The health promotion model (HPM)
proposed by Nola J Pender (1982) was designed to be a “complementary
counterpart to models of health protection.”
- It defines health as a positive dynamic state not merely the absence of disease. Health promotion is directed at increasing a client’s level of well being.
- The health promotion model describes the multi dimensional nature of persons as they interact within their environment to pursue health.
The model focuses on following
three areas:
·
· Individual characteristics and
experiences
·
· Behavior-specific cognitions and affect
·
· Behavioral outcomes
The health promotion model
notes that each person has unique personal characteristics and experiences that
affect subsequent actions. The set of variables for behavioral specific
knowledge and affect have important motivational significance. These variables
can be modified through nursing actions. Health promoting behavior is the
desired behavioral outcome and is the end point in the HPM. Health promoting
behaviors should result in improved health, enhanced functional ability and
better quality of life at all stages of development. The final behavioral
demand is also influenced by the immediate competing demand and preferences,
which can derail an intended health promoting actions.
ASSUMPTIONS
The HPM is based on the
following assumptions, which reflect both nursing and behavioral science
perspectives:
1.
Individuals seek to actively regulate their own
behavior.
2.
Individuals in all their biopsychosocial
complexity interact with the environment, progressively transforming the
environment and being transformed over time.
3.
Health professionals constitute a part of the
interpersonal environment, which exerts influence on persons throughout their
life span.
4.
Self-initiated reconfiguration of
person-environment interactive patterns is essential for behavior change
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