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Theoretical Grounds and Practical Principles of the Settings-Based Approach

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Handbook of Settings-Based Health Promotion

Abstract

This chapter introduce the theoretical basis and fundamentals of the settings-based approach, complementing Chap. 1, by tracing the evolution of thinking over time. While there have been multiple attempts to establish models, typologies and frameworks for the settings-based approach, a recurring theme has been the absence of a shared understanding of the theoretical foundations of the approach. This chapter summarizes key advances, presents an expanded conceptual framework that can be used to guide future policy and practice, considers how theory can be usefully translated into practice, and identifies key themes for critical reflection.

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Notes

  1. 1.

    https://www.who.int/healthpromotion/healthy-settings/en/ (accessed 16 May 2021).

  2. 2.

    https://www.iuhpe.org/index.php/en/global-working-groups-gwgs/ig-on-healthy-settings (accessed 16 May 2021).

References

  • Antonovsky, A. (1985). Health, stress and coping. Jossey Bass.

    Google Scholar 

  • Antonovsky, A. (1987). Unraveling the mystery of health: How people manage stress and stay well. Jossey Bass.

    Google Scholar 

  • Barić, L. (1993). The settings approach – Implications for policy and strategy. Journal of the Institute of Health Education, 31(1), 17–24.

    Article  Google Scholar 

  • Barić, L. (1994). Health promotion and health education in practice. Module 2: The organisational model. Barns Publications.

    Google Scholar 

  • Bentley, M. (2007). Healthy Cities, local environmental action and climate change. Health Promotion International, 22(3), 246–253.

    Article  PubMed  Google Scholar 

  • Bloch, P., et al. (2014). Revitalizing the setting approach – supersettings for sustainable impact in community health promotion. International Journal of Behavioral Nutrition and Physical Activity, 11, 118.

    Article  Google Scholar 

  • Bronfenbrenner, U. (1979). The ecology of human development. Experiments by nature and design. Harvard University Press.

    Google Scholar 

  • Bronfenbrenner, U. (1994). Ecological models of human development. In T. Husen & T. Postlethwaite (Eds.), International Encyclopedia of education (Vol. 3, 2nd ed., pp. 1643–1647). Pergamon Press/Elsevier Science.

    Google Scholar 

  • Chu, C., & Simpson, R. (Eds.). (1994). Ecological public health: From vision to practice. Institute of Applied Environmental Research, Griffith University/Toronto: Centre for Health Promotion, University of Toronto.

    Google Scholar 

  • Commission on Social Determinants of Health (CSDH). (2008). Closing the gap in a generation: Health equity through action on the social determinants of health. Final Report of the Commission on Social Determinants of Health. World Health Organization.

    Google Scholar 

  • Davis, J., & Cooke, S. (2007). Educating for a healthy, sustainable world: An argument for integrating health promoting schools and sustainable schools. Health Promotion International, 22(4), 346–353.

    Article  PubMed  Google Scholar 

  • Doherty, S., Cawood, J., & Dooris, M. (2011). Applying the whole system settings approach to food within universities. Perspectives in Public Health, 131(5), 217–224.

    Article  PubMed  Google Scholar 

  • Doherty, S., & Dooris, M. (2006). The healthy settings approach: The growing interest within colleges and universities. Education and Health, 24(3), 42–43.

    Google Scholar 

  • Dooris, M. (2004). Joining up settings for health: A valuable investment for strategic partnerships? Critical Public Health, 14(1), 49–61.

    Article  Google Scholar 

  • Dooris, M. (2006a). Healthy settings: Challenges to generating evidence of effectiveness. Health Promotion International, 21(1), 55–65.

    Article  PubMed  Google Scholar 

  • Dooris, M. (2006b). Editorial – healthy settings: Future directions. Promotion & Education, XIII(1), 1–5.

    Google Scholar 

  • Dooris, M. (2009). Holistic and sustainable health improvement: The contribution of the settings-based approach to health promotion. Perspectives in Public Health, 129(1), 29–36.

    Article  PubMed  Google Scholar 

  • Dooris, M. (2012). The settings approach: An overview – looking back, looking forward. Chapter. In A. Scriven & M. Hodgins (Eds.), Health promotion settings: Principles and practice. Sage.

    Google Scholar 

  • Dooris, M. (2013). Expert voices for change: Bridging the silos – towards healthy and sustainable settings for the 21st century. Health & Place, 20, 39–50.

