Health Promotion Models

Program Design and Implementation Models

• Ecological Systems Theory

• Health Belief Model

• Social Cognitive Theory

• Transtheoretical Model

• Stages of precaution adoption model

Ecological Systems Theory

• individual

• interpersonal

• environment

• society/public policy

interpersonal

• most immediate impact

• immediate family

environment

• impact daily life

• people, places, things

society/public policy

• healthy school lunches is an example

• legislation

health belief models

• individual perceptions

• modifying factors

• likelihood of action

individual perceptions

• Perceived susceptibility

• Perceived severity

• Perceived benefits of preventive action

• Perceived barriers to prevent action

modifying factors

• Demographic variables

• Sociopsychological variables

• Perceived Threat

• Cues to action:

  • Information

  • Reminders

  • Persuasive communication

  • Experience

likelihood of action

• Likelihood of taking

• Recommended preventive

• Health action

Social Cognitive Theory (SCT)

interacitons of personal factors, behavior, and enviornment

SCT concepts

• reciprocal determinism

• enviornment and situation

• behvioral capacity

• observational learning

• reinforcements

• expectations

• expectancies

• self-regulation

• self-efficacy

Reciprocal determinism

Relationship between the individual, environment, and behavior; consider positive and negative impacts that previous experience and habits cause, as well physical barriers and facilitators

Environment and situation

The setting, physical, and social factors surrounding a given behavior

Behavioral capacity

The potential to be successful in behavior change based upon the skills and knowledge of the target individual

Observational learning

The concept that an individual can learn to be successful at a new task or skill through observation and modeling

Reinforcements

The impact of a positive or negative response on adoption of a new behavior

expectations

the expected result

Expectancies

The perceived value of behavioral change

Self-regulation

The use of goals and monitoring to control behavior; the target individual’s social network can be used to improve success

Self-efficacy

A measure of confidence in success; belief in the ability to achieve a goal

Transtheoretical Model (TTM)

• precontemplation

• contemplation

• preparation

• action

• maintenance

Stages of Precaution Adoption Process Model

Stage 1: Unaware of issue

Stage 2: Unengaged by issue

Stage 3: Deciding about acting

Stage 4: Decided not to act

Stage 5: Decided to act

Stage 6: Acting

Stage 7: Maintenance