The comprehensive 360° model of research: its foundations and exemplary application in spinal cord injury

Objective: This paper introduces the “360° Model of Research”, a novel framework designed to prioritize functioning as a primary health indicator, particularly for individuals living with health conditions. The goal is to promote this model as a comprehensive, person-centred, and interdisciplinary a...

Full description

Saved in:
Bibliographic Details
Main Authors: Sara Rubinelli, Jerome Bickenbach, James Middleton, Ian Cameron, Carla Sabariego, Gerold Stucki
Format: Article
Language:English
Published: Medical Journals Sweden 2025-02-01
Series:Journal of Rehabilitation Medicine
Subjects:
Online Access:https://medicaljournalssweden.se/jrm/article/view/42019
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850199748114382848
author Sara Rubinelli
Jerome Bickenbach
James Middleton
Ian Cameron
Carla Sabariego
Gerold Stucki
author_facet Sara Rubinelli
Jerome Bickenbach
James Middleton
Ian Cameron
Carla Sabariego
Gerold Stucki
author_sort Sara Rubinelli
collection DOAJ
description Objective: This paper introduces the “360° Model of Research”, a novel framework designed to prioritize functioning as a primary health indicator, particularly for individuals living with health conditions. The goal is to promote this model as a comprehensive, person-centred, and interdisciplinary approach to health research, moving beyond the traditional siloed and disease-based methodologies. Methods: The paper is conceptual, integrating existing scientific literature and theoretical frameworks to build the 360° Model. It draws on interdisciplinary perspectives from rehabilitation, social sciences, health services research, and ethics, among others, to create a unified health science focused on optimizing functioning. Results: The 360° Model emphasizes functioning as a key health indicator, combining biological health with lived experience. The Model provides a reference framework for data collection, but does not presume any particular explanatory theory about how lived experience is created or interpreted by the individual. It has been successfully applied in the Swiss Spinal Cord Injury Cohort Study (SwiSCI), demonstrating its value in addressing the comprehensive needs of individuals with spinal cord injury through interdisciplinary collaboration and a learning health system theory. Conclusion: The 360° Model offers a transformative approach, highlighting the importance of functioning in health research. It provides a robust foundation for a new interdisciplinary field of Human Functioning Sciences, aimed at optimizing health and well-being across diverse populations.
format Article
id doaj-art-8b7a1f379d2b486f9d6ae8828ea85c0e
institution OA Journals
issn 1651-2081
language English
publishDate 2025-02-01
publisher Medical Journals Sweden
record_format Article
series Journal of Rehabilitation Medicine
spelling doaj-art-8b7a1f379d2b486f9d6ae8828ea85c0e2025-08-20T02:12:33ZengMedical Journals SwedenJournal of Rehabilitation Medicine1651-20812025-02-015710.2340/jrm.v57.42019The comprehensive 360° model of research: its foundations and exemplary application in spinal cord injurySara Rubinelli0https://orcid.org/0000-0003-1086-8914Jerome Bickenbach1https://orcid.org/0000-0003-3070-4407James Middleton2https://orcid.org/0000-0002-2777-8619Ian Cameron3https://orcid.org/0000-0003-0147-047XCarla Sabariego4https://orcid.org/0000-0001-6946-0177Gerold Stucki5https://orcid.org/0000-0003-1392-5419Swiss Paraplegic Research (SPF), Nottwil, Switzerland; Faculty of Health Sciences and Health Policy, Faculty of Humanities and Social Sciences, University of Lucerne, Lucerne, Switzerland; Center for Rehabilitation in Global Health Systems, University of Lucerne, Lucerne, SwitzerlandSwiss Paraplegic Research (SPF), Nottwil, SwitzerlandKolling Institute, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia; John Walsh Centre Rehabilitation Research, Northern Sydney Local Health District, St Leonards, Sydney, NSW, AustraliaKolling Institute, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia; John Walsh Centre Rehabilitation Research, Northern Sydney Local Health District, St Leonards, Sydney, NSW, AustraliaSwiss Paraplegic Research (SPF), Nottwil, Switzerland; Faculty of Health Sciences and Health Policy, Faculty of Humanities and Social Sciences, University of Lucerne, Lucerne, Switzerland; Center for Rehabilitation in Global Health Systems, University of