Prepared by:-
Mrs. D. Melba Sahaya
Sweety
Pediatric Nursing
Department
GIMSARChinna Chadayan & Melba
Sahaya Sweety
INTRODUCTION
• The Health promotion Model (HPM)
Proposed by Pender (1982 And revised
in 1996).
• It defines health as a positive,
dynamic state, not merely the absence
of disease.
• Health promotion is directed at
increasing a patient’s level of people as
they interact within their environment
to pursue healthChinna Chadayan & Melba
Sahaya Sweety
Chinna Chadayan & Melba
Sahaya Sweety
The Model focuses on three
Areas…,
•Individual
characteristics and
experience
•Behavior- specific
knowledge andChinna Chadayan & Melba
Sahaya Sweety
INDIVIDUAL CHARACTERISTICS
AND EXPERIENCE
• Personal factors :-
• Personal factors categorized as
biological, psychological and socio-
cultural
• These factors are predictive of a
given behavior and shaped by the
nature of the target behavior being
considered
Chinna Chadayan & Melba
Sahaya Sweety
Personal biological factors
Include variable such as
Age, gender, body mass
index, pubertal status,
strength, ability or balance
Chinna Chadayan & Melba
Sahaya Sweety
Personal psychological factor
Include variable such as
self-esteem, self-
motivation,personal
competence, perceived
health status and definition
of health
Chinna Chadayan & Melba
Sahaya Sweety
Personal socio-cultural factors
Include variable such as race,
ethnicity, accuculturation,
education and socio-economic
status
Behavioral specific cognition
and affect
Chinna Chadayan & Melba
Sahaya Sweety
Perceived benefits of action
Anticipated positive
outcome that ill occur from health
behavior.
Perceived barriers of action
Anticipated imagined or real
block and personal costs of
BEHAVIOR- SPCIFIC
COGNITIONS AND EFFCT
Chinna Chadayan & Melba
Sahaya Sweety
Perceived self- efficacy
Judgement of personal
capability to organize and execute
a health promoting behavior.
Perceived self-efficacy influences
perceived barriers to action so
higher efficacy result in lowered
perceptions of barrier to theChinna Chadayan & Melba
Sahaya Sweety
Activity related affect
• Activity – related affect
influences perceived self-
efficacy, which means the
more positive the subjective
feeling, the greater the feeling
of efficiency. In turn,
increased feeling of efficacyChinna Chadayan & Melba
Sahaya Sweety
Interpersonal influence
• Cognition concerning behaviour, belief
or attitudes of the others. Interpersonal
influences include; norms(expectations
of significant others) , Social support
(instrumental and emotional
encouragement) and modelling
(vicarious learning through obsening
others engaged in a particular
behavior. Primary source of
interpersonal influences are families,
peers and health care providers.Chinna Chadayan & Melba
Sahaya Sweety
Situational influences
• Personal perception and cognitions of
any given situation or context that can
facilitate or impede behavior. It includes
perceptions of options available,
demand characteristics and aesthestic
features of the environment in which
given health promoting is proposed to
take place. Situational influences may
have direct or indirect influences onChinna Chadayan & Melba
Sahaya Sweety
COMMITMENT TO PLAN OF ACTION
The concept of intention and
identification of a planned strategy
leads to implementation of health
behavior.
BEHAVIOURAL OUTCOME
Chinna Chadayan & Melba
Sahaya Sweety
IMMEDIATE COMPETING
BEMANDS AND REFERENCE
Competing demands are those alternative
behaviors over which individuals have low
control because there are environmental
contingencies such as work or family care
responsibilities. Competing preference are
alternative behavior over which individuals
exert relatively high control, such as choice of
ice cream or apple for a snack.
Chinna Chadayan & Melba
Sahaya Sweety
HEALTH PROMOTING
BEHAVIOUR
• End point or action directed toward
attaining positive health outcome such
as optimal well-being personal
fulfillment and productive living
Chinna Chadayan & Melba
Sahaya Sweety
Chinna Chadayan & Melba
Sahaya Sweety

Health promotion model

  • 1.