    Article  Google Scholar 

  • Dooris, M., Doherty, S., & Orme, J. (2017). The application of salutogenesis in universities. In M. B. Mittelmark, S. Sagy, M. Eriksson, et al. (Eds.), The handbook of salutogenesis [Internet]. Springer; Chapter 23. Available from: https://link.springer.com/book/10.1007%2F978-3-319-04600-6

    Google Scholar 

  • Dooris, M., Dowding, G., Thompson, J., & Wynne, C. (1998). The settings-based approach to health promotion. In A. Tsouros, G. Dowding, J. Thompson, & M. Dooris (Eds.), Health promoting universities: Concept, experience and framework for action. (pp. 18–28 printed version; pp. 21–32 e-version). WHO Regional Office for Europe.

    Google Scholar 

  • Dooris, M., & Hunter, D. (2007). Organisations and settings for promoting public health. In C. Lloyd, S. Handsley, J. Douglas, S. Earle, & S. Spurr (Eds.), Policy and practice in promoting public health (pp. 95–125). Sage/Milton Keynes: Open University.

    Google Scholar 

  • Dooris, M., Poland, B., Kolbe, L., de Leeuw, E., McCall, D., & Wharf-Higgins, J. (2007). Healthy settings: Building evidence for the effectiveness of whole system health promotion – Challenges and future directions. In D. McQueen & C. Jones (Eds.), Global perspectives on health promotion effectiveness (pp. 327–352). Springer Science and Business Media.

    Chapter  Google Scholar 

  • Dooris, M., Wills, J., & Newton, J. (2014). Theorising healthy settings: A critical discussion with reference to Healthy Universities. Scandinavian Journal of Public Health, 42(Suppl 15), 7–16.

    Article  PubMed  Google Scholar 

  • Eisenmann, J. C., Gentile, D. A., Welk, G. J., et al. (2008). SWITCH: Rationale, design, and implementation of a community, school, and family-based intervention to modify behaviors related to childhood obesity. BMC Public Health, 8, 223. https://doi.org/10.1186/1471-2458-8-223

    Article  PubMed  PubMed Central  Google Scholar 

  • Galbally, R. (1997). Health-promoting environments: Who will miss out? Australian and New Zealand Journal of Public Health, 21(4), 429–430.

    Article  CAS  PubMed  Google Scholar 

  • Galea, G., Powis, B., & Tamplin, S. (2000). Healthy islands in the Western Pacific – International settings development. Health Promotion International, 15(2), 169–178.

    Article  Google Scholar 

  • Golden, S. D., & Earp, J. A. (2012). Social ecological approaches to individuals and their contexts: twenty years of Health Education & Behavior health promotion interventions. Health Education & Behavior, 39, 364–372.

    Article  Google Scholar 

  • Green, L. W., Poland, B. D., & Rootman, I. (2000). The settings approach to health promotion. In B. D. Poland, L. W. Green, & I. Rootman (Eds.), Settings for health promotion: Linking theory and practice (pp. 1–43). Sage.

    Google Scholar 

  • Grossman, R., & Scala, K. (1993). Health promotion and organisational development: Developing settings for health. WHO Regional Office for Europe.

    Google Scholar 

  • Hodgins, M. (2008). Taking a health promotion approach to the problem of bullying. International Journal of Psychology and Psychological Therapy, 8, 13–23.

    Google Scholar 

  • International Union for Health Promotion and Education (IUHPE) and Canadian Consortium for Health Promotion Research (CCHPR). (2007). Shaping the future of heath promotion: Priorities for action. IUHPE.

    Google Scholar 

  • Johnson, A., & Baum, F. (2001). Health promoting hospitals: a typology of different organizational approaches to health promotion. Health Promotion International, 16(3), 281–287.

    Article  CAS  PubMed  Google Scholar 

  • Johnson, A., & Paton, K. (2007). Health promotion and health services: Management for change. Oxford University Press.

    Google Scholar 

  • Kickbusch, I. (1989). Good planets are hard to find(WHO Healthy Cities Papers No. 5). FADL Publishers.

    Google Scholar 

  • Kickbusch, I. (1995). An overview to the settings-based approach to health promotion. In T. Theaker & J. Thompson (Eds.), The settings-based approach to health promotion. Report of an International Working Conference, 17–20 November 1993 (pp. 3–9). Hertfordshire Health Promotion.

    Google Scholar 

  • Kickbusch, I. (1996). Tribute to Aaron Antonovsky – ‘what creates health’? Health Promotion International, 11(1), 5–6.

    Article  Google Scholar 

  • Kickbusch, I. (1997). Health-promoting environments: The next steps. Australian and New Zealand Journal of Public Health, 21(4), 431–434.

