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P O LY T E C H N I C U N I V E R S I T Y O F T H E P H I L I P P I N E S
CHAPTERChapter I
Introduction
state of being describing the positive health of an individual”. The most general
Wellness is the search for enhanced quality of life, personal growth, and
responsibility for our own health and well-being, we can improve our health. The
pursuit of health, personal growth, and improved quality of life relies on living a
balanced life. To achieve balance, we need to care for our mind, body and spirit.
aspects and provide structure for quantifying levels of wellness. The most
every emotion we feel relates to our well-being. In turn, our well-being directly
affects our actions and emotions. It’s an ongoing circle. Therefore, it is important
for everyone to achieve optimal wellness in order to subdue stress, reduce the risk
Services) For students, optimum health and wellness can have a positive impact
on academic success. In addition, many of the activities that keep students healthy
can also improve mental focus, decrease stress, and improve the quality of study
The main objective of this study is to find out the BSOA students’ state of
skills. The challenging workload often consumes the day, energy, emotions and
mental capacity of an individual. Conflict due to the demands of study can arise
complete physical, mental, and social well-being and not merely the absence of
choices
toward a more successful existence. The key words in this first sentence are
process, aware, and choices. Process means that we never arrive at a point where
continuously seeking more information about how we can improve. Choices mean
that we have considered a variety of options and select those that seem to be in our
Research shows that students have the best chance to succeed when they
are healthy. “Health” in this context includes a nutritious diet, physical activity,
individual's quality of life (Walid El Ansari, 2010) It has been argued that health is an
important factor for academic achievement in higher education (Tsouros, A.D et al,
1998). Promoting the health and well-being of all members means promoting
effective learning (O ‘Donnell, T, et al, 1993). It is widely accepted that health and
well-being are essential elements for effective learning (Novello, A.C, et al, 1992).
P O LY T E C H N I C U N I V E R S I T Y O F T H E P H I L I P P I N E S
have common root causes. Health is an excellent indicator for the academic
success of students that is an excellent indicator for the overall wellbeing of youth
(Marwa Omar Abd El-Kader et al, 2013). Maintaining an optimal level of wellness is
absolutely crucial to live a higher quality life. Wellness matters. Wellness matters
turn, our well-being directly affects our actions and emotions. It’s an ongoing circle.
subdue stress, reduce the risk of illness and ensure positive interactions
(https://shcs.ucdavis.edu/wellness/what-is-wellness).
Theoretical Framework
(1991; 1992) and Sweeney, Witmer and Myers (1998) is one of the first models of
wellness based in counseling. Sweeney, Witmer and Myers states that wellness
refers to a holistic approach in which mind, body, and spirit are integrated. It is a
way of life oriented toward optimal health and well-being in which body, mind, and
spirit are integrated in a purposeful manner with a goal of living life more fully
(2000). The Wheel of Wellness illustrates a wellness model with six dimensions:
psychological, emotional, social, physical, spiritual and intellectual. All of the six
lifestyle. This model helps the researcher attempt to determine our well-being. It
P O LY T E C H N I C U N I V E R S I T Y O F T H E P H I L I P P I N E S
demonstrates the need for balanced and well-rounded lives so in order to attain
and maintain the optimal wellness we must pay attention to each of the
emotional, social, physical, spiritual and intellectual) that can be used as a guideline
of improving life in order to lead a vital, fulfilling, well rounded life. Each of these
when one or more dimension is missing there must be an imbalance in life. The
Conceptual Framework
P O LY T E C H N I C U N I V E R S I T Y O F T H E P H I L I P P I N E S
The figure shows the conceptual model which directed the researchers in the
FEEDBACK
P O LY T E C H N I C U N I V E R S I T Y O F T H E P H I L I P P I N E S
Figure 1 shows the Input (I), the Process (P), and the Output (O), these variables
are the components of inquiry. The Input includes the respondents’ profile, and the
assessment of their wellness in terms of the six dimensions. The Process consists
of the analyses of the data gathered through descriptive survey and statistical
P O LY T E C H N I C U N I V E R S I T Y O F T H E P H I L I P P I N E S
one-way ANOVA to arrive at the results of the study. The Output shows the result
of the process information and the target system. This is composed of,
The purpose of the study is to determine the perceived wellness among the
profile?
