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Health Promotion Theories

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Health Promotion Theories
© Jones & Bartlett Learning, LLC. NOT FOR SALE OR DISTRIBUTION

C h a p t e r

3

Health Promotion Theories
Bonnie Raingruber

Objectives
At the conclusion of this chapter, the student will be able to:
●● Compare and contrast nursing and non-nursing health promotion theories.
●● Examine health promotion theories for consistency with accepted health promotion priorities and values.
●● Articulate how health promotion theories move the profession forward.
●● Discuss strengths and limitations associated with each health promotion theory or model.
●● Describe the difference between a model and a theory.
●● Identify theoretical assumptions and concepts within nursing and non-nursing theories. ●● Develop his or her own health promotion model.

Why Should Health Promotion Be
Theory-Based?
A variety of authors have commented that health promotion programs typically lack a theoretical foundation or are based on a conceptual model that does not conform to the current values and norms of health promotion practice (Bauer et al., 2003; King,
1994; Stokols, 1996; Whitehead, 2004). Commonly, environmental, social, cultural, economic, and political influences are given scant or no attention within health promotion theories. These factors may well be some of the main reasons a health promotion program that has its design based on a particular theory is not as effective as the author hoped it would be.
Whitehead (2001a) commented that the reliance on health education theories and frameworks may actually pose a barrier to progress in the arena of health promotion.

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Chapter 3

Health Promotion Theories

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He emphasized that if the confusion persists between health education and health promotion theories and models, it will be increasingly difficult for nurses to identify when they are implementing health promotion activities and programs. Whitehead (2006) suggested that without



References: Lindstrom, B. & Eriksson, M. (2009). The salutogenic approach to the making of HiAP/healthy public policy: Illustrated by a case study Little, J. H. & Girvin, H. (2002). Stages of change. A critique. Behavior Modification, 26(2), 223–273. Macdonald, G. (2000). A new evidence framework for health promotion practice. Health Education Journal, 59, 3–11. Markland, D., Ryan, R. M., Tobin, B., & Rollnick, S. (2005). Motivational interviewing and self-determination theory Mathews, S. K., Secrest, J. & Muirhead, L. (2008). The interaction model of client health behavior: A model for advanced practice nurses McBride, S. H. (1991). Comparative analysis of three instruments designed to measure self-care agency. Nemcek, M. A. (2003). Self nurturance: Research trends and wellness model. AAOHN Journal, 51(6), 260–266. Nightingale, F. (1859). Notes on Nursing: What it is, and what it is not. London, UK: Harrison and Sons. Oetzel, J. G., Ting-Toomey, S., & Rinderle, S. (2006). Conflict communication in contexts: A social ecological perspective Orem, D. E. (1985). Nursing concepts of practice (3rd ed.). New York, NY: McGraw-Hill. Pender, N. J. (1982). Health promotion in nursing practice. Norwalk, CT: Appleton-Century-Crofts. Pender, N .J. (1987). Health promotion in nursing practice (2nd ed.). Norwalk, CT: Appleton-Century-Crofts. Prochaska, J. O. (2006). Moving beyond the transtheoretical model. Addiction, 101(6), 768–774. Prochaska, J. O, DiClemente, C. C. Velicer, W. R. & Rossi, J. S. (1992). Criticisms and concerns of the transtheoretical model in light of recent research. British Journal of Addiction, 87(6), 825–828. Prochaska, J. O, & Velicer, W. F. (1997). The transtheoretical model of health behavior change. American Journal of Health Promotion, 12(1), 38–48. Riemsma, R. P., Pattenden, J., Bridle, C. Sowden, A. J., Mather, L., Watt, I. S. & Walker, A. (2003). Systematic review of the effectiveness of stage based interventions to promote smoking cessation Roden, J. (2004). Revisiting the health belief model: Nurses applying it to young families and their health promotion needs Rogers, E. M. (1962/1983). Diffusion of Innovations (3rd ed.). New York, NY: The Free Press Rosenstock, I Rosenstock, I.M. (1974). Historical origins of the Health Belief Model. In Becker, M. H. (ed.). The Health Belief Model and Personal Behavior Simmons, S. J. (1990). The health promoting self care system model: Directions for nursing research and practice Stokols, D. (1996). Translating social ecological theory into guidelines for community health promotion. Tannahill, A. (2009). Health promotion: The Tannahill model revisited. Public Health, 123(5), 396–399. Walker, S. N. Sechrist, K. R., & Pender, N. J. (1987). The health promoting lifestyle profile development and psychometric characteristics Weick, K. E. (1979). The social psychology of organizing (2nd ed.). Reading, MA: Addison-Wesley. West, R. (2005). Time for change: Putting the Transtheoretical (Stages of Change) Model to rest. Addiction, 100(8), 1036–1039. Whitehead, D. (2001a). A stage planning programme model for health education/health promotion practice. Whitehead, D. (2001b). A social cognitive model for health education/health promotion practice. Journal of Advanced Nursing, 36(3), 417–425. Whitehead, D. (2004). Nursing theory and concept development or analysis: Health promotion and health education: Advancing the concepts Whitehead, D. (2006). Health promotion in the practice setting: Findings from a review of clinical issues. Whitehead, D. (2009). Reconciling the differences between health promotion in nursing and general health promotion World Health Organization [WHO]. (1986). The Ottawa charter for health promotion. Ontario, Canada: Canadian Public Health Association, Health and Welfare Canada, and the World Health Organization. World Health Organization [WHO]. (2009 January). Regional consultation on self-care in the contest of primary health care [Symposium], Bangkok, Thailand.

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