Eliot-Pearson Department of Child Study and Human Development, Tufts University, Medford, Massachusetts, USA.
New Dir Child Adolesc Dev. 2022 Nov;2022(185-186):145-168. doi: 10.1002/cad.20464. Epub 2022 Jun 2.
Health behavior models are widely used in prevention research with children and adolescents; yet, many of these models were developed based on adult experiences and fail to consider the development of health constructs. The concept of health capacity development is a theoretical model of how health capacities, the health-related developmental sociocultural resources individuals use to regulate their coactions with their environments to sustain health, develop. Health capacities are formed through person-environment transactions and thus, are informed by, and help individuals manage, the opportunities and constraints situated in their environments. The extent to which health capacities support long-term adaptive health development varies; yet, health capacities may be leveraged for adaptative functioning. Grounded in the Life Course Health Development (LCHD) framework and the principles of Relational Developmental Systems (RDS) metatheory, the development of three health capacities, their role in managing person-environment coactions, and their potential for facilitating displays of resilient functioning in inequitable contexts are described. Implications of the model, its limitations, and avenues for future research are discussed.
健康行为模型在儿童和青少年预防研究中被广泛应用；然而，这些模型中的许多都是基于成人经验开发的，没有考虑到健康结构的发展。健康能力发展的概念是一个理论模型，用于解释健康能力如何发展，即个体用来调节与环境相互作用以维持健康的与健康相关的发展社会文化资源。健康能力是通过人与环境的相互作用形成的，因此，受到环境中机会和限制的影响，并帮助个体管理这些机会和限制。健康能力在多大程度上支持长期适应性健康发展是不同的；然而，健康能力可以被利用来实现适应性功能。该模型以生命历程健康发展（LCHD）框架和关系发展系统（RDS）元理论的原则为基础，描述了三种健康能力的发展、它们在管理人与环境相互作用中的作用，以及它们在不平等环境中促进弹性功能表现的潜力。讨论了该模型的意义、局限性和未来研究的途径。
