RCN Congress: The Systems Table and the Missing Cog

Across two maillists: SDOH Social Determinants of Health and POHG Politics of Health Group a discussion and debate regards public health, longevity and policy, was provoked by a study:

'At least 80% responsibility for ill health in old age down to individual'

https://www.theguardian.com/society/2026/may/20/responsibility-ill-health-old-age-oxford-longevity-project-study

'... Individuals bear at least 80% of the responsibility for their ill health in old age, according to a report aimed at challenging the belief that physical decline is either inevitable or primarily the responsibility of the state.

The report, launched at the Smart Ageing Summit in Oxford last week, argues that individuals have far greater control over their longevity than is commonly understood. The authors call on the government to take legislative action on alcohol comparable to restrictions on smoking.

Living Longer, Better – the Oxford Longevity Project’s first Age-less report – was co-authored by an interdisciplinary panel of UK-based experts in medicine, physiology, ageing and education policy. It was sponsored by Oxford Healthspan.

The report’s authors, Sir Christopher Ball, Sir Muir Gray, Dr Paul Ch’en, Leslie Kenny and Prof Denis Noble, present the figure of 80% as a conservative estimate.

Ball, a 91-year-old former Parachute regiment officer who intends to reach 100, said: “Some have gone higher and said it’s approaching 90%. But I think 80% seems about fair.”The claim, however, has been described as simplistic and said to neglect wider arguments about whether people are genuinely in control of individual choices when it comes to issues including poverty, pollution and healthcare access.

Nancy Krieger, professor of social epidemiology at Harvard TH Chan school of public health, said: “The report is to be commended for rejecting genetic determinism but it problematically avoids engaging with the societal determination of health and health inequities; the role of work, economic deprivation and government policies that give corporations free rein to sell unhealthy products.”

Steven Woolf, professor of family medicine and population health and director of the Virginia Commonwealth University Center on Society and Health, agreed, saying the paper “ignores and oversimplifies the actual, multilayered root causes of the conditions that foster poor health in a population”.

Woolf added: “There are factors affecting health that are beyond personal choice. So while it’s good to give people clear guidance on how their choices affect their health, it’s taking policymakers and others off the hook.” ...'

This provides me with evidence (well it would - wouldn't it^) on the need for, the purposes, and applications of Hodges' model.

More philosophically (perhaps), I'm reminded of the work of several academics - thinkers, Michel Serres stands out for me. Serres felt that positional adverbs were important, e.g. between, above, and under.

He also wrote of life (as per many philosophers), and the universe e.g. his writings on Physics and Lucretius - as flow - a river.

For new life, the options are seemingly infinite, far, far upstream: at source - not recognisable even as a trickle... but soon a rivulet, a stream, a river of so many tributaries.

As we grow older we get closer to the sea (of the 'eternal'), the options open to us shrink gradually, but ultimately radically - inevitably.

But looking back the turbulence, uncertainty, unpredictability (trauma and joy), all contribute, not just to where we end (up) but how this came about.

Life's signature at death.

In "Hodges' Health Career Model" 'health career' refers specifically to the idea of life chances (of course) and how other careers, education, work, retirement, caring (self - others - planet) .. are impacted through life and death's course.

This morning at RCN Congress, Liverpool (the home of District Nursing) there was discussion re. nurses being engaged in preparation for the next pandemic.

So often 'Nursing' is absent from the POLITICAL / POLICY table:

• Workforce planning
• Safety
• Higher Education?
• Research funding?
• Information / Health infomatics policy?

Speaking for myself, nursing is not interested in the four-course meal, but being involved and engaged in the after dinner discourse can be critical.

Politicians, policy makers, business, management consultants and lobbyists are so quick to point to and extol the 'SYSTEMS' perspective, and the need for 'systems thinking'.

Guilty of systemic neglect, they clearly have no idea of what a system is, an inability to appreciate and apprehend scope, scale and the 'whole'.

In mitigation (or not), for all groups: voice matters. Especially the voices of foresight, balance, advocacy, Their ability to ascend always proves an issue. 

Related papers listed in the sidebar:

Jones, P. (2008) Exploring Serres’ Atlas, Hodges’ Knowledge Domains and the Fusion of Informatics and Cultural Horizons, IN Kidd, T., Chen, I. (Eds.) Social Information Technology Connecting Society and Cultural Issues, Idea Group Publishing, Inc. Chap. 7, pp. 96-109.

Jones, P. (2009) Socio-Technical Structures, the Scope of Informatics and Hodges’ model, IN, Staudinger, R., Ostermann, H., Bettina Staudinger, B. (Eds.), Handbook of Research in Nursing Informatics and Socio-Technical Structures, Idea Group Publishing, Inc. Chap. 11, pp. 160-174.

Jones, P. (2012). Exploring several dimensions of local, global and glocal using the generic conceptual framework Hodges's model. The Journal Of Community Informatics. 8(3). Retrieved from https://www.academia.edu/3794699/Reflecting_on_the_glocal_through_the_conceptual_framework_of_Hodges_s_model

^Because these days you need to make every kernel - found or created on the continuum of evidence - count.

