Zoe Fisher, Kelly Davies, Andrew Kemp (SBUHB and Swansea University) and
Suzanne Charles (SBUHB)
Swansea Bay University Health Board and Swansea University
The project, ‘Reimagining Holistic Health: Scalable Interventions for Living Well with Chronic Conditions’, aims to transform healthcare by addressing chronic conditions through a holistic approach that extends beyond traditional medical models of acute care. Current healthcare practices focus on reducing impairment, but this project emphasises enhancing overall wellbeing through an integrative model that includes biological, emotional, cognitive, social, and environmental factors. The initiative is rooted in eight years of work redefining wellbeing as a connection to the self, others, and nature, leading to the creation of an 8-week Wellbeing Intervention program that has seen success in patient feedback, awards, a published service evaluation and a multicentre randomized controlled feasibility trial. The project’s goal is to scale and adapt this intervention to other conditions, including chronic health and mental health issues. The project involves five specific objectives, including publishing our wellbeing intervention manual with Routledge, developing multimedia training materials, expanding the intervention to additional clinical populations, and scaling it across Swansea Bay Health Board and the West Glamorgan region. Evaluation of the project’s success will use RE-AIM and CFIR frameworks to assess its reach, effectiveness, and adaptability. Collaborations with community-based psychologists and partners such as ReWise and Tempo Time Credits will play a significant role in co-creating supplementary materials and recognising the contributions of patient volunteers. The project aims to make the intervention accessible globally and support sustainable healthcare by integrating wellbeing into both individual care and broader community contexts. Ultimately, it aspires to shift healthcare models toward promoting holistic wellbeing, reducing the burden on healthcare systems, and improving outcomes for people with chronic conditions.
