Department of Public Health, University of Helsinki, Helsinki, Finland.
Aisti Health Ltd., Helsinki, Finland.
Am J Health Promot. 2024 Feb;38(2):228-237. doi: 10.1177/08901171231204147. Epub 2023 Sep 28.
The paper investigates whether we can build consensus on wellness domains and create a more universal conceptual framework for wellness.
A modified ranking type of Delphi method.
Two separate panels consisting of 23 Finnish and 11 international experts.
Panels were asked to rate the importance of 61 systematic review-based wellness domains and to eventually form a wellness model in both panels. The similarities between the resulting models were investigated and a new conceptual framework for wellness was created.
The Finnish model included 8 themes and 20 domains, and the international model 5 themes and eleven domains. Eight of the eleven domains were an exact match for the Finnish model (namely mental health, cognitive health, exercise, nutrition, community, life satisfaction, meaningfulness, work-life balance). There were also 2 similar domains that could be found in both models (namely self-care and lifestyle habits, social networks). A new conceptual framework for wellness was created based on these ten domains.
The lack of consensus on the wellness construct has made it difficult to find comparable measures that could assess and improve the level of wellness of individuals, organizations, and society. This study offers a conceptual framework that can be further validated and turned into a more universal measurement instrument.
本文旨在探讨我们是否能够就健康领域达成共识，并为健康创建一个更具普遍性的概念框架。
改良的德尔菲法排名类型。
由 23 名芬兰专家和 11 名国际专家组成的两个独立小组。
要求小组对 61 个基于系统评价的健康领域的重要性进行评分，并最终在两个小组中形成健康模型。研究了产生的模型之间的相似性，并创建了一个新的健康概念框架。
芬兰模型包括 8 个主题和 20 个领域，国际模型包括 5 个主题和 11 个领域。11 个领域中有 8 个与芬兰模型完全匹配（即心理健康、认知健康、锻炼、营养、社区、生活满意度、意义、工作-生活平衡）。在这两个模型中也可以找到 2 个相似的领域（即自我保健和生活方式习惯、社交网络）。基于这十个领域，创建了一个新的健康概念框架。
由于对健康结构缺乏共识，因此难以找到可比的衡量标准来评估和提高个人、组织和社会的健康水平。本研究提供了一个可以进一步验证并转化为更具普遍性的衡量工具的概念框架。
