Abstract
This chapter describes some of the challenges facing the healthcare sector which have led us to reflect on how we might redesign and transform healthcare services. We have developed a theoretical framework of wellbeing on which we have developed previously unimagined interventions for delivery in a community brain injury service in South Wales in the United Kingdom. This framework is inspired by social ecological theory and systems-informed thinking in which the individual is positioned within increasing phenomenological scales, extending to the ecosystem and the life course, highlighting systemic influences on wellbeing that also change over time. We present a concrete example from our own work relating to how we have begun to promote a culture of care that extends beyond the healthcare sector into the community and natural environment. Key implications of our work for building societal wellbeing include the need to: (1) promote wellbeing which is not the same as reducing ‘ill-being’, (2) support the person to adapt and function well within the context of the wider systems in which the person is embedded, (3) foster cultures of care through strategic partnerships across organisations, and (4) commit to the science and art of system transformation with an eye on co-production of knowledge and co-creation of opportunity. A focus on wellbeing lays the foundation for improving ‘whole health’ at scale, involving a deeper appreciation for individual, collective and planetary wellbeing.
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Antó, M., Martí, L., Casals, J., Bou-Habib, P., Casal, P., Fleurbaey, M., Frumkin, H., Jiménez-Morales, M., Jordana, J., Lancelotti, C., Llavador, C., Mélon, L., Solé, R., Subirada, F., & Williams, A. (2021). The planetary wellbeing initiative: Pursuing the sustainable development goals in higher education. Sustainability, 13(6), 3372. https://doi.org/10.3390/su13063372
Bache, I., Reardon, L., & Anand, P. (2016). Wellbeing as a wicked problem: Navigating the arguments for the role of government. Journal of Happiness Studies, 17(3), 893–912. https://doi.org/10.1007/s10902-015-9623-y
Barber, S., Bate, A., Adcock, A., Harker, R., Roberts, N., & Woodhouse, J. (2018). House of Commons Library, debate pack: Acquired brain injury. House of Commons.
Boaz, A., Hanney, S., Jones, T., & Soper, B. (2015). Does the engagement of clinicians and organisations in research improve healthcare performance: A three-stage review. BMJ Open, 5(12), e009415. https://doi.org/10.1136/bmjopen-2015-009415
Bolnick, H. J., Bui, A. L., Bulchis, A., Chen, C., Chapin, A., Lomsadze, L., Mokdad, A. H., Millard, F., & Dieleman, J. L. (2020). Health-care spending attributable to modifiable risk factors in the USA: An economic attribution analysis. The Lancet Public Health, 5(10), e525–e535. https://doi.org/10.1016/s2468-2667(20)30203-6
Bronfenbrenner, U. (1977). Toward an experimental ecology of human development. American Psychologist, 32(7), 513–531. https://doi.org/10.1037/0003-066x.32.7.513
Brown, G. C. (2015). Living too long. EMBO Reports, 16(2), 137–141. https://doi.org/10.15252/embr.201439518
Burgmer, P., & Forstmann, M. (2018). Mind-body dualism and health revisited: How belief in dualism shapes health behavior. Social Psychology, 49(4), 219–230. https://doi.org/10.1027/1864-9335/a000344
Cappellen, P. V., Rice, E. L., Catalino, L. I., & Fredrickson, B. L. (2017). Positive affective processes underlie positive health behaviour change. Psychology & Health, 33(1), 1–21. https://doi.org/10.1080/08870446.2017.1320798
GBD Collaborators. (2020). Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: A systematic analysis for the Global Burden of Disease Study 2019. The Lancet, 396(10258), 1204–1222. https://doi.org/10.1016/s0140-6736(20)30925-9
Diener, E., & Chan, M. Y. (2011). Happy people live longer: Subjective well-being contributes to health and longevity. Applied Psychology, 3(1), 1–43. https://doi.org/10.1111/j.1758-0854.2010.01045.x
Fabian, M., and Pykett, J. (2021). Be Happy: Navigating Normative Issues in Behavioral and Well-Being Public Policy. Perspectives on Psychological Science, 17, 174569162098439. https://doi.org/10.1177/1745691620984395.