P O LY T E C H N I C U N I V E R S I T Y O F T H E P H I L I P P I N E S
stress and having very well outcome and positive outlook in life. BSOA students
may help them carry out duties not just in school but also to their communities. In
Polytechnic University of the Philippines. The result of the study will provide
Future Researchers. The result of the study, may serve as a reference for the
future researchers who will conduct related studies for further investigations using
other variables.
Mesa, Manila students only. This research has 195 respondents from second year
to third year students. This study only focuses on determining the respondents’
Definition of Terms
BSOA Students. Refers to the students taking the four-year degree program,
Philippines.
and the feelings of others. This dimension involves feeling positive and
enthusiastic about life and ourselves, and being comfortable with self- expression.
Holistic Wellness. For the purpose of this research, Holistic Wellness refers to a
her own abilities, can cope with the normal stresses of life, can work productively
Physical Wellness. Refers to the ability to maintain a healthy quality of life that
allows us to get the most out of our daily activities without undue fatigue or physical
stress.
Spiritual Wellness. Refers to the personal matter involving values and beliefs that
Social Wellness. Refers to one's ability to interact with people around them. It
respecting yourself and others, and creating a support system that includes family
means in some sense the individual or group's condition is positive, while low well-
toward a healthy and fulfilling life. Wellness is more than being free from illness. It
Chapter 2
In this chapter, the research literature and studies deemed by the author to be
most relevant to the purpose of this study is summarized. This literature review is
section. The second and last section presents the factors that contribute to
wellness.
Foreign Literature
Dunn, who is widely credited as being the “founding parent wellness” defined it as
potential of which the individual is capable” (as cited in Myers & Williard, 2003).
potential (Ardell, 2003). Archer, Probert and Gage (1987) defined wellness as “the
process and a state of a quest for maximum human functioning that involves the
mind, body, and spirit”. According to Hatfield (1992), wellness is “a process that
P O LY T E C H N I C U N I V E R S I T Y O F T H E P H I L I P P I N E S
involves the striving for balance and integration in one’s life, adding and refining
More recently, Myers, Sweeney and Witmer (2000) defined wellness as:
“A way of life oriented toward optimal health and well-being in which body,
mind, and spirit are integrated by the individual to live life more fully within
the human and natural community. Ideally, it is the optimum state of health
All the definitions of wellness presented here are similar in that wellness is
1991). This philosophy has been operationalized in models of wellness and many
attempts have been done to propose a wellness model in order to explain the
factors that enhance healthy functioning. The most frequently cited models in the
literature were developed by Ardell (1985), Hettler (1984), Adams, Bezner, Garner,
Donald B. Ardell, PhD, has developed a series wellness models. His first
model was “The Original Wellness Model”. This model emphasized self-
circle: (1) self-responsibility, (2) nutritional awareness, (3) stress awareness and
responsibility is in the center of that circle, bordered by the other dimensions (High
In 1982, Ardell revised his model and named this new model as The Revised
and Expanded Wellness Model. This model, which is more inclusive, includes
P O LY T E C H N I C U N I V E R S I T Y O F T H E P H I L I P P I N E S
(3) meaning and purpose, (4) relationship dynamics, and (5) emotional intelligence.