Previously: 'life chances' : 'health career' : 'Serres' : 'APPGs'

Liverpool, UK. RCN Congress 2026 - 
n.b. See you in Liverpool 2027?

Global Experts call for Paradigm Shift in Medicine, Health and Education to Save Lives and Fight escalating Health Crisis

ACCESS NEWS WIRE – for PRESS RELEASE on Tuesday, 28. April 2026

A global consortium of 64 experts (72 entities, 5 continents) unveiled two coordinated consensus plus policy brief reports, outlining a science‑driven roadmap to confront escalating health crises and to tackle the growing burden of noncommunicable diseases (NCDs—including cardiovascular diseases, cancer, diabetes, etc.: 75% of global deaths; 82% in low-/middle income countries; 90% of all death in European region).

The centerpiece is HEAL—Healthy Eating & Active Living, ideally whole‑food plant‑predominant/vegetarian-vegan diets & daily exercise outdoors/active mobility—as the minimum, first‑line standard in health and care. The authors urge immediate action on Prevention-over-Treatment and reforming education and human‑relevant science (drug failure rate from animal studies is 90-95%, and as high as 99.6% for Alzheimer disease), with a rapid shift from disease‑centered reaction to person‑centered, lifestyle‑first cure and care.

Figure 1. HEAL means choosing a whole-food, plant-predominant (ideally vegan) diets coupled with daily exercise outdoors/in nature to kick-start better health. Credit: iStock/LightFieldStudios.

“Sustainable health is for free but cannot be downloaded or prescribed—it must be lived daily and earned across lifetime through informed lifestyle choices, with HEAL as starting point. As childhood-entrenched health literacy lasts a lifetime; embedding HEAL from primary to tertiary education is the policy priority of our generation.” —Lead author Katharina Wirnitzer | PHT, University of Innsbruck & CCCTIM

Foto 2. Katharina Wirnitzer/Keynote on Vegan Diet in Sports. Credit: ©Katharina Wirnitzer.

Why change is imperative.

• The paradox: Despite rising health spending and scientific advances, public health gains lag while ever-growing NCDs. The expert panel offers 101 consensus statements and a 10‑step policy roadmap to act across the lifespan—from individual behavior to population‑level change.

• Why HEAL, and why now: HEAL combines Healthy Eating (whole‑food, plant‑predominant; preferably vegetarian/vegan) with Active Living (regular, ideally daily, including outdoor activity and active mobility). Evidence shows synergistic benefits beyond either alone, reducing reliance on drugs and surgery while improving resilience and sustainability of health systems.

• Prevention-First (3:1): The reports recommend prioritizing prevention, health maintenance, and health promotion over treatment by 3:1 (Figure 3), making healthy choices the easy, first‑line intervention and reserving medicalized treatment for specific indications.

• Education and workforce: Embed HEAL from primary through tertiary education and continuously upskill healthcare and education professionals to deliver evidence‑based lifestyle counseling, routine assessment, and monitoring. Improve meal standards and support active mobility in schools and public spaces.

• Human‑relevant science: Accelerate the transition to non‑animal, human‑relevant methods for basic and preclinical research and for efficacy, safety and toxicity testing through funding priorities, validation, and regulatory adoption.

• Policy roadmap: Apply Health in All Policies (HiAP) to link individual choices with systemic supports (Figure 4); invest in supportive defaults (healthy public catering, active transport, public‑space design, community HEAL programs); embed HEAL in curricula; and track outcomes with robust evaluation to scale what works.

“Every dollar/euro invested in evidence-based prevention saves multiples in treatment. HEAL is the smartest first investment a health system can make.” —Bernd Haditsch | ÖGK – Austrian Health Insurance Fund, Prevention Unit
“Obesity is a disease with powerful drivers. HEAL gives every patient a proven, first-line foundation to reclaim their health.” —Fatima Cody Stanford | Harvard Medical School & MGH
“A doctor who cannot counsel patients on the Power of Lifestyle, especially on food and movement, is only half-equipped. Lifestyle education in medical school is the missing foundation of modern medicine. Helping our patients to eat a more plant-strong diet is the most powerful healing medicine we can prescribe.”
—Michael Klaper | Moving Medicine Forward
„Plant-forward diets provide a powerful opportunity to concurrently improve health and wellbeing for people, farmed animals and the environment.“ —Andrew Knight | Griffith University

Figure 3. Four areas-of-action, balanced 3:1, to achieve lifelong health. Credit: ©Katharina Wirnitzer.

