Health and Welfare Advocate

  • Irma Mikkonen


Social and healthcare professionals working with older people often encounter situations where there is a need to act in a role of advocate related to health and well-being of older adults. Advocacy may be defined and take place on different levels from ethical and legal frameworks to practical activities. With support of professionals as advocates, the older population will have their voices heard and their health and well-being needs met.


Health and welfare advocate Collective prevention Health promotion Advocating older persons Social map Social networks 


  1. 1.
    Negarandeh R, Oskouie F, Ahmadi F, Nikravesh M, Hallberg IR. Patient advocacy: barriers and facilitators. BMC Nurs. 2006;5:3. Scholar
  2. 2.
    World Health Organization. Health Promotion Glossary. 1998. Accessed 15 Feb 2018.
  3. 3.
    World Health Organization (WHO). The Ottawa Charter for Health Promotion, First International Conference on Health Promotion, Ottawa; 1986. Accessed 26 Aug 2017.
  4. 4.
    Hubinette M, Dobson S, Voyer S, Regehr G. ‘We’ not ‘I’: health advocacy is a team sport. Med Educ. 2014;48:295–901.Google Scholar
  5. 5.
    Golinowska S, Groot W, Baji P, Pavlova M. Health promotion targeting older people. BMC Health Serv Res. 2016;16:345–6. Scholar
  6. 6.
    Smith BJ, Tangi KC, Nutbeam D. WHO Health Promotion Glossary: new terms. Health Promotion International Advance Access published September 7, 2006. Accessed 15 Feb 2018.CrossRefGoogle Scholar
  7. 7.
    World Health Organization Regional Office for Europe. Strategy and action plan for health ageing in Europe, 2012–2020. Regional Committee for Europe. Sixty-second session, Malta, 10–13 September 2012. Accessed 26 Aug 2017.
  8. 8.
    World Health Organization. Health 2020. A European policy framework and strategy for the 21st century. 2013. Accessed 18 Sept 2017.
  9. 9.
    Leppo K, Ollila E, Peña S, Wismar M, Cook S, editors. Health in All Policies. Seizing opportunities, implementing policies. Helsinki: Ministry of Social Affairs and Health; 2013. Accessed 8 Sept 2017.Google Scholar
  10. 10.
    Fagerström L. Positive life orientation—an inner health resource among older people. Scand J Caring Sci. 2010;24:349–56. Scholar
  11. 11.
    Bunn F, Goodman C, Manthorpe J, Durand M-A, Hodkinson I, Rait G, Millac P, Davies S, Russell B, Wilson P. Supporting shared decision-making for older people with multiple health and social care needs: a protocol for a realist synthesis to inform integrated care models. BMJ Open. 2017;7:e014026. Scholar
  12. 12.
    Stiggelbout A, Van der Weijden T, De Wit M, Frosch D, Légaré F, Montori W, Trevena L, Elwyn G. Shared decision making: really putting patients at the centre of healthcare. BMJ. 2012;344:e256. Scholar
  13. 13.
    Elwyn G, Frosch D, Thomson R, Joseph-Williams N, Lloyd A, Kinnersley P, Cording E, Tomson D, Dodd C, Rollnick S, Edwards A, Barry M. Shared decision making: a model for clinical practice. J Gen Intern Med. 2012;27(10):1361–7. Scholar
  14. 14.
    Allen K, Glasby J. ‘The billion dollar question’: embedding prevention in older people’s services—ten ‘high-impact’ changes. Br J Soc Work. 2013;43:904–24. Scholar
  15. 15.
    Ford JA, Kharicha K, Clarke CS, Clark A, Iliffe S, Goodman C, Manthrope J, Steel N, Walters K. Service use of older people who participate in primary care health promotion: a latent class analysis. BMC Health Serv Res. 2017;17:176–81. Scholar
  16. 16.
    Stuck AE, Elkuch P, Dapp U, Anders J, Iliffe S, Swift CG. Feasibility and yield of a self-administered questionnaire for health risk appraisal in older people in three European countries. Age Ageing. 2002;31:463–7. Scholar
  17. 17.
    Stuck AE, Moser A, Morf U, Wirz U, Wyser J, Gillman G, Born S, Zwahlen M, Iliffe S, Harari D, Swift C, Beck J, Egger M. Effect of health risk assessment and counselling on health behaviour and survival in older people: a pragmatic randomised trial. PLoS Med. 2015;12(10):e1001889. Scholar
  18. 18.
    Iliffe S, Kharicha K, Harari D, Swift C, Goodman C, Mantho J. User involvement in the development of a health promotion technology for older people: findings from the SWISH project. Health Soc Care Community. 2010;18:147–59. Scholar
  19. 19.
    Walters K, Kharicha K, Goodman C, Handley M, Manthorpe J, Cattan M, Morris S, Clarke C, Round J, Iliffe S. Promoting independence, health and wellbeing for older people: a feasibility study of computer-aided health and social risk appraisal system in primary care. BMC Fam Pract. 2017;18:47. Scholar
  20. 20.
    McCracken AL. Advocacy. It is time to be the change. J Gerontol Nurs. 2010;36:15–7.CrossRefGoogle Scholar
  21. 21.
    Boeckxstaens P, De Graaf P. Primary care and care for older persons: position paper of the European Forum for Primary Care. Qual Prim Care. 2011;19:369–89.PubMedGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Irma Mikkonen
    • 1
  1. 1.School of HealthSavonia University of Applied SciencesKuopioFinland

Personalised recommendations