HEALTH 25 project. 2 nd Transnational meeting. September 27 th, 2011 Sirolo - Ancona. Health promotion for disadvantages youth

Transcription

1 HEALTH 25 project Health promotion for disadvantages youth 2 nd Transnational meeting September 27 th, 2011 Sirolo - Ancona

2 HEALTH 25 WP4 APPROACH AOR Literature review Field survey MQPO and Health 25 Questionnaire Page 2

3 Post-rationalist approach for HEALTH 25 From the beginning of our HEALTH 25 project we proposed to use Post-rationalist approach based on subject's personality for field survey Origin of such proposal is in the question: Does every NEET live and feel the same aspects thinking about a tangible health promotion initiative? No, they do not! Page 3

4 Post-rationalist approach for HEALTH 25 Every day all we construct our subjective reality according to cognitive and emotional tools we have in a certain moment of our life. Emidio Arimatea Our personality come from an evolving process constructing an individual Personal Meaning Organization (PMO) Page 4

5 Post-rationalist approach for HEALTH 25 We can think it like an iceberg Emidio Arimatea Page 5

6 Post-rationalist approach for HEALTH 25 We are using the same approach dealing with mental disorders with high positive results Considering invisible part we believe it is possible to give an higher added value in terms of development of pedagogical/ psychological concept Page 6

7 The approach to WP4 Emidio Arimatea Take-home message: SUBJECTIVITY Page 7

8 The approach to WP4 The take-home message is: SUBJECTIVITY Emidio Arimatea We cannot forget that every individual is different and the most difference is about experience emotions. Subjectivity leads us to see things differently, even though we always tend to give an objective view of what happens to us or about our point of view Page 8

9 i.e. Sara, 16. Emidio Arimatea Last winter she had decided to stop going to school. Her parents considered it an unreasonable and irrational choice, but they did not take account of her state of mind. Her English teacher giving her a bad grade and told her that she would never have reached sufficiency, the state of mind of Sara crashed. As we often see in other teenagers, Sara remembered having taken the bad grade, but she did not understand why she was so bad. The disease had become a problem so she did not want to go to school. Page 9

10 i.e. Sara, 16. Emidio Arimatea She had strong anxiety problems and mood swings before this fact, her psychiatrist is not part of our team, he made a diagnosis of disorder manic-depressive, because her mood swings were very strong (Descriptive diagnosis). These swings were always linked to her results and consequently she can or cannot feel herself accepted (concerning school, boyfriend and friends). (Explicative diagnosis by MQPO) She feels the need for acceptance, especially with her Mom (and Dad). Page 10

11 i.e. Sara, 16. Emidio Arimatea Rationally Sara has great potential and ability, but a negative result prevents her from expressing them. It is not logical to leave school for a bad grade! In general, not all teens cut down after a negative result; they didn t like this but it is not a drop out reason. Page 11

12 i.e. Sara, 16. Emidio Arimatea In our case, Sara lives results as its own value. Failure became personal failure and it has a great impact on future choices. Sara's personality is built on the results and its moods depend on them. Sara had always good grades at school, then at the end of secondary school, she expected a good final grade but she did not take it. Page 12

13 i.e. Sara, 16. Emidio Arimatea This episode weakened her self-esteem, and so last winter, when English teacher (an important person for her) gave her a negative opinion, she experienced a personal failure. Sara has become aware of how was made her mental problem, not only because she wanted drop-out school Page 13

14 Why and for which (expressed) reasons Sara decided to drop out school? Considering her personality it is possible to give her an help Emidio Arimatea What can we take from this story taken for example? In this case we investigated her behaviors and expressed needs and her prior need to selfreferring experience (in terms of acceptance and adequacy) trough Health 25 Questionnaire Page 14

15 How can we involve adolescents in health promotion What is their way to digest their experiences? MQPO can be used to identify personalities: Some styles of personalities can predispose to NEET status Some styles of personalities can be more receptive to health promotion Page 15