    Prepared by:- Mrs. D.Melba Sahaya Sweety Pediatric Nursing Department GIMSARChinna Chadayan & Melba Sahaya Sweety
  • 2.
    INTRODUCTION • The Healthpromotion Model (HPM) Proposed by Pender (1982 And revised in 1996). • It defines health as a positive, dynamic state, not merely the absence of disease. • Health promotion is directed at increasing a patient’s level of people as they interact within their environment to pursue healthChinna Chadayan & Melba Sahaya Sweety
  • 3.
    Chinna Chadayan &Melba Sahaya Sweety
  • 4.
    The Model focuseson three Areas…, •Individual characteristics and experience •Behavior- specific knowledge andChinna Chadayan & Melba Sahaya Sweety
  • 5.
    INDIVIDUAL CHARACTERISTICS AND EXPERIENCE •Personal factors :- • Personal factors categorized as biological, psychological and socio- cultural • These factors are predictive of a given behavior and shaped by the nature of the target behavior being considered Chinna Chadayan & Melba Sahaya Sweety
  • 6.
    Personal biological factors Includevariable such as Age, gender, body mass index, pubertal status, strength, ability or balance Chinna Chadayan & Melba Sahaya Sweety
  • 7.
    Personal psychological factor Includevariable such as self-esteem, self- motivation,personal competence, perceived health status and definition of health Chinna Chadayan & Melba Sahaya Sweety
  • 8.
    Personal socio-cultural factors Includevariable such as race, ethnicity, accuculturation, education and socio-economic status Behavioral specific cognition and affect Chinna Chadayan & Melba Sahaya Sweety
  • 9.
    Perceived benefits ofaction Anticipated positive outcome that ill occur from health behavior. Perceived barriers of action Anticipated imagined or real block and personal costs of BEHAVIOR- SPCIFIC COGNITIONS AND EFFCT Chinna Chadayan & Melba Sahaya Sweety
  • 10.
    Perceived self- efficacy Judgementof personal capability to organize and execute a health promoting behavior. Perceived self-efficacy influences perceived barriers to action so higher efficacy result in lowered perceptions of barrier to theChinna Chadayan & Melba Sahaya Sweety
  • 11.
    Activity related affect •Activity – related affect influences perceived self- efficacy, which means the more positive the subjective feeling, the greater the feeling of efficiency. In turn, increased feeling of efficacyChinna Chadayan & Melba Sahaya Sweety
  • 12.
    Interpersonal influence • Cognitionconcerning behaviour, belief or attitudes of the others. Interpersonal influences include; norms(expectations of significant others) , Social support (instrumental and emotional encouragement) and modelling (vicarious learning through obsening others engaged in a particular behavior. Primary source of interpersonal influences are families, peers and health care providers.Chinna Chadayan & Melba Sahaya Sweety
  • 13.
    Situational influences • Personalperception and cognitions of any given situation or context that can facilitate or impede behavior. It includes perceptions of options available, demand characteristics and aesthestic features of the environment in which given health promoting is proposed to take place. Situational influences may have direct or indirect influences onChinna Chadayan & Melba Sahaya Sweety
  • 14.
    COMMITMENT TO PLANOF ACTION The concept of intention and identification of a planned strategy leads to implementation of health behavior. BEHAVIOURAL OUTCOME Chinna Chadayan & Melba Sahaya Sweety
  • 15.
    IMMEDIATE COMPETING BEMANDS ANDREFERENCE Competing demands are those alternative behaviors over which individuals have low control because there are environmental contingencies such as work or family care responsibilities. Competing preference are alternative behavior over which individuals exert relatively high control, such as choice of ice cream or apple for a snack. Chinna Chadayan & Melba Sahaya Sweety
  • 16.
    HEALTH PROMOTING BEHAVIOUR • Endpoint or action directed toward attaining positive health outcome such as optimal well-being personal fulfillment and productive living Chinna Chadayan & Melba Sahaya Sweety
  • 17.
    Chinna Chadayan &Melba Sahaya Sweety