257418 Application of Pender's health promotion model in military spouses

Tuesday, October 30, 2012 : 11:00 AM - 11:15 AM

Diane Padden, PhD, CRNP, FAANP , Graduate School of Nursing, Uniformed Services University, Bethesda, MD
Della Stewart, PhD, RN (COL, USA, ret) , Nursing Research, Womack Army Medical Center, Ft Bragg, NC
Janice Agazio, PhD, CRNP (LTC, USA, ret) , School of Nursing, The Catholic University of America, Washington, DC
Sheena Posey, MS , Graduate School of Nursing, Uniformed Services University, Bethesda, MD
  
     
The Health Promotion Model integrates nursing and behavioral science perspectives to describe the “multidimensional nature of persons interacting with their interpersonal and physical environments as they pursue health” (Pender, Murdaugh & Parsons, 2006). The model consists of three broad constructs 1) individual characteristics and experiences, 2) behavior specific cognitions and affect, and 3) behavioral outcomes. This theoretical framework explores the complex processes that motivate an individual to participate in health behaviors. The purpose of this research was to determine factors which may influence participation in a healthy lifestyle using Pender's Health Promotion Model. This cross sectional predictive study consisted of eight hundred and seven female military spouses who participated in an online survey. Participants completed questionnaires regarding their perceived health status, self efficacy, social support, perceived stress, and participation in health promoting behaviors. There were significant correlations between all study variables. The strongest relationships were between and social support and health promoting behaviors (r = .63), perceived health status and self efficacy (r = .59), and perceived stress and health promoting behaviors (r = -.58). A hierarchical multiple regression analysis revealed three significant predictors: perceived stress (beta = -.25, p = .002), self efficacy (beta = .24, p = .006) and social support (beta = .37, p < .001). A total of 55% of the variance was explained in the final model. This study validated the Health Promotion Model and provides insight for public health professionals to intervene effectively, targeting specific areas, to promote a healthy lifestyle across the lifespan.

Learning Areas:
Public health or related nursing

Learning Objectives:
1. Describe the concepts of Pender’s Health Promotion Model: Personal Factors (biological, psychological, socio-cultural), Behavior Specific Cognitions (perceived self-efficacy, and interpersonal influences) and Health Promoting Behaviors (health responsibility, physical activity, nutrition, interpersonal relations, spiritual growth, and stress management) 2. Assess the applicability of Pender’s Health Promotion Model in a sample of military spouses to assist in the development of appropriate interventions in this population across the lifespan.

Keywords: Health Behavior, Research

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the prinicipal investigator on 3 intramural grants focusing on the overall health and well being of military spouses, specifically in the areas of stress, coping, and health behaviors in this unique population. As a military spouse, a family nurse practitioner and professor at the Uniformed Services University, I am one of few researchers interested and published in this area of research.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 4143.0: Theoretical Frameworks for Health Promotion through the Life Course