Turner Ashley R, Reed Sean M
College of Nursing, University of Colorado Anschutz Medical Campus, Aurora CO, USA
College of Nursing, University of Colorado Anschutz Medical Campus, Aurora CO, USA.
Res Theory Nurs Pract. 2023 May 2. doi: 10.1891/RTNP-2022-0085.
The health promotion model (HPM) depicts numerous factors impacting health-promoting behavior. Variables of the HPM including experiences, self-efficacy, and the influences affecting health choices portray a comprehensive picture of a person's values and barriers to health behavior change. Perceived harm of inaction is weighed against the perceived benefits of action within the HPM. Physical inactivity is a worldwide concern with deleterious consequences. Strategies are needed to increase physical activity participation to mitigate the impacts. The HPM has not been previously analyzed in the context of adult physical activity. Analyze the HPM, apply it to the concept of adult motivation for physical activity, display the utility of theory application in practice, and demonstrate the vital role of nursing in connecting theory to practice. Theory analysis was conducted using Walker and Avant's method with a focus on motivation for physical activity among adults. Evaluation of the origins, meaning, logical adequacy, usefulness, generalizability, parsimony, and testability of the HPM adds depth to understanding the theory and its application in clinical practice. The HPM is logical, generalizable, and has been broadly applied and tested. Adaptations were made to the HPM to reflect updated knowledge and for application to adult motivation for physical activity. Thorough evaluation of the HPM facilitates application to clinical practice to impact physical activity health behavior change. Examining motivation for physical activity through the lens of the HPM can guide nursing engagement and interventions to enhance behavior changes.
健康促进模型（HPM）描述了影响健康促进行为的众多因素。HPM的变量包括经历、自我效能感以及影响健康选择的因素，描绘了一个人价值观以及健康行为改变障碍的全面图景。在HPM中，对不作为的感知危害与行动的感知益处进行权衡。身体活动不足是一个全球性问题，会产生有害后果。需要采取策略来增加身体活动参与度以减轻影响。此前尚未在成人身体活动的背景下对HPM进行分析。分析HPM，将其应用于成人体力活动动机的概念，展示理论应用在实践中的效用，并证明护理在将理论与实践联系起来方面的重要作用。使用沃克和阿万特的方法进行理论分析，重点关注成年人的体力活动动机。对HPM的起源、意义、逻辑充分性、有用性、可推广性、简约性和可测试性进行评估，能加深对该理论及其在临床实践中应用的理解。HPM逻辑清晰、具有可推广性，并且已得到广泛应用和测试。对HPM进行了调整，以反映最新知识并应用于成人体力活动动机。对HPM进行全面评估有助于将其应用于临床实践，以影响身体活动健康行为的改变。通过HPM的视角审视体力活动动机，可以指导护理工作的参与和干预，以促进行为改变。
