幸福状态的澳大利亚成年人进行了半结构化访谈。参与者描述了高水平健康状态对他们意味着什么、他们的健康历程,以及有助于和阻碍他们幸福的事情。这些信息经过编码、比较,并被构建成一种建构主义扎根理论。我们对数据的解读表明,高水平的健康状态是一种源于了解、喜欢并成为最好的自己的平和(幸福感)。随着时间的推移,快乐、健康的人似乎通过一系列自我发起的体验式学习循环来获得并维持这种生存方式。“高水平健康状态的体验式学习理论”联系并扩展了关于健康生成学、幸福主义幸福、自我实现和体验式学习的文献;将普通人定位为自己终身健康历程的引领者。它还为安托诺夫斯基的健康生成学理论提出了一个新的维度:追求,而不仅仅是适应。未来的研究可以探索我们的方法在一系列人群和职业中的效用,朝着“全民高水平健康状态”迈进。

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