{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T01:27:32Z","timestamp":1791941252280,"version":"4.3.4"},"reference-count":42,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Health promotion in everyday settings is of great importance for both individual health and organizational sustainability. A settings\u2010based approach emphasizes how social, physical, and organizational contexts shape the conditions for health. Central principles in health promotion are participation, empowerment, and person\u2010centeredness, which emphasize the active role of the person or group in relation to the context. Although these principles are often highlighted in policy and theory, there is limited knowledge about how they are concretely translated into everyday practice within different contexts. The purpose of the study was therefore to explore how health promotion is conducted in different everyday settings, with a particular focus on how participation, empowerment, and person\u2010centeredness take shape in practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>The study was conducted as an exploratory qualitative collective case study supported by the Storytelling dialog method. Four different health\u2010promoting settings in southern Sweden were studied: a preschool, a sports profile within an upper secondary school, a daily activity for persons with neuropsychiatric functionality disabilities, and municipal community development for seniors. Data collection consisted of participant observations and semi\u2010structured interviews, and the material was written into four case stories.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>The findings showed two interrelated themes: Practice\u2010embedded prerequisites for a setting approach and an experiential and behavioral process supporting health development in settings. The first theme describes how societal support, organizational structures, staff competence, and everyday interactions create supportive conditions for health promotion. The second theme illustrates how experiences of inclusion, belonging, and motivation emerge within these conditions and foster active engagement, agency, and ongoing health development in everyday settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Participation, empowerment, and person\u2010centeredness appear to be mutually supporting and central to sustainable health promotion, regardless of setting. This study thus contributes to a deeper understanding of how these principles (participation, empowerment, and person\u2010centeredness) can be operationalized in everyday settings through a systems and process perspective illuminated from different contexts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>During data collection, representatives from each organization studied were either observed and\/or given the opportunity to describe in detail the everyday health promotion practices of their organization, including how participants and target groups were involved in the activities in general. Furthermore, the four case stories were written by the researchers in close dialog with and verified by representatives from the organizations before the analysis began, which helped ensure that the case descriptions accurately reflected the organizations' practices and the participants' perspectives.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hex.70632","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T08:25:43Z","timestamp":1772958343000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Empowerment, Participation, and Person\u2010Centeredness as Prerequisites for Health\u2010Promoting Settings in Everyday Practice: A Swedish Case Study"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0442-1457","authenticated-orcid":false,"given":"Petra Nilsson","family":"Lindstr\u00f6m","sequence":"first","affiliation":[{"name":"Faculty of Health Science Kristianstad University Kristianstad Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8861-1636","authenticated-orcid":false,"given":"Sophie Sch\u00f6n","family":"Persson","sequence":"additional","affiliation":[{"name":"Sk\u00e5ne University Hospital Lund Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-8490-5776","authenticated-orcid":false,"given":"Johanna","family":"Sj\u00f6beck","sequence":"additional","affiliation":[{"name":"Faculty of Health Science Kristianstad University Kristianstad Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-2507-0595","authenticated-orcid":false,"given":"Matilda","family":"Ahl","sequence":"additional","affiliation":[{"name":"Faculty of Health Science Kristianstad University Kristianstad Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kerstin","family":"Nilsson","sequence":"additional","affiliation":[{"name":"Faculty of Health Science Kristianstad University Kristianstad Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8927-8150","authenticated-orcid":false,"given":"\u00c5sa","family":"Brings\u00e9n","sequence":"additional","affiliation":[{"name":"Faculty of Health Science Kristianstad University Kristianstad Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,1]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-95856-5"},{"key":"e_1_2_12_3_1","unstructured":"World Health Organization (WHO). (2021a). Healthy Settings and Health\u2010in\u2010All Policies promoted. WHO."},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-publhealth-031816-044309"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12966-014-0118-8"},{"key":"e_1_2_12_6_1","unstructured":"World Health Organization (WHO). (1986). Ottawa Charter for Health Promotion. WHO."},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/heapro\/daab069"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.healthpol.2020.11.007"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/00313831.2020.1869074"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2020.579197"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.12640"},{"key":"e_1_2_12_12_1","doi-asserted-by":"crossref","unstructured":"R.CrossandJ.Woodall(2024). Green & Tones' Health Promotion: Planning and Strategies. 5th ed. SAGE.","DOI":"10.4135\/9781036231569"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/02673843.2024.2354907"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/heapro\/11.1.11"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18158092"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-79515-3_28"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/heapro\/daae086"},{"key":"e_1_2_12_18_1","unstructured":"World Health Organization (WHO). (2023). Well\u2010Being and Health Promotion. WHO."},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-019-0910-6"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ssaho.2024.101246"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.12601"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/1524839919889355"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1300\/J293v03n02_02"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/00178969211013570"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.19043\/ipdj.51.002"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0107828"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.m2738"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1017\/9781108855464.010"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1017\/9781108855464"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.13271"},{"key":"e_1_2_12_31_1","volume-title":"Fundamentals of Person\u2010Centred Healthcare Practice","author":"McCormack B.","year":"2021"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-11-100"},{"key":"e_1_2_12_33_1","doi-asserted-by":"publisher","DOI":"10.1093\/her\/14.1.39"},{"key":"e_1_2_12_34_1","unstructured":"SFS.2003:460. The Act Concerning the Ethical Review of Research Involving Humans. Swedish Government Offices."},{"key":"e_1_2_12_35_1","doi-asserted-by":"publisher","DOI":"10.1177\/1757913908098881"},{"key":"e_1_2_12_36_1","doi-asserted-by":"publisher","DOI":"10.1093\/heapro\/16.4.339"},{"key":"e_1_2_12_37_1","doi-asserted-by":"publisher","DOI":"10.1002\/msc.1234"},{"key":"e_1_2_12_38_1","first-page":"190","volume-title":"Practice Development in Nursing","author":"McCormack B.","year":"2013"},{"key":"e_1_2_12_39_1","doi-asserted-by":"publisher","DOI":"10.1093\/heapro\/daaa063"},{"key":"e_1_2_12_40_1","unstructured":"World Health Organization (WHO). (2021b). Geneva Charter for Well\u2010Being. Geneva: WHO."},{"key":"e_1_2_12_41_1","doi-asserted-by":"publisher","DOI":"10.1108\/HE-02-2021-0033"},{"key":"e_1_2_12_42_1","unstructured":"World Health Organization (WHO). (2016). WHO Global Strategy on Integrated People\u2010Centred Health Services 2016\u20132026. WHO."},{"key":"e_1_2_12_43_1","doi-asserted-by":"publisher","DOI":"10.1080\/13814788.2017.1375092"}],"container-title":["Health Expectations"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/hex.70632","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/hex.70632","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/hex.70632","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T10:44:36Z","timestamp":1777459476000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/hex.70632"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,1]]},"references-count":42,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1111\/hex.70632"],"URL":"https:\/\/doi.org\/10.1111\/hex.70632","archive":["Portico"],"relation":{},"ISSN":["1369-6513","1369-7625"],"issn-type":[{"value":"1369-6513","type":"print"},{"value":"1369-7625","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,1]]},"assertion":[{"value":"2026-01-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-23","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70632"}}