(1) psychological and spiritual, (2) physical fitness, (3) job satisfaction, (4)
relationships, (5) family life, (6) nutrition, (7) leisure time, and (8) stress
In 2001, Ardell modified this model and developed his third and last model, in
which there are 3 domains of self-management, which are explained in the context
of the challenge of aging well. Within these three domains, there are total of 14
skill areas: (1) Physical Domain (Exercise and Fitness, Nutrition, Appearance,
hexagon model including six dimensions of healthy functioning; (1) social, (2)
occupational, (3) spiritual, (4) physical, (5) intellectual, and (6) emotional
family, friend, and coworkers. The dimension also includes the type of environment
in which the individual lives. Occupational and career dimension includes the past
attained during the period of employment, and salary level attained. Physical
dimension refers to behaviors and factors that directly and indirectly affect physical
P O LY T E C H N I C U N I V E R S I T Y O F T H E P H I L I P P I N E S
health such as types and levels of exercise, nutrition, alcohol, stress levels, sexual
activity, body esteem, and amount of sleep. Intellectual dimension involves formal
includes the ability to own and express one’s emotions in a healthy manner. This
model is the basis for two assessment instruments, Testwell (National Wellness
Adams Bezner, and Steinhardt (1997) built the Perceived Wellness Model
of living that permits the experience of consistent, balanced growth in the physical,
existence” (p. 15). The six dimensions in this model are consistent with a holistic
wellness perspective integrating aspects of the body, mind, and spirit. These or
similar dimensions exist in the majority of wellness models (e.g., Hettler, 1984;
Witmer & Sweeney, 1992), although the underlying theoretical framework and
emphasis on behavior change theory distinguishes the PWM from other models of
wellness.
independence to individuals. The distal narrow part of the cone represents illness
them (Adams, Bezner, Garner, et al., 1998). Change in any dimension affects the
other dimensions. Increasing wellness in one dimension has positive ripple effect
on the other dimensions, and similarly, disease or illness will cause a rippling
underlying theories. This model makes it clear that: 1) general health perceptions
are among the best predictors of numerous health outcomes; and 2) nearly every
behavior change theory in use today employs perceived constructs, the idea being
that if you can change perceptions, you can change attitudes and ultimately
behaviors (Adams et al., 2000). The Perceived Wellness Scale is based on the
PWM.
The PWS (Adams, Bezner, & Steinhardt, 1998) was developed for use in
clinical settings as a research tool and designed using systems, wellness, and
assumption of the PWS is that it collects evidence supporting the belief that the
mind and the body reciprocally interact to influence overall wellness (Adams,
P O LY T E C H N I C U N I V E R S I T Y O F T H E P H I L I P P I N E S
Bezner, & Steinhardt, 1998; Degges-White, Myers, Adelman, & Pastoor, 2003). In
the past, research measuring the perceptions of patients had been conducted
using a single item measure of holistic wellness (Idler & Kasl, 1991; Kaplan &
Camacho, 1983; Reed, 1992). The PWS sets out to represent, integrate and
with the PWS has been limited to students and employees living in the same
region. However, the brevity and simplicity of the PWS may increase its use in
Sweeney and Witmer (1992) to design the Wheel of Wellness Model (WOW). This
model provided an alternative view from more common diagnostic tools used in
(Myers et al., 2000). The WOW is a multidimensional and circular model used to
explain both the characteristics of healthy functioning and the nature of the
extensive literature review, Myers et al. (2000) concluded that existing theoretical
The main components of the WOW are based on Adler's theory of individual
psychology and include the major life tasks of work, friendship, and love. Spirit and
P O LY T E C H N I C U N I V E R S I T Y O F T H E P H I L I P P I N E S
self are also core components based on Adlerian theory (Sweeney, 2004). In fact,
persons and as essential in all other areas. Furthermore, the twelve tasks of self-
exercise, self-care, stress management, gender identity, and cultural identity) are
to meet the Adlerian major life tasks of work, friendship, love, and spirituality
interacting dynamics in the environment and society that can affect holistic
Wellness is conceived of as a way of life oriented toward optimal health and well-
being in which body, mind, and spirit are integrated in a purposeful manner (Myers
et al., 2000). Differing from other models is the introduction of spirituality as the
wellness core that is central to individuals and provides the energy to drive the
patient to seek wellness. Also unique to the WOW are the multiple sub-dimensions
that interact in an individual. For each wellness dimension the model postulates a
Foreign Studies
perspectives. Several models have been proposed. This has resulted in the
this construct (Palombi, 1992). Therefore, studies related to wellness have been
guidance activities among elementary school children, Omizo (1992) found that the
children who participated in the guidance activities had significantly higher levels of
self-esteem and knowledge of wellness information than the children who did not
health values, specific health behaviors, and general practice of wellness behaviors
in Navy personnel and found that health values predicted health behaviors and
general practice of wellness behaviors. The results also revealed that self-esteem
perceived stress.