“Given its cost-effectiveness, Traditional, Integrative, and Complementary Medicine will be the evidence-based mainstream of tomorrow’s global healthcare.” —Tomáš Pfeiffer | ITCIM & SANATOR
“Treatment alone will not sustain health systems. HEAL connects prevention, lifestyle medicine and integrative care to advance salutogenesis on a planetary scale. We must invest far more in creating health.” 
—Georg Seifert | WHO CC & CCCTIM, Charité Universitätsmedizin Berlin

“The science clearly shows that, when it comes to human health, animal protection is a win-win.
Given human health’s complexity, and since animal testing virtually fails to cure human diseases, human-relevant methods already outperform animal experimentation and must therefore be implemented with priority in science, with funds going to human-focused research.
Citizens in the EU and US have spoken clearly in favor of this transition.
HEAL can prevent many diseases, avoiding the need for animal studies altogether.“
—Merel Ritskes-Hoitinga | Universities Aarhus & Utrecht; Doris Wilflingseder | Vetmed Uni Vienna, Aysha Akhtar | Center for Contemporary Sciences, Corina Gericke & Gaby Neumann | Doctors Against Animal Experiments

 

Figure 4. Systemic application of HEAL to reach target groups and improve personal and public health across micro (individuals/families), meso (communities), and macro (state/government/federal policy) levels, ensuring optimal vertical and horizontal permeability and integration. Credit: ©Katharina Wirnitzer.

Key Actions at a Glance.

• Make HEAL the universal starting point and minimum, first‑line prevention standard.

• Implement lifestyle‑first counseling before routine prescriptions.

• Prioritize Prevention-over-Treatment with an 3:1 balance.

• Mandate lifestyle education in schools; embed HEAL across tertiary programs.

• Continuously upskill professionals for evidence‑based lifestyle counseling and monitoring.

• Accelerate adoption of human‑relevant methods to end animal experiments in research, education and regulatory testing.

  
  

Figure 5. The Power of Lifestyle: Start with the dual HEAL approach across 6 interconnected areas to improve health and well-being. Credit: ©ACLM. Graphic modification: ©Katharina Wirnitzer (permission: 24.11.2021).

Contact for further information

Katharina C. Wirnitzer—Professor for Sports Public Health with a special focus on Child Public Health

Email: katharina@wirnitzer.at | Cell: +43 (650) 5901794

University College of Teacher Education Tyrol (PHT), Innsbruck, Austria

Conquering Today's Health Paradox with the Power of HEAL – An Expert Consensus Report plus Research Priorities and Policymaker Roadmap

A further post will follow with full PR, but the paper is now published:

Article type: Policy Brief
Journal: Frontiers in Public Health - Public Health Education and Promotion
Manuscript ID: 1695757
Received on date: 30 Aug 2025

Abstract

Background. Despite growing scientific evidence and health guidelines, the global health paradox persists, with rising lifestyle-related diseases and escalating healthcare costs exposing the inadequacy of current efforts.

Objective. 3 multidisciplinary congresses were held to generate evidence-based conclusions to tackle the global health paradox.

Methods. 58 experts from 62 entities participated in the international research and knowledge exchange panels. Experts reviewed the latest findings to develop practical strategies, key research and policy priorities, focusing on the “Healthy Eating & Active Living” (HEAL) approach.

Results, Conclusions, and Relevance. The expert consortium endorsed a 33 evidence-based consensual-statement policy roadmap for addressing global health challenges, emphasizing the HEAL approach can significantly contribute to the “Prevention First” appeal and broad ethical, social, ecological, and economic advantages, and eventually policy change.

Wirnitzer KC, Motevalli M, Tanous DR, Drenowatz C, Moser M, Cramer H, Rosemann T, Wagner K-H, Michalsen A, Knechtle B, Fras Z, Ritskes-Hoitinga M, Marques A, Mis NF, Stanford FC, Schubert C, Goswami N, Leitzmann C, Fredriksen PM, Ruedl G, Wilflingseder D, Lima RA, Kessler C, Jeitler M, Khan NA, Joulaei H, Fatemi M, Knight A, Kratky KW, Palmer KK, Haditsch B, Jakse B, Kofler W, Pfeiffer T, Cordova-Pozo K, Tortella P, Straub S, Lynch H, Schätzer M, Krishnan A, Fathima A. S, Gatterer L, Kriwan F, Abhishek M, Nandgaonkar H, Nandgaonkar S, Adedara AO, Haro JM, Gericke C, Neumann G, Akhtar A, Rashidlamir A, Thangavelu M, Ngoumou GB, Perpék É, Klaper M, Bhattacharya B, Kirschner W, Bessems KMHH, Jones P, Peoples G, Bescos R, Duftner C, Seifert G (2025). Toward a roadmap for addressing today’s health dilemma–The 101-statement consensus report. Frontiers in Nutrition, Volume 12:1676080. doi:10.3389/fnut.2025.1676080.

 https://doi.org/10.3389/fnut.2025.1676080

New cit.? "Toward a Roadmap for Addressing Today's Health Dilemma - The 101-Statement Consensus Report"

News - this morning brought provisional acceptance of a paper, and hence a potential new citation. I greatly appreciate being involved with this project. So, fingers-crossed even at this late stage ...