16 For a further recognition on the approach we re-suggest this paper: Page 16

17 HEALTH 25 WP4 field survey The Health 25 Questionnaire Page 17

18 Preliminary results The Health 25 Questionnaire 71 Neet VS 71 No Neet These 142 subjects were recruited from the Juvenile Court in Ancona, in three months last it was submitted them the previous version questionnaire - Mental disorders are frequently between NEET (26,8% VS 5,6%) - No differences about use of drugs Page 18

19 The Health 25 Questionnaire Preliminary results Divorced Parents are 46,5% (n= 33) in NEET group VS Emidio Arimatea Divorced Parents 19,8% (n=14) in No NEET group 50% in NEET have family economics difficulties VS 8,5% (n=6) in No NEET families 12,7% (n=9) are foreign on the NO NEET group VS 31% (n=22) are foreign on the NEET group Page 19

20 Preliminary results The Health 25 Questionnaire This preliminary data shows a good correlations with our literature research, but it should evidenced that our NEET group came from only Juvenile Court. We think is more useful for field survey to have an heterogeneous target group! Page 20

21 Health 25 Literature review UK IT AT DK FR in progress State of art OK Page 21

22 Literature review workplan We expect: from France, literature report from other partners, integration/news (arisen during field survey) We will produce: Convergences and divergences Analysis Eventual partners feedbacks - approval Literature final report Page 22

23 Field survey workplan We expect: Questionnaire submitted Questionnaire results in excel file Partners feedbacks about field survey Emidio Arimatea We will produce final WP4 report (milestone 5) considering: questionnaire results partners feedbacks literature report Eventual partners feedbacks /approval WP4 final report Page 23

24 HEALTH 25 WP4 APPROACH AOR Literature review Field survey MQPO and Health 25 Questionnaire Month 9 = report production Page 24

25 The Health 25 Questionnaire MQPO can be used to identify not expressed needs Page 25

26 The Health 25 Questionnaire MQPO We have 4 differents scoring Scale for every PMO: Contextualized ; Controller; Principle Oriented; Detached. Page 26

27 The MQPO Questionnaire Contextualized Scale 1. To feel myself adequate, I don t disappoint other s expectations 5. It s important for me to understand if I have other s approval 9. It s important that my opinion is subscribed by people that I hold in esteem 13. I feel embarrassed and inadequate when the others criticize me Emidio Arimatea 17. I feel myself important if I am appreciated and required by others Page 27

28 The MQPO Questionnaire Contextualized Themes Rating Adequacy Approval Appreciation Recognition of external expectations Page 28

29 The MQPO Questionnaire Controller Scale 2. I have a feeling of constriction when I cannot move freely 6. I feel free and not constricted when I have the situation under control 10. When I feel controlled, I generally feel myself constricted and not free rather than disregarded 14. It s essential for me to be able to come in and out freely from a situation 18. I feel good with reliable people who don t oppress me with their requests Emidio Arimatea Page 29

30 The MQPO Questionnaire Controller Themes Protection Constraint Control of the physical distance to the other significant Loneliness Sense of reliability from significant others Page 30

31 The MQPO Questionnaire Principle Oriented Scale 3. The commitment I put in doing things makes me feel good, rather than others appreciation 7. To feel myself fair and impartial, I take into consideration more my internal rules more than other s opinion 11. I usually don t change my opinion when I am criticized by others 15. In doubt situations, others opinions are less important than mine 19. When I have a doubt, I tend to ignore other s expectations Emidio Arimatea Page 31

32 The MQPO Questionnaire Principle Oriented Themes Equity Certainty Security in own convictions Doubt Efforts Page 32

33 The MQPO Questionnaire Detached Scale 4. For me loneliness is the basic life condition 8. I generally think that I am alone and that there is a great distance between me and others 12. I feel that I cannot rely on anyone, so I must strongly commit myself to face reality, since results only depend on me 16. To be successful in life, one must strongly commit him/herself facing his/her destiny of loneliness 20. In my life I always had to shift for myself, as I cannot count on other s help Page 33

34 The MQPO Questionnaire Detached Themes Loneliness Detachment Self-determination Lack of support Inevitability of the destiny Thank you for attention Page 34