Fisher, Z., Galloghly, E., Boglo, E., Gracey, F., & Kemp, A. (2020). Emotion, wellbeing and the neurological disorders. In Reference Module in Neuroscience and Biobehavioral Psychology. Elsevier. https://doi.org/10.1016/b978-0-12-819641-0.00013-x.
Friedman, C., Rubin, J., Brown, J., Buntin, M., Corn, M., Etheredge, L., Gunter, C., Musen, M., Platt, R., Stead, W., Sullivan, K., & Houweling, D. V. (2015). Toward a science of learning systems: A research agenda for the high-functioning Learning Health System. Journal of the American Medical Informatics Association, 22(1), 43–50. https://doi.org/10.1136/amiajnl-2014-002977
Garmany, A., Yamada, S., & Terzic, A. (2021). Longevity leap: Mind the health span gap. NPJ Regenerative Medicine, 6(1), 57. https://doi.org/10.1038/s41536-021-00169-5
Gibbs, K., Wilkie, L., Jarman, J., Barker-Smith, A., Kemp, A. H., & Fisher, Z. (2022). Riding the wave into wellbeing: A qualitative evaluation of surf therapy for individuals living with acquired brain injury. PLoS One, 17(4), e0266388. https://doi.org/10.1371/journal.pone.0266388
Glenn, M., O’Neil-Pirozzi, T., Goldstein, R., Burke, D., & Jacob, L. (2001). Depression amongst outpatients with traumatic brain injury. Brain Injury, 15(9), 811–818. https://doi.org/10.1080/02699050120330
Global Burden of Disease Collaborators. (2016). Global, regional, and national life expectancy, all-cause mortality, and cause-specific mortality for 249 causes of death, 1980–2015: A systematic analysis for the Global Burden of Disease Study 2015. The Lancet, 388, 1459. https://doi.org/10.1016/s0140-6736(16)31012-1
Grimshaw, J. M., Eccles, M. P., Lavis, J. N., Hill, S. J., & Squires, J. E. (2012). Knowledge translation of research findings. Implementation Science, 7(1), 50. https://doi.org/10.1186/1748-5908-7-50
Grumbach, K., Lucey, C. R., & Johnston, S. C. (2014). Transforming from centers of learning to learning health systems: The challenge for academic health centers. Journal of the American Medical Association, 311(11), 1109–1110. https://doi.org/10.1001/jama.2014.705
Haslam, C., Jetten, J., Cruwys, T., Dingle, G., & Haslam, A. (2017). The new psychology of health: Unlocking the social cure. Routledge. https://www.routledge.com/The-New-Psychology-of-Health-Unlocking-the-Social-Cure/Haslam-Jetten-Cruwys-Dingle-Haslam/p/book/9781138123885
Heneghan, C., Goldacre, B., & Mahtani, K. R. (2017). Why clinical trial outcomes fail to translate into benefits for patients. Trials, 18(1), 122. https://doi.org/10.1186/s13063-017-1870-2
Holmes, B. J., Best, A., Davies, H., Hunter, D., Kelly, M. P., Marshall, M., & Rycroft-Malone, J. (2017). Mobilising knowledge in complex health systems: A call to action. Evidence and Policy, 13(3), 539–560. https://doi.org/10.1332/174426416x14712553750311
Institute of Medicine (US) Committee on Quality of Health Care in America. (2001). Crossing the quality chasm: A new health system for the 21st century. National Academies Press.
