Figure 1. Revised Health promotion Model. From Pender, N.J.
(1996). Health promotion in nursing practice (3rd ed). Stanford, CT: Appleton & Lange. 1. Individual characteristics and experiences Everyone has his or her own characteristic and experiences that are different to others. Pender suggests that experiences are important thing, toward the development of health-promoting behavior in present. Pender also suggests that past behavior has both direct and indirect effect on interesting to do healthpromoting behavior over the people (Pender, Murdaugh, & Parsons, 2006).
2. Behavior-Specific Cognitions and Affect
Behavior-Specific Cognitions and Affect are variable which can increase significantly motivation the people to conduct health-promoting behavior. These variable can use by nurse as an intervention, because those variable are amenable change. The behavior-specific cognitions and affect identified in HPM include:
a. Perceived benefits of action perceptions of the positive or reinforcing
consequences of undertaking a health behavior b. Perceived barriers to action perceptions of the blocks, hurdles, and personal costs of undertaking a health behavior c. Perceived self-efficacy judgment of personal capability to organize and execute a particular health behavior; self-confidence in performing the health behavior successfully d. Activity-related affect subjective feeling states or emotions occurring prior to, during and following a specific health behavior (Pender, Murdaugh, & Parsons, 2006; sakraida, 2010, p. 438)
3.
Behavioral Outcome- Health Promoting Behavior
Health-promoting behavior, which is ultimately direct toward attaining positive health outcomes, is the product of HPM (Pender, Murdaugh, & Parsons, 2006). From those three major categorize, we can see that the behavior of the people to conducting health promotion, are depend on the characteristics and the specific behavior. People are more likely to have those behavior when they have a good experiences and motivation inside them self. a. Proposition of Theory The health promotion model is base on 14 theoretical propositions. These theoretical relationship statements provide a basis for research related to health behaviors: 1) Prior behavior and inherited and acquired characteristics influence health beliefs, affect, and enactment of health promoting behavior. 2) Persons commit to engaging in behavior from which they anticipate deriving personally valued benefits.
3) Perceived barriers can constrain commitment to action, mediators, of
behavior, and actual behavior. 4) Perceived competencies or self-efficacy to execute a given behavior increase the likelihood of commitment to action and actual performance of behavior 5) Greater perceived self-efficacy results in fewer perceived barriers to a specifics health behavior 6) Positive affect toward a behavior result in greater perceived self-efficacy, which can, in turn, result in increased positive affect. 7) When positive emotions or affect is associated with behavior, the probability of commitment and action are increased. 8) Persons are more likely to commit to and engage in health-promoting behaviors when significant other behaviors, expect the behavior to occur, and provide assistance and support to enable the behavior. 9) Family, peers, and healthcare providers are important sources of interpersonal influence that can either increase or decrease commitment and engagement in health-promoting behavior. 10) Situational influence in the external environment can either increase or decrease commitment to or participation in health-promoting behavior. 11) The greater the commitment to a specific plan of action, the more likely, that health-promoting behavior will be maintained over time. 12) Commitment to a plan of action is less likely to result in the desired behavior when competing demands over which persons have little control require immediate attention.
13) Commitment to a plan of action is less likely to result in the desired
behavior when other actions are more attractive and preferred over the target behavior. 14) Persons can modify cognitions, affect, and the interpersonal and physical environment to create incentive for health actions. (Pender, Murdaugh, & Parsons, 2002, p. 63-64) b. Assumptions Of The Health Promotion Model The HPM based on the following assumptions, which reflect both nursing and behavioral science perspectives: 1) Persons seek to create conditions of living through which they can express their unique human health potential. 2) Persons have the capacity for reflective self-awareness, including assessment of their own competencies. 3) Persons value growth in directions viewed as positive and attempt to achieve a personally acceptable balance between change and stability. 4) Individuals seek to actively regulate their own behavior. 5) Individuals in all their biopsychosocial complexity interact with the environment, progressively transforming the environment and being transformed over time. 6) Health professionals constitute a part of the interpersonal environment, which exerts influence on persons throughout their lifespan. 7) Self-initiated reconfiguration of person-environment interactive patterns is essential to behavior change. (Pender, Murdaugh, & Parsons, 2002, p. 63-64)
c. Strength and Limitation of The Model
The Panders model is very easy to implement in any nursing field. The HPM is simple to understand. Its language is clear an accessible to nurses (Tillet, 2010). However, in the model does not explain how the environment involves the people to change their behavior. However, environment is the one of the factors which can involve the behavior.