Health Promotion: Theory & Practice

Prof. Dr. Edwin van Teijlingen

Determinants of Health

Evans & Stoddart

Dahlgren and Whitehead model

5 Health Promotion Actions

• Developing public policy.

• Developing personal skills.

• Strengthening community action.

•Creating supportive environments.

•Reorienting health services

Health promotion approaches

1. Medical or preventive2. Behaviour change3. Educational4. Empowerment5. Social change

Psycho-social theories of behaviour change

Health Belief ModelTheories of Reasoned Action/

Planned BehaviourSocial Learning/Cognative

TheoryTranstheoretical (Stages of

Change) Model

Health Belief Model

Rosenstock

“an individual is likely to take action related to a given health problem based on the interaction between four different types of belief.”

Nutbeam 1999

Health Belief Model(Nutbeam 1999)

• Attitude– Personal beliefs about value of behavior

• Subjective norms– Social environments value on behavior

• Behavioral Intention– Combination of both, predicts behavior

Theory of Reasoned Action

Example Theory of Reasoned Action

Health Belief Model

Rosenstock

“an individual is likely to take action related to a given health problem based on the interaction between four different types of belief.”

Nutbeam 1999

Health Belief Model(Nutbeam 1999)

Health promotion approaches

1. Medical or preventive2. Behaviour change3. Educational4. Empowerment5. Social change

Social Learning Theory

• Built on understanding of the interaction of the individual and his/her environment.

• Taken as a whole, it provides insight into approaches to improve individuals’ knowledge and skills to act to improve their health.

• It explicitly identifies the importance of social norms and cues, and environmental influences on health behaviour.

Social Learning Theory

Behaviour

Environment

Personal CognitiveFactors