Jorge, R. E., Robinson, R. G., Moser, D., Tateno, A., Crespo-Facorro, B., & Arndt, S. (2004). Major depression following traumatic brain injury. Archives of General Psychiatry, 61(1), 42–50. https://doi.org/10.1001/archpsyc.61.1.42
JYU.Wisdom Community. (2021). Planetary well-being. Humanities and Social Sciences Communications, 8(1), 258. https://doi.org/10.1057/s41599-021-00899-3
Kemp, A. H., & Fisher, Z. (2022). Wellbeing, whole health and societal transformation: Theoretical insights and practical applications. Global Advances in Health and Medicine, 11, 216495612110730. https://doi.org/10.1177/21649561211073077
Kemp, A. H., Arias, J. A., & Fisher, Z. (2017). Social ties, health and wellbeing: A literature review and model. In Neuroscience and Social Science, The Missing Link (Vol. 59, pp. 397–427). Springer International Publishing. https://doi.org/10.1007/978-3-319-68421-5_17
Kemp, A. H., Tree, J., Gracey, F., & Fisher, Z. (2022). Editorial: Improving wellbeing in patients with chronic conditions: Theory, evidence, and opportunities. Frontiers in Psychology, 13, 868810. https://doi.org/10.3389/fpsyg.2022.868810
Kern, M. L., Williams, P., Spong, C., Colla, R., Sharma, K., Downie, A., Taylor, J. A., Sharp, S., Siokou, C., & Oades, L. G. (2020). Systems informed positive psychology. The Journal of Positive Psychology, 15(6), 705–715. https://doi.org/10.1080/17439760.2019.1639799
Kingston, A., Robinson, L., Booth, H., Knapp, M., Jagger, C., & project, M. (2018). Projections of multi-morbidity in the older population in England to 2035: Estimates from the Population Ageing and Care Simulation (PACSim) model. Age and Ageing, 47(3), 374–380. https://doi.org/10.1093/ageing/afx201
Komashie, A., Ward, J., Bashford, T., Dickerson, T., Kaya, G. K., Liu, Y., Kuhn, I., Günay, A., Kohler, K., Boddy, N., O’Kelly, E., Masters, J., Dean, J., Meads, C., & Clarkson, P. J. (2021). Systems approach to health service design, delivery and improvement: A systematic review and meta-analysis. BMJ Open, 11(1), e037667. https://doi.org/10.1136/bmjopen-2020-037667
Kreuter, M. W., Rosa, C. D., Howze, E. H., & Baldwin, G. T. (2004). Understanding wicked problems: A key to advancing environmental health promotion. Health Education & Behavior, 31(4), 441–454. https://doi.org/10.1177/1090198104265597
Kruk, M. E., Gage, A. D., Arsenault, C., Jordan, K., Leslie, H. H., Roder-DeWan, S., Adeyi, O., Barker, P., Daelmans, B., Doubova, S. V., English, M., Elorrio, E. G., Guanais, F., Gureje, O., Hirschhorn, L. R., Jiang, L., Kelley, E., Lemango, E. T., Liljestrand, J., et al. (2018). High-quality health systems in the Sustainable Development Goals era: Time for a revolution. The Lancet. Global Health, 6(11), e1196–e1252. https://doi.org/10.1016/s2214-109x(18)30386-3
Latoo, J., Mistry, M., Alabdulla, M., Wadoo, O., Jan, F., Munshi, T., Iqbal, Y., & Haddad, P. (2021). Mental health stigma: The role of dualism, uncertainty, causation and treatability. General Psychiatry, 34(4), e100498. https://doi.org/10.1136/gpsych-2021-100498
Leischow, S. J., Best, A., Trochim, W. M., Clark, P. I., Gallagher, R. S., Marcus, S. E., & Matthews, E. (2008). Systems thinking to improve the public’s health. American Journal of Preventive Medicine, 35(2), S196–S203. https://doi.org/10.1016/j.amepre.2008.05.014
Lomas, T. (2015). Positive social psychology: A multilevel inquiry into sociocultural well-being initiatives. Psychology Public Policy and Law, 21(3), 338–347. https://doi.org/10.1037/law0000051
Lomas, T., Waters, L.,Oades, L. G., & Kern, M. L. (2020). Third wave positive psychology: Broadening towards complexity. The Journal of Positive Psychology, 1–15. https://doi.org/10.1080/17439760.2020.1805501.