Title: Toward a Roadmap for Addressing Today's Health Dilemma -The 101-Statement Consensus Report 

Submitted By: Katharina C. Wirnitzer

Authors: Katharina C. Wirnitzer, Mohamad Motevalli, Derrick Tanous, Clemens Drenowatz, Maximilian Moser, Holger Cramer, Thomas Rosemann, Karl-Heinz Wagner, Andreas Michalsen, Beat Knechtle, Zlatko Fras, Merel Ritskes-Hoitinga, Adilson Marques, Nataša Fidler Mis, Fatima Cody Stanford, Christian Schubert, Nandu Goswami, Claus - Leitzmann, Per Morten Fredriksen, Gerhard Ruedl, Doris Wilflingseder, Rodrigo Antunes Lima, Christian S. Kessler, Michael Jeitler, Naim Akhtar Khan, Hassan Joulaei, Maryam Fatemi, Andrew Knight, Karl W. Kratky, Kara K Palmer, Bernd Haditsch, Bostjan Jakse, Walter Kofler, Tomas Pfeiffer, Kathya Lorena Cordova-Pozo, Patrizia Tortella, Simon Straub, Heidi Lynch, Manuel Schätzer, Anupama Krishnan, Shahnaz Fathima, Lukas Gatterer, Fabian Kriwan, Mittal Abhishek, Hemant Nandgaonkar, Shalaka Nandgaonkar, Abiola O. Adedara, Josep Maria Haro, Corina Gericke, Gaby Neumann, Aysha Akhtar, Amir Rashidlamir, Madan Thangavelu, Ngoumou Gonza, Éva Perpék, Michael Klaper, Bhaswati Bhattacharya, Werner Kirschner, Kathelijne Bessems, Peter Jones, Gregory E Peoples, Raul Bescos, Christina Duftner and Georg Johannes Seifert

Journal: Frontiers in Nutrition, section Food Policy and Economics

Research Topic: Sustainable Approaches to Public Health Via Food Policy Actions

Accepted on: 10 Sept 2025

I will (hopefully) be able to add more details (abstract - - formatted ...) as they become available. 

'Health and Wellbeing Boards' - hiding the obvious

Does the language we use really matter? A public NHS document includes the following:

'PHARMACY

2.1

Background

Health and Wellbeing Boards (HWBs) in England hold statutory responsibility to publish and keep up to date a statement of the needs for pharmaceutical services of the population in its area, referred to as a pharmaceutical needs assessment (PNA). PNAs are used by the NHS to make decisions on which NHS funded services need to be provided by local community pharmacies.'

I'm not asking, or demanding, change to this but the words we employ do matter. One of them above matters greatly. The question of responsibility and its attribution. In the response to mental illness,  responsibility has always been played out on the public stage. Even when society's response was to leave 'care' to religious and charitable agencies. Then the state stepped in with the first legislation. The state assumed responsibility as per the previous post. Not only where the keys thrown away, but many people admitted there, did not need be. The 'reason for referral' was more accurately described as a social ill. In this way, individuals were incarcerated and forgotten.

It is in the gift of Hodges' model, care of its vertical axis [INDIVIDUAL - GROUP], to be able to negotiate the contextual switch from personal to group and population. There is a marked contrast from self-medication, a nurse doing a medicines round - to the design, testing and research effort of production of a specific drug or intervention. The focus then is obviously at the population scale. The pharmocological business, is not just a business. It is a pharmaco-industrial complex, e.g.

Grouse L. Cost-effective medicine vs. the medical-industrial complex. J Thorac Dis. 2014 Sep;6(9):E203-6. doi: 10.3978/j.issn.2072-1439.2014.09.01. PMID: 25276402; PMCID: PMC4178073.

When we think of dependence it is often framed at the individual level. But how can we expect to change health services, health systems to see them as they truly are: Illness and Infirmity Boards masquerading as Health and Wellbeing Boards?

individual

|

INTERPERSONAL : SCIENCES

humanistic ------------------------------- mechanistic

SOCIOLOGY : POLITICAL

|

group

	drugs manufactoring testing
	Sybil Shainwald (April 27, 1928 – April 9, 2025)

Sybil Shainwald 

https://en.wikipedia.org/wiki/Sybil_Shainwald

Paper: Human social genomics i

Abstract

'The exciting field of human social genomics provides an evolutionarily informed, multilevel framework for understanding how positive and negative social–environmental experiences affect the genome to impact lifelong health, well-being, behavior, and longevity. In this review, we first summarize common patterns of socially influenced changes in the expression of pro-inflammatory and antiviral immune response genes (e.g., the Conserved Transcriptional Response to Adversity), and the multilevel psychological, neural, and cell signaling pathways by which social factors regulate human gene expression. Second, we examine how these effects are moderated by genetic polymorphisms and the specific types of social–environmental experiences that most strongly affect gene expression and health. Third, we identify positive psychosocial experiences and interventions that have been found to impact gene expression. Finally, we discuss promising opportunities for future research on this topic and how health care providers can use this information to improve patient health and well-being.'

Slavich GM, Mengelkoch S, Cole SW. Human social genomics: Concepts, mechanisms, and implications for health. Lifestyle Med. 2023; 4:e75. https://doi.org/10.1002/lim2.75
 

Lifestyle Medicine

For ongoing study of Hodges' model this is an interesting paper, especially in seeking to bridge the humanistic and mechanistic axis, and the social (soft) sciences and (hard) sciences. In trying to view Hodges' model as a mathematical object (categories, objects, relations ..) and extend the bio-psycho-social model (as needed urgently) of medicine (health and social care) the focus of this paper can help us explore the determinants.

