Becker H A, Stuifbergen A K, Ingalsbe K, Sands D
School of Nursing, University of Texas, Austin.
Int J Rehabil Res. 1989;12(3):235-50. doi: 10.1097/00004356-198909000-00001.
Despite the recognized importance of maintaining and improving the health status of persons with disabilities, there has been little research conducted to determine their health care attitudes and behaviors and what interventions might serve to enhance their health. Using Pender's Model of Health Promotion (1987), this study investigated the factors associated with the occurrence of health promoting behaviors among 135 adults with disabilities. Staff and peer counsellors from two Independent Living Centres in Texas administered the questionnaires and conducted brief semi-structured interviews with participants. Seventy-three percent of the sample rated their current health as good or excellent. Findings from both interviews and questionnaires suggest that participants are more likely to define health as being able to function well than as simply the absence of illness. High scores on Adaptive definition of health, the Self-Efficacy-Scale, age, and low scores on the Barriers to Health Promotion Activity for Disabled Persons scale accounted for 31% of the variance in scores on a self-report measure of health promoting behaviors. These findings suggest that interventions which address self-perceived barriers to health promotion, work to build participants' sense of mastery of their health behaviors, and encourage a definition of health that is broader than simply absence of illness may be more effective than those that focus only on information about good health practices.