Survey to assess their well-being related to four areas: stress, mental health,
empathy, and the learning environment. In 2013, findings revealed that in the third
year of medical school, empathy, mental health, and learning environment quality
were slightly reduced, and student stress was slightly elevated, suggesting the
Liu conducted the Barriers to Self-Care in Medical School Study, which involved a
survey and discussion groups to assess the self-care habits students tend to
promote self-care. Respondents indicated that the greatest barriers to their self-
care were lack of time, lack of energy, and the culture of medicine; there was
increased perception among clinical students that the culture of medicine and lack
Local Literature
Wellness is the integration of mind, body and spirit. It is a state of the best
possible well-being that allows us to achieve our goals and find meaning and
purpose in our lives. Wellness involves continually learning and making changes
being into a quality way of living. When we balance the physical, intellectual,
simply put, mind and body, we achieve true health and therefore, true wellness
The National Wellness Institute has identified six dimensions through which
through work); physical (regular physical activity); intellectual (creativity and mental
one’s feelings). With the fast paced environment we live in, however, this idea of
balance seems impossible to achieve, and can affect how we function on a daily
basis.
than eight hours of sleep and exercising at least 30 minutes a day has long been
thought of as the key of health. It is easy to function if you are healthy. You can do
P O LY T E C H N I C U N I V E R S I T Y O F T H E P H I L I P P I N E S
your daily task easily if your body is in good condition. Physical wellness is
important because your life span depends on your health. Many people die easily
because they didn’t protect their body well. There are many ways you can do to
take care of yourself; Avoid stress. According to the National Institute of Diabetes
and Digestive and Kidney Diseases, stress can cause a person to feel tired and
want to do nothing.
balance (“Timbang”), while stress and illnesses are results of imbalances. A study
cited by Dr. Willie Ong reports that if you laugh more, your mood improves
dramatically, depression and anger dropped by 98%, fatigue fell by 87%, and
tension was reduced by 61%. To protect one’s emotional health, a person must
learn to accept things that may happen. There are many people who suffer from
depression, sadness, anger and hurt because they are living with the problem
instead of forgetting about it. What you feel may last, but what you decide will
dictate your whole life. Being emotional healthy is to enjoy one’s life.
The sense of order in health is linked with social relationships. Among the
shifts from hot to cold temperatures lead to illness, a “warm” environment is best
for optimal health, cold drinks or food should not be consumed in the morning,
emotional restraint restores balance. Research has pointed out some Filipino
P O LY T E C H N I C U N I V E R S I T Y O F T H E P H I L I P P I N E S
forces or stress) causes. The practice of meditation has long been observed, but
celebrities — have incorporated it into their lives. Though there’s no optimal length
of time (meditation can last for a few minutes or hours), devotees can attest to the
results it can yield. On a physical level, meditation is said to lower high blood
pressure, levels of blood lactate and any tension-related pain, increases serotonin
production to improve mood and energy levels. Letting go of one’s worries and
obligations for a short period of time does wonders for the mind, stabilizing
emotions, increasing happiness, creativity and mental clarity (Asian Journal, 2015).
on the system of beliefs, as well as to establish and carry out meaningful and
greater than the individual that helps one contribute to an improved quality of life
for all people. A person with spiritual wellness is generally characterized as fulfilled
wellness, for Filipinos, spiritual wellness revolves around their religion. In direct
worship. Prayers provide comfort and placate worries. Moreover, worship helps
ease guilt allowing one to have a peace of mind. (Zamora & Fernandez, 2016)
P O LY T E C H N I C U N I V E R S I T Y O F T H E P H I L I P P I N E S
These days, trends emerge left and right to help attain society’s notion of a
‘healthy’ lifestyle — from wearable technology, fitness classes, fad diets and “super
foods,” you name it. Something is always being marketed as the ‘next big thing’ in
Local Studies
of 7,700 Filipinos ages 20 and older, FNRI-DOST reported that very few Filipino
well-being. Despite this knowledge, national data from the Philippines indicate that
only a small percentage of Filipinos engage in regular physical activity (Food and
these straightforward associations with public health and fitness, the social
the fitness industry and the private sector. Among Filipinos, the three most popular
forms of exercise are walking, running, and weight lifting (Cagas, Torre &
Manalastas 2010).