It may be possible using Hodges' model, to identity (isolate) some specific ways in which conceptual models are idealised. They can reveal the nature and extent of situations - compositions, formulations and relationships (scope of practice?), but in practice of course we cannot set a situation* in aspic.


This may be important (essential) when we consider the determinants of health globally (across all the domains of Hodges' model).

Individual

|

      INTERPERSONAL    :     SCIENCES               

HUMANISTIC  --------------------------------------  MECHANISTIC      

 SOCIOLOGY  :    POLITICAL 

|

Group

	Genomics
Social Genomics

*Hodges' model is situated.

To revisit ..

Comment: Menopause - a global health and wellbeing issue that needs urgent attention

On 'X', I noticed a comment piece from the Lancet:

Menopause: a global health and wellbeing issue that needs urgent attention
Gayathri Delanerolle, Peter Phiri, Sohier Elneil, et al. The Lancet Global Health, Volume 0, Issue 0.
Publication History: Published December 18, 2024 
DOI: 10.1016/S2214-109X(24)00528-X

As usual I searched 'Welcome to the QUAD' [W2tQ] for previous posts tagged 'menopause'. The result '0' was a surprise, as there are several posts re.'menstruation' 

https://hodges-model.blogspot.com/search?q=menstruation

And many tagged 'women':

https://hodges-model.blogspot.com/search?q=women 

And this despite, a partner and family members experiencing the effects and impact of menopause. I was also asked in the summer to sort a list of signs & symptoms for menopause that can be associated with mental health nursing.

Interesting to see reference to the Roy Adaptation Model in the paper:

Klotzbaugh R, Fawcett J. Gender minority persons’ perceptions of peer-led support groups: a Roy Adaptation Model interpretation. ANS Adv Nurs Sci 2023; 46: 59–74.

And to address the global health extent and context of menopause:

'The stigma is such that open dialogue is inhibited in the majority of LMICs and the first-generation migrants from these LMICs to high-income countries (HICs); the paucity of broader understanding and acceptance in society exacerbates the mental and emotional strain of menopause and can lead to social isolation, particularly in these stigmatised contexts.' [my emphasis]

If needed there may be a CPD exercise for student nurses, or those qualified with revalidation pending? Hodges' model (the template) can help in achieving a broader understanding of menopause, and women's health to include menstruation and social attitudes, beliefs and attitudes. The paper does not refer to shame, and self-stigma, which may prevent a person from seeking help? So, there is a reflective exercise in reading the text and mapping the recommendations in the paper:

Panel - Recommendations to improve health outcomes for individuals with menopause 

• Lifestyle modifications 
• Mental health support
• Holistic approaches
• Culturally competent care 
• Personalisation of hormone replacement therapy care 
• Peer support groups or social prescribing 
• Conduct comprehensive research 
• Improve accessibility
• Understanding various risk factors, such as lifestyles, environment, and climate

If anyone has events, journal special issues for 2025 ... I can help publicise, please let me know.

Ack. https://x.com/raj_psyc

See also:

Delanerolle, Gayathri & Forbes, Anna & Cavalini, Heitor & Taylor, Julie & Riach, Kathleen & Hinchliff, Sharron & Atkinson, Carol & Potočnik, Kristina & Briggs, Paula & Kurmi, Om & Talaulikar, Vikram & van Vlymen, Jeremy & Shetty, Ashish & Irfan, Muhammad & Kareem, Rabia & Kemp, Helen & Palo, Subrata & Rathnayake, Nirmala. (2024). An Exploration of the Mental Health Impact Among Menopausal Women: The MARIE Project Protocol (UK arm). American Journal of Biomedical Science & Research. 22. 10.34297/AJBSR.2024.22.002992. 

The 'future' ... it's up to you* (i)

individual

|

INTERPERSONAL : SCIENCES

humanistic ------------------------------- mechanistic

SOCIOLOGY : POLITICAL

|

group

Chief Future Self-Care Officer
	Chief Future Officer - CFO

*Well not entirely! ii to follow.

My source: TV - https://www.bloomberg.com/btv/series/chief-future-officer

Salt Awareness Week

Individual

|

      INTERPERSONAL    :     SCIENCES               

HUMANISTIC  --------------------------------------  MECHANISTIC      

 SOCIOLOGY  :    POLITICAL 

|

Group

[My] attention, priorities, beliefs, mindset(s) .. Knowledge Health literacy (All literacies) Choices Decision making Motivation My health: Physical AND Mental Responsible for..?
Culture Lifestyle Friends - Family Dining custom & practice	Food Industry National - Global action Policy - Law Health Economics (Price of foods) Food labelling Impact of Climate Change

My source: Twi/X

Health information & 7th Global Alcohol Policy Conference

Politicians -
GIVE HEALTH LITERACY A CHANCE!

INDIVIDUAL

|

     INTERPERSONAL    :     SCIENCES               

HUMANISTIC --------------------------------------  MECHANISTIC      

SOCIOLOGY  :   POLITICAL 

|

GROUP

cognitive access, basic literacy	'legibility', digital access
PUBLIC - MENTAL - HEALTH Society Communities Most vulnerable groups Digital divide	"Why are alcohol companies pushing for QR codes on labels? Well, which of these two labelling methods actually shows the risk of alcohol consumption, 1 or 2? QR codes are a way for producers to say they are informing consumers, without doing so." @InstAlcStud economic access Health Information For All POLICY 7th Global Alcohol Policy Conf. Alcohol Taxes - False economy?