Lucerne, Lucerne, SwitzerlandSwiss Paraplegic Research (SPF), Nottwil, Switzerland; Faculty of Health Sciences and Health Policy, Faculty of Humanities and Social Sciences, University of Lucerne, Lucerne, SwitzerlandObjective: This paper introduces the “360° Model of Research”, a novel framework designed to prioritize functioning as a primary health indicator, particularly for individuals living with health conditions. The goal is to promote this model as a comprehensive, person-centred, and interdisciplinary approach to health research, moving beyond the traditional siloed and disease-based methodologies. Methods: The paper is conceptual, integrating existing scientific literature and theoretical frameworks to build the 360° Model. It draws on interdisciplinary perspectives from rehabilitation, social sciences, health services research, and ethics, among others, to create a unified health science focused on optimizing functioning. Results: The 360° Model emphasizes functioning as a key health indicator, combining biological health with lived experience. The Model provides a reference framework for data collection, but does not presume any particular explanatory theory about how lived experience is created or interpreted by the individual. It has been successfully applied in the Swiss Spinal Cord Injury Cohort Study (SwiSCI), demonstrating its value in addressing the comprehensive needs of individuals with spinal cord injury through interdisciplinary collaboration and a learning health system theory. Conclusion: The 360° Model offers a transformative approach, highlighting the importance of functioning in health research. It provides a robust foundation for a new interdisciplinary field of Human Functioning Sciences, aimed at optimizing health and well-being across diverse populations. https://medicaljournalssweden.se/jrm/article/view/42019health status indicatorsfunctioninginterdisciplinary researchpatient-centred carerehabilitationspinal cord injuries
spellingShingle Sara Rubinelli
Jerome Bickenbach
James Middleton
Ian Cameron
Carla Sabariego
Gerold Stucki
The comprehensive 360° model of research: its foundations and exemplary application in spinal cord injury
Journal of Rehabilitation Medicine
health status indicators
functioning
interdisciplinary research
patient-centred care
rehabilitation
spinal cord injuries
title The comprehensive 360° model of research: its foundations and exemplary application in spinal cord injury
title_full The comprehensive 360° model of research: its foundations and exemplary application in spinal cord injury
title_fullStr The comprehensive 360° model of research: its foundations and exemplary application in spinal cord injury
title_full_unstemmed The comprehensive 360° model of research: its foundations and exemplary application in spinal cord injury
title_short The comprehensive 360° model of research: its foundations and exemplary application in spinal cord injury
title_sort comprehensive 360° model of research its foundations and exemplary application in spinal cord injury
topic health status indicators
functioning
interdisciplinary research
patient-centred care
rehabilitation
spinal cord injuries
url https://medicaljournalssweden.se/jrm/article/view/42019
work_keys_str_mv AT sararubinelli thecomprehensive360modelofresearchitsfoundationsandexemplaryapplicationinspinalcordinjury
AT jeromebickenbach thecomprehensive360modelofresearchitsfoundationsandexemplaryapplicationinspinalcordinjury
AT jamesmiddleton thecomprehensive360modelofresearchitsfoundationsandexemplaryapplicationinspinalcordinjury
AT iancameron thecomprehensive360modelofresearchitsfoundationsandexemplaryapplicationinspinalcordinjury
AT carlasabariego thecomprehensive360modelofresearchitsfoundationsandexemplaryapplicationinspinalcordinjury
AT geroldstucki thecomprehensive360modelofresearchitsfoundationsandexemplaryapplicationinspinalcordinjury
AT sararubinelli comprehensive360modelofresearchitsfoundationsandexemplaryapplicationinspinalcordinjury
AT jeromebickenbach comprehensive360modelofresearchitsfoundationsandexemplaryapplicationinspinalcordinjury
AT jamesmiddleton comprehensive360modelofresearchitsfoundationsandexemplaryapplicationinspinalcordinjury
AT iancameron comprehensive360modelofresearchitsfoundationsandexemplaryapplicationinspinalcordinjury
AT carlasabariego comprehensive360modelofresearchitsfoundationsandexemplaryapplicationinspinalcordinjury
AT geroldstucki comprehensive360modelofresearchitsfoundationsandexemplaryapplicationinspinalcordinjury