Mackelprang, J. L., Bombardier, C. H., Fann, J. R., Temkin, N. R., Barber, J. K., & Dikmen, S. S. (2014). Rates and predictors of suicidal ideation during the first year after traumatic brain injury. American Journal of Public Health, 104(7), e100–e107. https://doi.org/10.2105/ajph.2013.301794
Martin, L., White, M. P., Hunt, A., Richardson, M., Pahl, S., & Burt, J. (2020). Nature contact, nature connectedness and associations with health, wellbeing and pro-environmental behaviours. Journal of Environmental Psychology, 68, 101389. https://doi.org/10.1016/j.jenvp.2020.101389
McKevitt, C., Fudge, N., Redfern, J., Sheldenkar, A., Crichton, S., Rudd, A. R., Forster, A., Young, J., Nazareth, I., Silver, L. E., Rothwell, P. M., & Wolfe, C. D. A. (2011). Self-reported long-term needs after stroke. Stroke, 42(5), 1398–1403. https://doi.org/10.1161/strokeaha.110.598839
Mead, J., Fisher, Z., & Kemp, A. H. (2021). Moving beyond disciplinary silos towards a transdisciplinary model of wellbeing: An invited review. Frontiers in Psychology, 12, 642093. https://doi.org/10.3389/fpsyg.2021.642093
Mead, J., Fisher, Z., Wilkie, L., Gibbs, K., Pridmore, J., Tree, J., & Kemp, A. (2019). Toward a more ethical science of wellbeing that considers current and future generations. Authorea. https://doi.org/10.22541/au.156649190.08734276
Mead, J., Playfoot, D., Fisher, Z., Tree, J., & Kemp, A. H. (2022). Pathways to post-traumatic growth and wellbeing during the COVID-19 pandemic: Findings from a UK-based sample. International Journal of Existential Positive Psychology, 11, 1–15. Available at: https://www.meaning.ca/ijepp-article/vol11-no1/pathways-to-post-traumatic-growth-and-wellbeing/
Osborn, A. J., Mathias, J. L., & Fairweather-Schmidt, A. K. (2014). Depression following adult, non-penetrating traumatic brain injury: A meta-analysis examining methodological variables and sample characteristics. Neuroscience & Biobehavioral Reviews, 47, 1–15. https://doi.org/10.1016/j.neubiorev.2014.07.007
Ozdemir, B. A., Karthikesalingam, A., Sinha, S., Poloniecki, J. D., Hinchliffe, R. J., Thompson, M. M., Gower, J. D., Boaz, A., & Holt, P. J. E. (2015). Research activity and the association with mortality. PLoS One, 10(2), e0118253. https://doi.org/10.1371/journal.pone.0118253
Rocca, E., & Anjum, R. L. (2020). Complexity, Reductionism and the Biomedical Model. In Anjum, R., Copeland, S., Rocca, E. (Eds.) Rethinking Causality, Complexity and Evidence for the Unique Patient. Springer, Cham. https://doi.org/10.1007/978-3-030-41239-5_5
Soley-Bori, M., Ashworth, M., Bisquera, A., Dodhia, H., Lynch, R., Wang, Y., & Fox-Rushby, J. (2021). Impact of multi-morbidity on healthcare costs and utilisation: A systematic review of the UK literature. British Journal of General Practice, 71(702), e39. https://doi.org/10.3399/bjgp20x713897
Suls, J., Green, P. A., & Boyd, C. M. (2019). Multimorbidity: Implications and directions for health psychology and behavioral medicine. Health Psychology, 38(9), 772–782. https://doi.org/10.1037/hea0000762
Switankowsky, I. (2000). Dualism and its Importance for Medicine. Theoretical Medicine and Bioethics, 21(6), 567–580. https://doi.org/10.1023/a:1026570907667
Teasdale, T. W., & Engberg, A. W. (2001). Suicide after traumatic brain injury: A population study. Journal of Neurology, Neurosurgery and Psychiatry, 71(4), 436. https://doi.org/10.1136/jnnp.71.4.436