My source: https://x.com/InstAlcStud/status/1703658612109742578?s=20

Conference: Improving Child & Adolescent Health for better Public Health

Dear Ladies and Gentlemen,

Dear Professors and Researchers,

Dear Colleagues!

It is our pleasure to invite you to this international 2-day meeting and research exchange

held online on Tuesday & Wednesday, November 10 & 11 2020 – save the date!

Improving Child & Adolescent Health for better Public Health

– Fiction or within the scope of possibility?

to bring together researchers and stakeholders to introduce completed research projects as well as new research ideas

that address the complex challenges and needs of child & adolescent health for future collaborative projects in order to apply for national and international grants.

Please find attached a brief outline with preliminary program (contents, schedule).

We greatly appreciate your attendance and would ask for a confirmation by Friday, October 23, by replying to this email.

We also welcome your contribution in form of a short talk/pitch.

In order to finalize the program, please include the following information in your response to this e-mail:

• do you wish a short talk/pitch?
• if Yes, please use this Link for Abstract submission to confirm your talk/pitch: https://www.science2.school/ls/index.php/259577 (Deadline for Abstract submission is Friday, October 30, 2020)

120 Researchers from 56 Universities/Organizations around the world and cross-cutting disciplines and research interests are invited.

Please feel free to forward this invitation to any colleagues you think would be interested as well.

Further detailed information along with the final program will be provided as soon as it is finalized, but right in time before the event in November 2020.

We look forward to welcoming you to this international 2-day meeting on „Improving Child & Adolescent Health“!
 
 
Kind regards,
 
Katharina Wirnitzer, University College of Teacher Education Tyrol & Leopold-Franzens University, Innsbruck, AT

Prof. Clemens Drenowatz, University College of Teacher Education Upper Austria, Linz, AT

Prof. Nandu Goswami, Medical University of Graz, Graz, AT

Studienleitung (PI)

Member of Schools for Health in Europe – SHE Research Group

__________________________________

Dr. rer. nat. Katharina Wirnitzer (PhD)

Institut für fachdidaktische und bildungswissenschaftliche Forschung und Entwicklung

Pädagogische Hochschule Tirol

Department of Subject Didactics and Educational Research and Development

University College of Teacher Education Tyrol

Pastorstraße 7/A.008, 2. OG
A – 6010 Innsbruck

E  katharina.wirnitzer AT ph-tirol.ac.at
I    www.ph-tirol.ac.at

A vision for population health: Towards a healthier future - c/o The King's Fund

To improve health and reduce inequalities, local and national action is required across four pillars of #populationhealth. Resources currently focus on the health system. We need to rebalance this: https://t.co/q06pK8NxQM pic.twitter.com/ZNGlEhM0N6

— The King's Fund (@TheKingsFund) December 1, 2018

I have taken the four pillars above and mapped these to Hodges' model, essentially a horizontal flip -

individual

|

INTERPERSONAL : SCIENCES

humanistic ----------------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

|

group - population

Health behaviours  and lifestyles	Wider determinants  of health
The places and communities  we live in, and with	Integrated health  and care system

Self Care Week Europe 12th November @Self_Care_EU

What does self care involve...?

SELF

|

INTERPERSONAL : SCIENCES

HUMANISTIC ----------------------------------------------- MECHANISTIC

SOCIOLOGY : POLITICAL

|

OTHER

(States of) Mind Identity Basic (and greater) Education  Knowledge and Skills - Health Literacy Cognitive access - understanding Motivation, Attitude Personal ethics, personal values Self-esteem, Self-image Personal philosophy, beliefs, expectations Emotional - mental well-being Resilience, coping strategies Balanced Life experiences Formative experiences Upbringing, memory, character Stress and Vulnerability Self-advocacy Risk taking: substance (mis-)use

(States of) Matter Knowledge of physical fitness Daily exercise Presence of medical conditions, patient education: self- monitoring, treatment, recording, reporting Body image, diet, nutrition Treatments, Research - Antibiotics Technology Physical infrastructure: Built environment, Rural, Transport. Lifecycle Physical access Environment, climate change, Eco-systems, Sustainability

Care, Compassion, Love Family Friends Culture Lifestyle Social network (actual / virtual) Relationships Community infrastructure Stigma Carer support

Global Eco-nomies  Citizenship Financial knowledge, access to banking Health Service provision - Systems Public Mental Health Programmes Professionals, Global Health Government policies Welfare funding Employment opportunities Health, SDGs Food industry Advertising

Tomorrow November 12th is the launch of self care week Europe. Jaqueline Bowman will be representing the platform SCiE at EU Health Policy Platform in Brussels. #selfcareweek @Self_Care_EU

— EHFF (@EUHealthFutures) November 11, 2018

Health Communication: Noise in the Channel(s)*

"Despite overwhelming evidence that illnesses come in clusters with 

mental and physical 

components, we continue to present public health as a series of separate issues - 

"stop smoking", "lose weight", "drink less". 