With the growing evidence that members of the general population in Asian
societies such as the Philippines do not achieve the sufficient levels of physical
exercise and sport psychology and allied fields to examine factors that drive people
A survey by US research firm Gallup ranks the Philippines the most emotional
society in the world—not at all a surprise for a country where a senator ends his
privilege speech in tears, another senator becomes a byword as much for hilarious
pick-up lines as for her heated outbursts on the senate floor, and where everyone
Gallup polled over 140 countries, asking respondents questions that reveal
emotions—for example: "Did you feel well rested yesterday?" or "Did you smile or
laugh a lot yesterday?" The poll also asked respondents if they experienced
questions in the affirmative—the highest rate among all the countries surveyed.
Mental health problems are increasing and dramatically adding to the global
burden of disease and disability worldwide. Mental disorders account for about
(WHO, 2007).
The public health impact of mental illness is that it can cause disability for
prolonged periods. Mental illness has been found to be the third most common
form of disability in the Philippines in 2000 after visual and hearing impairments,
Office, 2000).
`The region with the highest prevalence rate of mental illness is Southern
Tagalog at 132.9 cases per 100,000 population, followed by NCR at 130.8 per
100,000 population and Central Luzon at 88.2 per 100,000 population (DOH
WHO (2007) reports that about half of mental disorders begin before the
age of fourteen. Around 20% of the world’s children and adolescents are estimated
reported across cultures. In the Global School Health Survey (2007), 17% of
students 13- 15 years old with specific mental health problems described to be
“feeling lonely most of the time or always during the last 12 months”, 16.7%
“seriously considered attempting suicide during the past 12 months” and 4.5%
P O LY T E C H N I C U N I V E R S I T Y O F T H E P H I L I P P I N E S
reported “having no close friends”. WHO reports that about 50% of mental
population survey (DOH, National Objectives for Health, 2005-2010), the more
confusion and forgetfulness, no control over the use of cigarettes and alcohol, and
Cigarette and alcohol abuse affect adults and adolescents more than they do the
older persons. The prevalence of mental illness is reportedly highest among the
Manila reported experiencing mental health problems at least once in their lifetime
(DOH-NEC, 2006).
The three most common diagnoses were specific phobias (15%), alcohol
control over the use of cigarettes and alcohol, and delusions. Excessive sadness,
forgetfulness and confusion increase with age. Cigarette and alcohol abuse affect
adults and adolescents more than they do the older persons. The prevalence of
mental illness is reportedly highest among the older age groups. Mental disorders
P O LY T E C H N I C U N I V E R S I T Y O F T H E P H I L I P P I N E S
problems are among the risk factors for some NCDs and can also contribute to
and mental conditions is common. A community survey showed that those who
report significant emotional distress reported high rates of high cholesterol, high
blood pressure, obesity, asthma and diabetes (NYC Department of Health and
incidence of poor health, such as lack of exercise, binge drinking, smoking and
poor nutrition. Several studies provide evidence linking mental health domains to
illnesses including anxiety, and heart disease (Kuper, Marmot & Hemingway,
2002), stroke (Carson et al., 2002), diabetes (Anderson et al., 2001), asthma
(Goldney et al., 2003) and cancer (De Boer et al., 1999). Depression occurs in 16–
23% of patients with coronary artery disease and may precede myocardial
infarction in 33–50% of cases. Depression and anxiety have also been found in
patients following coronary artery bypass graft and in patients with congestive
heart failure. Local data show that almost half (47%) of those diagnosed to have
anxiety and depression and other psychiatric illnesses (Perlas, et al., 1996).