    Article  CAS  PubMed  Google Scholar 

  • Kickbusch, I. (2003). The contribution of the World Health Organization to a new public health and health promotion. American Journal of Public Health, 93(3), 383–388.

    Article  PubMed  PubMed Central  Google Scholar 

  • Kickbusch, I. (2007a). Responding to the health society. Health Promotion International, 22(2), 89–91.

    Article  PubMed  Google Scholar 

  • Kickbusch, I. (2007b). Health governance: The health society. In D. McQueen, I. Kickbusch, L. Potvin, J. Pelikan, L. Balbo, & T. Abel (Eds.), Health and modernity: The role of theory in health promotion (pp. 144–161). Springer Science and Business Media.

    Chapter  Google Scholar 

  • Kok, G., Gottlieb, N. H., Commers, M., & Smerecnik, C. (2008). The ecological approach in health promotion programs: A decade later. American Journal of Health Promotion, 22, 437–442.

    Article  PubMed  Google Scholar 

  • Kokko, S., Green, L., & Kannas, L. (2014). A review of settings-based health promotion with applications to sports clubs. Health Promotion International, 29, 494–509. https://doi.org/10.1093/heapro/dat046

    Article  PubMed  Google Scholar 

  • Kontos, P., & Poland, B. (2009). Mapping new theoretical and methodological terrain for knowledge translation: Contributions from critical realism and the arts. Implementation Science, 4(1), 1–10.

    Article  PubMed  PubMed Central  Google Scholar 

  • Lang, T., & Rayner, G. (2012). Ecological public health: The 21st century’s big idea? BMJ, 345, 17–20.

    Article  Google Scholar 

  • Lazenbatt, A., Taylor, J., & Cree, L. (2009). A healthy settings framework: An evaluation and comparison of midwives’ responses to addressing domestic violence. Midwifery, 25(6), 622–636.

    Article  PubMed  Google Scholar 

  • McLeroy, K. R., Bibeau, D., Steckler, A., & Glanz, K. (1988). An ecological perspective on health promotion programs. Health Education Quarterly, 15(4), 351–377.

    Article  CAS  PubMed  Google Scholar 

  • Mittelmark, M. (1997) Editorial: Health promotion settings. Internet Journal of Health Promotion (no longer available).

    Google Scholar 

  • Newman, L., Baum, F., Javanparast, S., O’Rourke, K., & Carlon, L. (2015). Addressing social determinants of health inequities through settings: A rapid review. Health Promotion International, 30(S2), ii126–ii143.

    Google Scholar 

  • Orme, J., & Dooris, M. (2010). Integrating health and sustainability: The higher education sector as a timely catalyst. Health Education Research, 25(3), 425–437. https://doi.org/10.1093/her/cyq020

    Article  CAS  PubMed  Google Scholar 

  • Paton, K., Sengupta, S., & Hassan, L. (2005). Settings, systems and organisation development: The healthy living and working model. Health Promotion International, 20(1), 81–89.

    Article  PubMed  Google Scholar 

  • Poland, B. & Dooris, M. (2010) A green and healthy future: The settings approach to building health, equity and sustainability. Critical Public Health, 20(3), 281–298.

    Google Scholar 

  • Poland, B., Dooris, M., & Haluza-Delay, R. (2011). Securing ‘supportive environments’ for health in the face of ecosystem collapse: Meeting the triple threat with a sociology of creative transformation. Health Promotion International, 26(S2), ii202–ii215.

    PubMed  Google Scholar 

  • Poland, B., Frohlich, K., & Cargo, M. (2008). Context as a fundamental dimension of health promotion program evaluation. In L. Potvin & D. McQueen (Eds.), Health promotion evaluation practices in the Americas. Springer Science and Business Media.

    Google Scholar 

  • Poland, B., Green, L., & Rootman, I. (2000). Settings for health promotion: Linking theory and practice. Sage.

    Book  Google Scholar 

  • Poland, B., Krupa, G, & McCall, D. (2009). Settings for health promotion: An analytic framework to guide intervention design and implementation. Health Promotion Practice, 10(4), 505–516.

    Google Scholar 

  • Rice, M., & Hancock, T. (2016). Equity, sustainability and governance in urban settings. Global Health Promotion, 23(S1), 94–97.

    Article  PubMed  Google Scholar 

  • Richard, L., Gauvin, L., & Raine, K. (2011). Ecological models revisited: Their uses and evolution in health promotion over two decades. Annual Review of Public Health, 32, 7.1-7.20.