This is confusing, disempowering and psychologically naive. 

The public has no idea what to prioritise and is prone to either write 

off illness as inevitable, or to feel inadequate and anxious, 

leading to further unhealthy behaviour.

individual

|

INTERPERSONAL : SCIENCES

humanistic ----------------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

|

group

People see mental illness as mysterious and frightening and ...	... physical illness as explicable and fixable.

Neither view encourages healthy lifestyles."

*still.
 
McCullough, A. (2009) Healthiness is all in the mind, Health Service Journal, 5 February, 119(6142):18.

[Also inc. "Planned investment in mental health promotion in adult mental health services in England in 2007-08 was £4m out of the total mental health spend of 4.5bn - less than 0.1 per cent." ]

Digital health interventions: How might we measure “meaningful engagement”?

How might we measure “meaningful engagement”? Is a lack of usage of a #digitalhealth intervention a sign of disengaging or a lesson learned? This week's Digi-Hub blog post by @kathleen_ryan33 @UCC on designing for "meaningful engagement" https://t.co/TdNvDuMmUr pic.twitter.com/Zmx0MNlgAt

— UCL Behaviour Change (@UCLBehaveChange) April 20, 2018

I admit I am struggling to stop blogging, even as the pull of Drupal and a new site will (must) win-out. The above tweet prompts these thoughts ...

A key point from Kathleen Ryan's blog post reads:

"The design process* needs to be reflective..."

I wholeheartedly agree - it is the way that we reflect to achieve a socio-technical synergy that counts. Even with the socio-technical bases covered there are other factors too:

individual

|

INTERPERSONAL : SCIENCES

humanistic ----------------------------------- mechanistic

SOCIOLOGY : POLITICAL

|

group

Person-related issues (e.g. their beliefs, cognitions and values). What 'x' means to me. "... attention, interest and how the person feels and thinks about the intervention (where more attention / affect / enjoyment = more engagement)." Patient (Person?) Activation measures? Yes - 'person-centredness' is 'up-here' according to the axes of the model, BUT we must take into account the social and political milieu of the individual concerned. *design purposes subjective

diseases Technology-related issues "No matter how well-crafted and evidence-based the intervention, active ingredients proven to effect health behaviour change simply cannot work if the technological components that house them are not accessed by participants. As such, lack of adequate engagement with DHIs poses a barrier to evaluating the effectiveness of these interventions." *design process ‘Law of Attrition’ Usage metrics: statistics, logs, frequency, totals e-health and m-health objective

prevention & treatment of - 'lifestyle diseases' social incentives socialisation 'health seeking behaviour' Health literacy  "human contacts can allow for “supportive accountability” via remotely delivered prompts, social support and encouragement." *design practices

National use of 'Patient activation'? (Forms of profiling) Incentives - health policy Nudge - behaviour change? Health insurance/credits HEALTH meaning within? SYSTEMS  paternalistic--'degrees of freedom'?--autonomy ADVERTISING 'The Market' *design policy

Perhaps, future measures need to simultaneously combine analysis AND synthesis - the subjective AND objective... a job for AI ..?

Thanks to Kathleen Ryan
https://twitter.com/kathleen_ryan33

Ack. This week learned of 'Patient activation' attending a Best Practice Meeting.

 *The 4Ps within Hodges' model. 

What is meant by 'universal' design?

Yes, there is an ironic element to this post and recent others in respect of 'meaningful engagement' and 'the meaning of evidence'? Do people recognise 'evidence'?

Event: 'Critical Thinking and Health in Music Education' mapped to Hodges' model

individual

|

INTERPERSONAL : SCIENCES

humanistic --------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

|

group

psycho-physical
health promotion
qualitative : quantitative
subjective : objective

psychology reflection - CRITICAL THINKING (training) psychological demands of training health and well-being impacts - stress, anxiety, depression... pressure on individual to change lifestyle neuromyths - beliefs individual attitude, health literacy through related knowledge and skills Socratic method individual courage assertiveness	music education literature evidence - research musical instruments physical human - player instrumental demands practice, environment health and well-being impacts - musculoskeletal, neurological, audiological... rigour in empirical investigations question formulation
culture - tradition (norms and myths) expectations of peers and seniors group discussion socialisation conservative - conformity history, social change 'cohort courage'	high standards professional attitudes empowerment, self-advocacy citizens - world view policy and management practices

socio-political

Please see the original post for the - context and event details 14 Nov 2017

The context of music education and specifically what sounds like the socio-politics of education reminds of the healthcare. That is the socialisation of healthcare professionals. I can see this as a former student nurse and today with student nurses and many workplace conversations with doctors. The experiences and attitudes towards junior doctors and the hours they work stand out. Not all of course, but many juniors found the most vociferous defenders of the status quo were the Senior Consultants. This could be summed up as: "It was good enough for us....!"

I picked up a euphonium at school. Yes, her name was Denise and she was in the school brass band. I quickly put the instrument down, preferring the fields and woods after school. The heart strings still resonate though a great many decades later. Discovering the guitar since and Raluca Matei and her colleagues planned event I can appreciate the word 'interface' in a new way. This is learning not just the music, but that special interface between the musical instrumental and the would-be player.