Behaviours such as tobacco and alcohol use and other risk and protective
factors such as exercise and overweight may influence onset, course and
P O LY T E C H N I C U N I V E R S I T Y O F T H E P H I L I P P I N E S
Depression and anxiety may worsen prognosis for stroke. Depression and anxiety
can influence the course of diabetes and are associated with poor control of blood
researchers deals with the factors related to wellness. There are several models
and point of view presented in the study as cited from different authors. Each of
these themes is intertwined with one another. By understanding the large amount
professionals should not stop there, but should continue to conduct wellness
Chapter 3
RESEARCH METHODOLOGY
answer the initial question as unambiguously as possible. This study will attempt to
measure the six-dimensional aspects of BSOA students. Therefore, this study will
Research Design
Descriptive Design
essence, this approach reduces the data into numbers. The researchers know in
advance what they are looking for and all aspects of the study are carefully
P O LY T E C H N I C U N I V E R S I T Y O F T H E P H I L I P P I N E S
conducted. The survey is composed of 36 questions and will be adopted from the
Perceived Wellness Survey. This survey will allow BSOA students to answer
behavioral-based questions about their wellness practices. In the survey, all six
Sta. Mesa, Manila Branch. The population of the 3 rd year and 4th year students of
the Department of Office Administration is 381 and the researchers will use Slovin’s
formula in order to get the sample size. The researchers will use random sampling
to select the respondents from the student of second year and third year then they
will distribute the number of respondents for each year level to its corresponding
Table 1
Population and sample size of the Department of Office Administration
P O LY T E C H N I C U N I V E R S I T Y O F T H E P H I L I P P I N E S
N
The formula of Slovin’s formula is: n ≥ 2
1+ N e
N = total population
n= 381
1+(381)(0.05)2
n= 381
1+(381)(0.0025)
n= 381
1+0.9525
n= 381
1.9525
Student’s Year
Population Sample size
Level
n= 3rd year 223 114
4th year 158 81 195.13
Total 381 195
Description of Respondents
P O LY T E C H N I C U N I V E R S I T Y O F T H E P H I L I P P I N E S
Sta. Mesa, Manila Branch. They will randomly select from second year college up
to third year college regardless of their sections. To complete the required number
of respondents, the researchers used the Slovin’s formula, and as a result the total
Research Instrument
The researchers will use descriptive survey that is based from the specific
corresponding to the specific questions. It consists of two parts which are the
wellness and the factors that affect them as the second and last part. The profile
of the students includes the name, year level, age, and gender. The second part
which are the psychological, emotional, social, physical, spiritual, and intellectual
dimensions. Each dimension has six items for the respondent to identify their
Each item indicator has 6 statements the respondents rated based on the six-level
scale below.
After deciding on the topic to research, the researchers will ask for an
approval from their adviser. The researchers will send a letter of request to gather
Administration.
gather data and from there, the researchers’ base the statements included in the
survey and have them validate by various professors. The researchers will
After gathering all the data needed, the researchers then treat the data with
the aid of several tools. The data will compile, analyze, and interpret.
Statistical Treatment
P O LY T E C H N I C U N I V E R S I T Y O F T H E P H I L I P P I N E S
The results of the organized tabulated, data will treat statistically. These are
the following statistical treatments that will be use to interpret the data gathered.
F
The formula is: % =
N
x 100 %
Where: % - Percentage
F – Frequency
N – No. of respondents
3. Weighted mean- This will use to get the average of the responses.
TW
The formula is: Wx=
TR
Where:
Wx - Weighted mean
TW - Total weight
TR - Total respondents
P O LY T E C H N I C U N I V E R S I T Y O F T H E P H I L I P P I N E S
4. Independent samples t-test- This is used to compare means for two groups of
cases.
x 1−x 2
√
2
The formula is: T= S 12 S 2❑
+
n1 n2
Where:
ANOVA Formula
ANOVA table for fixed model, single factor, fully randomized experiment
Source
Sums of Degrees of Mean
of Sums of squares F
squares Freedom square
variation
P O LY T E C H N I C U N I V E R S I T Y O F T H E P H I L I P P I N E S
Explanatory
Computational SS DF MS
SS
Treatme
nts
Error
Total