    Article  Google Scholar 

  • Senge, P. (1990). The fifth discipline: The art and practice of the learning organization. Random House.

    Google Scholar 

  • Shareck, M., Frohlick, K., & Poland, B. (2013). Reducing social inequities in health through settings-related interventions — A conceptual framework. Global Health Promotion, 20(2), 39–52.

    Article  PubMed  Google Scholar 

  • Syme, S. L. (1996). To prevent disease: The need for a new approach. In D. Blane, E. Brunner, & R. Wilkinson (Eds.), Health and social organisation: Towards a health policy for the 21st century. Routledge.

    Google Scholar 

  • United Nations (UN). (2015). Transforming our World: The 2030 Agenda for sustainable development. UN.

    Google Scholar 

  • Wenzel, E. (1997). A comment on settings in health promotion. Internet Journal of Health Promotion. Retrieved April 16, 2021, from http://ldb.org/setting.htm

  • Whitehead, D. (2011). Before the cradle and beyond the grave: A lifespan/settings-based framework for health promotion. Journal of Clinical Nursing, 20(15/126), 2183–2194.

    Article  PubMed  Google Scholar 

  • Whitelaw, S., Baxendale, A., Bryce, C., Machardy, L., Young, I., & Witney, E. (2001). Settings based health promotion: A review. Health Promotion International, 16(4), 339–353.

    Article  CAS  PubMed  Google Scholar 

  • Woodward, A., & Kawachi, I. (2000). Why reduce health inequalities? Journal of Epidemiology & Community Health, 54(12), 923–929.

    Article  CAS  Google Scholar 

  • World Health Organization (WHO). (1998). Health promotion glossary. WHO.

    Google Scholar 

  • World Health Organization (WHO). (1999). Regional action plan on healthy settings. WHO Regional Office for the Western Pacific.

    Google Scholar 

  • World Health Organization (WHO). (2000). Healthy settings (Report and documentation of the technical discussions held in conjunction with the 37th Meeting of CCPDM, New Delhi, 31 August 2000). WHO Regional Office for South-East Asia.

    Google Scholar 

  • World Health Organization (WHO). (2002a). Regional framework for health promotion 2002-2005. WHO Regional Office for the Western Pacific.

    Google Scholar 

  • World Health Organization (WHO). (2002b). Integrated management of healthy settings at the district level (Report of an intercountry consultation. Gurgaon, India, 7-11 May 2001). WHO Regional Office for South-East Asia.

    Google Scholar 

  • World Health Organization (WHO). (2005). Bangkok charter for health promotion in a globalized world. World Health Organization.

    Google Scholar 

  • World Health Organization (WHO). (2009). Nairobi call to action for closing the implementation gap in health promotion. World Health Organization.

    Google Scholar 

  • World Health Organization (WHO). (2013). Helsinki statement on health in all policies. World Health Organization.

    Google Scholar 

  • World Health Organization (WHO). (2016). Shanghai declaration on promoting health in the 2030 Agenda for sustainable development. World Health Organization.

    Google Scholar 

  • Ziglio, E., Hagard, S., & Griffiths, J. (2000). Health promotion development in Europe: Achievements and challenges. Health Promotion International, 15(20), 143–153.

    Article  Google Scholar 

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Authors and Affiliations

  1. Institute of Citizenship, Society and Change/Healthy and Sustainable Settings Unit, University of Central Lancashire, Preston, Lancashire, UK

    Mark Dooris

  2. Research Center for Health Promotion, Faculty of Sport and Health Sciences, University of Jyväskylä, Länsi-Suomi, Finland

    Sami Kokko

  3. Healthy and Sustainable Settings Unit, School of Community Health and Midwifery, University of Central Lancashire, Preston, Lancashire, UK

    Michelle Baybutt

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  1. Mark Dooris
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  2. Sami Kokko
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  3. Michelle Baybutt
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Correspondence to Mark Dooris .

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Editors and Affiliations

  1. Research Center for Health Promotion, Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Länsi-Suomi, Finland

    Sami Kokko

  2. Healthy and Sustainable Settings Unit School of Community Health and Midwifery, University of Central Lancashire, Preston, Lancashire, UK

    Michelle Baybutt

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Dooris, M., Kokko, S., Baybutt, M. (2022). Theoretical Grounds and Practical Principles of the Settings-Based Approach. In: Kokko, S., Baybutt, M. (eds) Handbook of Settings-Based Health Promotion. Springer, Cham. https://doi.org/10.1007/978-3-030-95856-5_2

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  • DOI: https://doi.org/10.1007/978-3-030-95856-5_2

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