There is also a sense that Hodges' model is an instrument and interface ...?

'Critical Thinking and Health in Music Education' 14 Nov 2017 Manchester

Raluca Matei posted this item to the Mental Health in Higher Education hub. The resonances with the purposes of Hodges' model are clear to me. With Raluca's permission I will map the themes of this event to Hodges' model in a further post. There is no primary link for the event itself, please see the contact details below:

Dear All,

My name is Raluca and I am an AHRC-funded PhD student in psychology and health promotion among musicians, at the Royal Northern College of Music (RNCM), in Manchester. Together with Keith Phillips, a fellow PhD student in music psychology, we are organising ‘Critical thinking and health and music education’, a one-day event to be held at RNCM, on 14 November 2017, with funding from the North West Consortium Doctoral Training Partnership (NWCDTP).

OK…but why do that at all? 

• The physical and psychological demands of the training and practice that musicians must achieve to perform to a high standard on their instruments can produce deleterious effects on health and wellbeing, arising mostly from musculoskeletal, neurological and audiological causes. 
• Although there is a need for more rigour in the empirical investigation of potential interventions to address musicians’ health and wellbeing, British conservatoires remain guided more by tradition than the available evidence. Their websites still endorse practices that are either not supported by research (despite their popularity among musicians) or are so poorly defined that they can hardly be researched and investigated. This retrograde outlook encourages a rather conservative and conformist attitude that is prevalent among musicians. 
• An unfair emphasis on individuals to enact changes in lifestyle is continuously being pushed, while the larger cultural, social and environmental factors remain vastly unaltered and particularly resistant to change. 
• We argue that the above are at least partially due to the lack of critical thinking training and health education among music students and their teachers. Introducing such training might not only increase their health literacy (i.e. the achievement of health-related knowledge and relevant set of skills), but also empower them individually and as a group to question the status quo and assertively demand for changes to be made accordingly, to their own benefit, rather than submissively adapt to cultural norms informed by the mere passage of time and the burden of tradition. 
• Although such changes require considerable resources and never happen immediately, we argue that we need to start by asking questions. The literature suggests that critical thinking needs specific training and doesn’t necessarily happen by itself, especially given that one would need exceptional courage and to assume some risk to go against ingrained cultural norms. 
• Given that the role of higher education is not solely to prepare students for existing jobs but also to turn them into informed citizens, critical thinking can help them to shape the world and to embody the change they want to see. In addition, efforts focused on changing policy and management practices might be more effective, realistic and beneficial for a larger number of people than solely attempting to change individuals. 

And what are you aiming for? 

• To raise awareness of and debunk various myths that are being circulated in music education in relation to psychology and health
• To discuss about the importance of critical thinking in education and what the available literature tells us about effective interventions aimed at training it
• To discuss how we can, as researchers, bridge the gap between the evidence and the practical real world, as well as educational policies
• To discuss the findings of the first paper on neuromyths among music teachers and how these might inform future practice 
• To discuss potential ways in which the specific training of critical thinking could be incorporated into the pedagogical training of musicians
• To address the link between critical thinking and health promotion in music education 
• To discuss how the Socratic method might be used in training critical thinking 
• To brainstorm ideas on how critical thinking and psychology might be incorporated as part of musicians’ formal training – examples will be provided from the latest research in the field 

How would I benefit from this?

• Free access to an interdisciplinary, ground-breaking event on critical thinking in higher education

• The chance to be innovative within your own field and even initiate new professional pathways

• The opportunity to meet students, researchers and practitioners from your field of interest, as well as from related fields

• The opportunity to have your ideas discussed within an exploratory round table discussion, given that we will allow plenty of room for this!

Our speakers include:

• Prof. Reinhard Kopiez, Professor of Music Psychology, Hanover University of Music, Drama and Media
• Prof. Jane Ogden, Professor of Health Psychology, University of Surrey

The event will incorporate a considerable amount of group discussion, in an attempt to dive into a rather innovative field and hopefully reach some meaningful conclusions and suggest a few solutions. 

Our event is highly interdisciplinary, and it is open to postgraduate students, researchers and specialists in:

• Music (Performance and Education)
• Psychology
• Philosophy
• Education sciences and policy
• Medicine (with a focus on health education, health promotion and prevention, as well as public health)
• Science journalism/Science communication 

Although attendance is free, places are limited and registration will be based on a brief expression of interest. We ask potential participants to explain the nature of their research, interests and/or background, and detail why this event is relevant to them in writing to us by Sunday, 15 October 2017. 

Finally, we will keep the format and content flexible and depending on the background and interests of attendees, the conversations we will be having can follow various pathways. 

Raluca Matei – ... 

Keith Phillips – ... 

Please do email one of us for further details. Additionally, If you could please forward this to any relevant postgraduate students, researchers and/or specialists, I would be immensely grateful! 

With many thanks and kind wishes,

Raluca

Raluca Matei MSc, BMus, MBPsS

AHRC-funded PhD student in psychology and health promotion 

Royal Northern College of Music, 

Manchester

...

I am looking f/w to attending. PJ