Dr Jane Ellery discusses a different view of health & wellness.

1. just
Health as a Resource… not an
Outcome
Jane Ellery, Ph.D.
Director of Wellness Management
Fisher Institute for Wellness and Gerontology
Ball State University
1 jellery@bsu.edu

2. Outline
Overview of Breslow’s 2006 Commentary in
AJPH. http://ajph.aphapublications.org/cgi/reprint/96/1/17
Summary of Antonovsky’s 1992 presentation
at the WHO seminar in Copenhagen
http://heapro.oxfordjournals.org/cgi/reprint/11/1/11
Health as a resource… coherence as the
outcome
Consumer-centered resource development
as intervention planning
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3. Health Measurement in the Third
Era of Health – Lester Breslow (2006)
1st era: Revolution against communicable
diseases
2nd era: Revolution against chronic diseases
3rd era: Emerging… Health as a resource for
doing things—a capacity, not a state of well-
being
“Probably more than achieving some degree of
health status, people want health as a resource
for doing the things they want to do.”
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4. The Salutogenic Model as a Theory to Guide
Health Promotion – Aaron Antonovsky (1994)
Origins of Health/Sense of Coherence
Concern with the person… not just the
disease
“What explains movement toward the health
pole of the health ease/dis-ease continuum?”
Generalized Resistance Resources - GRRs
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5. Generalized Resistance Resources
“What do GRRs have in common?... they all
fostered repeated life experiences which…
helped one to see the world as 'making sense',
cognitively, instrumentally and emotionally.”
The strength of one's SOC is shaped by three
kinds of life experiences: consistency,
underload-overload balance, and participation
in socially valued decision-making.
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6. Health as a Resource for Living
AND/BOTH!
Health as the outcome (important and
necessary… but not sufficient)
– Risk reduction/disease prevention
– Health Promotion/prevention
Health as a Resource for Living (important
and necessary… but not sufficient)
– Quality of Life/Well-being enhancement/Wellness
Management
6 – www.well-beingindex.com

7. How does this change our
thinking?
Consumer-centered intervention planning
– Consumers as organismic experts on their lives
(organismic- wanting to engage in the what is going
on in the world around them)
– Consumer as a unique being… with unique needs
– What internal resources does the individual have?
What resources can we help instill? What resources
do we need to build into the environment?
– What can occur that makes an individual’s life more
coherent? More MEANINGFUL, MANAGABLE, AND
7 COMPREHENSIBLE.

8. Sample Ideas
Parenting intervention –
– Maid service (manageability)
– Support group (comprehensibility)
– Children experiencing success (meaningfulness)
Workplace interventions –
– Positive work environment (comprehensibility)
– Good job skills (manageability)
– Purposeful position/understanding of the
importance/value of job function (meaningfulness)
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9. Your ideas
Nutrition interventions –
– Meaningful
– Manageable
– Comprehensible/understandable
Exercise interventions –
– Meaningful
– Manageable
– Comprehensible/understandable
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10. Review
Breslow: Health is a resource for living… and
how should we measure it!
Antonovsky: Health is a generalized
resistance resource
Both/And
Consumer-centered resource development
as intervention planning
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11. Questions…
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12. Health as a Resource… not just an
Outcome
Jane Ellery, Ph.D.
Director of Wellness Management
Fisher Institute for Wellness and Gerontology
Ball State University
12 jellery@bsu.edu

13. 13

14. Institute of Medicine (2001)
Core Needs for Healthcare:
Safe: avoiding injuries to patients from the care that is intended to help them.
Effective: providing services based on scientific knowledge to all who could
benefit, and refraining from providing services to those not likely to benefit.
Patient-centered: providing care that is respectful of and responsive to
individual patient preferences, needs, and values, and ensuring that patient
values guide all clinical decisions.
Timely: reducing waits and sometimes harmful delays for both those who
receive and those who give care.
Efficient: avoiding waste, including waste of equipment, supplies, ideas, and
energy.
Equitable: providing care that does not vary in quality because of personal
characteristics such as gender, ethnicity, geographic location, and
socioeconomic status.
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