du Vaure, C. B., Dechartres, A., Battin, C., Ravaud, P., & Boutron, I. (2016). Exclusion of patients with concomitant chronic conditions in ongoing randomised controlled trials targeting 10 common chronic conditions and registered at ClinicalTrials.gov: A systematic review of registration details. BMJ Open, 6(9), e012265. https://doi.org/10.1136/bmjopen-2016-012265
Wang, Y.-P., Nunes, B. P., Coêlho, B. M., Santana, G. L., Nascimento, C. F., & do, Viana, M. C., Benseñor, I. M., Andrade, L. H., and Filho, A. D. P. C. (2019). Multilevel analysis of the patterns of physical-mental multimorbidity in general population of São Paulo metropolitan area, Brazil. Scientific Reports, 9(1), 2390. https://doi.org/10.1038/s41598-019-39326-8
Waters, L., Cameron, K., Nelson-Coffey, S. K., Crone, D. L., Lomas, T., Oades, L., Owens, R. L., Pawelski, J. O., Rashid, T., Warren, M. A., White, M. A., & Williams, P. (2021). Collective wellbeing and posttraumatic growth during COVID-19: How positive psychology can help families, schools, workplaces and marginalized communities. The Journal of Positive Psychology, Advance online publication. https://doi.org/10.1080/17439760.2021.1940251
Whiteford, H. A., Degenhardt, L., Rehm, J., Baxter, A. J., Ferrari, A. J., Erskine, H. E., Charlson, F. J., Norman, R. E., Flaxman, A. D., Johns, N., Burstein, R., Murray, C. J. L., & Vos, T. (2013). Global burden of disease attributable to mental and substance use disorders: Findings from the global burden of disease study 2010. Lancet, 382(9904), 1575–1586. https://doi.org/10.1016/s0140-6736
Whitty, C. J. (2017). Harveian oration 2017: Triumphs and challenges in a world shaped by medicine. Clinical Medicine, 17(6), 537–544. https://doi.org/10.7861/clinmedicine.17-6-537
Whitty, C. J. M., MacEwen, C., Goddard, A., Alderson, D., Marshall, M., Calderwood, C., Atherton, F., McBride, M., Atherton, J., Stokes-Lampard, H., Reid, W., Powis, S., & Marx, C. (2020). Rising to the challenge of multi-morbidity. The British Medical Journal, 368, l6964. https://doi.org/10.1136/bmj.l6964
Wilkie, L., Arroyo, P., Conibeer, H., Kemp, A. H., & Fisher, Z. (2021). The impact of psycho-social interventions on the wellbeing of individuals with acquired brain injury during the COVID-19 pandemic. Frontiers in Psychology, 12, 648286. https://doi.org/10.3389/fpsyg.2021.648286
Wilkie, L., Fisher, Z., & Kemp, A. H. (2022). The complex construct of wellbeing and the role of vagal function. Frontiers in Integrative Neuroscience, 16, 925664. https://doi.org/10.3389/fnint.2022.925664/full
Willis, C., Riley, B., Herbert, C., Millar, J., & Howland, D. (2014). Systems thinking for transformational change in health. Evidence and Policy, 10(1), 113–126. https://doi.org/10.1332/174426413x662815
Wong, P. T. P. (2019). Second wave positive psychology’s (PP 2.0) contribution to counselling psychology. Counselling Psychology Quarterly, 32, 1–10. https://doi.org/10.1080/09515070.2019.1671320
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Gibbs, K., Fisher, Z., Kemp, A.H. (2022). Towards a Culture of Care for Societal Wellbeing: A Perspective from the Healthcare Sector. In: Kemp, A.H., Edwards, D.J. (eds) Broadening the Scope of Wellbeing Science. Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-031-18329-4_4
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