Slide 1 Health Promotion Model Nola J. Pender, PhD Presented by: Julie L.

Martin, BSN Wichita State University Slide 2 Health Promotion Model Developed by Nola J. Pender, first presented in 1982 The HPM aims at predicting or explaining overall health-promoting lifestyles and specific behaviors Slide 3 Nola J. Pender, PhD Earned BSN in 1964, PhD in psychology and education in 1969 She believed that the goal of nursing was to help people care for themselves (Sakraida, 2006) Continues research in health promotion today Slide 4 Major Concepts Prior Related Behavior- same or similar behavior in the past Personal Factors- biological, psychological, socioculteral Perceived Benefits of Action- anticipated positive outcomes Perceived Barriers to Action- anticipated, imagined, or real Perceived Self-Efficacy- judgment of personal capability to execute behavior Activity Related Affect- subjective positive or negative feelings Interpersonal Influences- cognitions concerning behavior, beliefs, or attitudes of others Situational Influences- personal perceptions and cognitions that can facilitate or impede behavior (Sakraida, 2006) Slide 5 Major Concepts (Cont) Commitment To A Plan Of Action- Identifying a planned strategy, proclaiming intention Immediate competing Demands And Preferences- Environmental Contingencies Alternative Behaviors Health Promoting Behavior- Directed toward obtaining positive health outcomes eg. Managing stress, eating healthy, exercising regularly Slide 6 The Health Promotion Model (Sakraida, 2006) Slide 7 Case Study 36-year-old female patient who smokes 2 packs of cigarettes per day. Her 9 month old bottlefed child has just been diagnosed with his second episode of otitis media Problem Identified: Need for smoking cessation with health promoting behavior Slide 8 Assessment Prior Related Behavior- Length of time patient has smoked Amount patient smokes Previous attempts at smoking cessation Personal Factors Perceived health status Education Socioeconomic status Self-motivation Slide 9 Assessment (Cont) Perceived Benefits of Action-(provide education) Decreased risk of chronic disease Improved health of child Financial benefits Perceived Barriers- Address fears such as weight gain, failure, etc Cost of medications/nicotine replacement therapy Perceived Self-efficacy- Assess personal capability of health-promoting behavior Activity-Related Affect- modify cognitions, affect, and the interpersonal and physical environment to create incentives for health actions (Pender, Murdaugh, & Parsons, 2002) Slide 10 Assessment (cont) Interpersonal Influences- Identify how family, peers, providers influence patient behavior, support system Situational Influences- What situations can impede health promoting behavior Competing Demands- job loss, death, stress Slide 11 Interventions Develop a commitment to a plan of action Provide counseling (problem solving/skills training) and social support Provide self-help educational material Establish a quit date Initiate pharmacological treatment as appropriate (Veterans Administration & Department of Defense, 2004). Slide 12 Evaluation Continued assessment of immediate competing demands and preferences is essential to the continued health-promoting behavior Slide 13 References Pender, N. J., Murdaugh, C. L., & Parsons, M. A. (2002). Assumptions and theoretical propositions of the health promotion model (HPM). In Health Promotion in Nursing Practice (4th ed., Vol. 2008). Upper Saddle River, NJ: Prentice Hall. Sakraida, T. J. (2006). Nola J. Pender: Health promotion model. In A. M. Tomey & M. R. Alligood (Eds.), Nursing Theorists and Their Work (6th ed., pp. 452-471). St. Louis: Mosby Veterans Administration, & Department of Defense. (2004). VA/DoD clinical practice guideline for the management of tobacco use. Washington DC.

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