Theory Database - Theory 28: Health Promotion Model

This is a searchable database of theories of behaviour change that have been formalised according to an Ontology-Based Modelling System.

For more information, see:

West, R., Godinho, C. A., Bohlen, L. C., Carey, R. N., Hastings, J., Lefevre, C. E., & Michie, S. (2019). Development of a formal system for representing behaviour-change theories. Nature human behaviour, 3(5), 526. doi.org/10.1038/s41562-019-0561-2.
Hale, J., Hastings, J., West, R., Lefevre, C. E., Direito, A., Connell Bohlen, L., Godinho, C., Anderson, N., Zink, S., Goarke, H., and Michie, S. (2020) An ontology-based modelling system (OBMS) for representing behaviour change theories applied to 76 theories [version 1; peer review: 2 approved]. Wellcome Open Research.

Theory 28: Health Promotion Model

Number of Constructs: 21
Number of Triples: 36

Theory triples

Personal factors influences Health promoting behaviour
Personal factors influences Cognitions
Prior related behaviour influences Cognitions
Prior related behaviour influences Affect
Prior related behaviour influences Health promoting behaviour
Perceived benefits of action positively influences Commitment to a plan of action
Perceived barriers to action influences Health promoting behaviour
Perceived barriers to action negatively influences Commitment to a plan of action
Perceived self-efficacy negatively influences Perceived barriers to action
Perceived self-efficacy influences Health promoting behaviour
Commitment to a plan of action positively influences Health promoting behaviour
Perceived self-efficacy positively influences Commitment to a plan of action
Affect positively influences Perceived self-efficacy
Interpersonal influences influences Commitment to a plan of action
Situational influences influences Commitment to a plan of action
Immediate competing demands and preferences negatively influences Commitment to a plan of action
Personal factors influences Affect
Affect positively influences Commitment to a plan of action
Affect influences Health promoting behaviour
Interpersonal influences influences Health promoting behaviour
Biological part of Personal factors
Psychological part of Personal factors
Socio-cultural part of Personal factors
Perceived benefits of action part of Cognitions
Perceived barriers to action part of Cognitions
Perceived self-efficacy part of Cognitions
Affect part of Cognitions
Interpersonal influences part of Cognitions
Situational influences part of Cognitions
Immediate competing demands and preferences part of Cognitions
Activity-related type of Affect
Self-related type of Affect
Context-related type of Affect
Modelling type of Interpersonal influences
Norms type of Interpersonal influences
Social support type of Interpersonal influences

Theory constructs and annotations

Personal factors The biological, psychological and sociocultural characteristics that are unique to every individual
Health promoting behaviour Engagement or non-engagement in a health-promoting behaviour [ BCIO:050821 (Health-promoting behaviour) 28 32 76 ]
Cognitions [ MF:0000031 (Cognitive representation) 28 , MF:0000041 (Belief) 28 72 33 34 73 1 14 30 31 35 42 54 67 79 ]
Prior related behaviour
Affect The feelings or emotions experienced before, during or after a behaviour [ MFOEM:000195 (Affective process) 28 39 ]
Perceived benefits of action Beliefs about the positive or reinforcing outcomes of engaging in a behaviour [ BCIO:050648 (Evaluative belief about the positive consequences of a behaviour) 28 57 32 60 73 78 16 3 ]
Commitment to a plan of action The state or quality of being dedicated to carrying out a particular behaviour in a particular context despite any competing desires; includes the formation of strategies for successfully performing the behaviour [ BCIO:006016 (Behavioural intention) 28 , MF:0000027 (Planning) 28 41 24 46 29 34 35 ]
Perceived barriers to action Beliefs about barriers (e.g. lack of resources) to engaging in a behaviour, and personal costs associated with engaging in the behaviour [ BCIO:050647 (evaluative belief about the negative consequences of a behaviour) 28 ]
Perceived self-efficacy Beliefs about one's ability to successfully carry out a behaviour [ BCIO:006043 (Self-efficacy belief for a behaviour and its associated outcomes) 28 24 23 27 32 25 26 ]
Interpersonal influences Perceptions of the beliefs, attitudes and behaviours of others in relation to a behaviour [ BCIO:006145 (Belief about one´s social environment) 28 ]
Situational influences Perceptions of the environment in which a behaviour takes place, specifically how compatible or incompatible one feels one is with that environment [ BCIO:006029 (Belief about one´s environment) 28 ]
Immediate competing demands and preferences Alternative behavioural options that intrude into one's thoughts immediately prior to engaging in a behaviour [ BCIO:050615 (Cognitive representation of one's behaviour) 28 ]
Biological Physiological characteristics, such as gender or genetics [ MF:0000074 (Bodily quality) 28 4 ]
Psychological Psychological characteristics, such as personality characteristics [ MF:0000033 (Mental disposition) 28 29 ]
Socio-cultural Sociocultural characteristics/environment, such as socioeconomic status or ethnicity [ BCIO:006001 (Social environmental system) 28 62 13 68 10 14 69 72 33 60 80 41 64 4 65 77 3 57 ]
Activity-related Emotional responses to the behaviour itself [ MFOEM:000001 (Emotion Process) 28 49 ]
Self-related Emotional responses to oneself engaging in the behaviour [ MFOEM:000001 (Emotion Process) 28 49 ]
Context-related Emotional responses to the environment in which the behaviour occurs [ MFOEM:000001 (Emotion Process) 28 49 ]
Modelling Vicarious learning through observation of others' behaviour [ GO:0098597 (Observational learning) 28 29 ]
Norms The perceived expectations of important others in relation to a behaviour [ BCIO:006041 (perceived evaluative behavioural norm) 28 66 78 79 18 ]
Social support Emotional encouragement and practical support from others for a behaviour [ BCIO:007041 (Deliver emotional social support BCT) 28 , BCIO:007040 (Deliver instrumental social support BCT) 28 ]

Theory illustration

Theory Reference

Pender, N.J., Murdaugh, C., & Parsons, M.A. (2002). Health Promotion in Nursing Practice (4th ed.). Upper Saddle River, NJ, US: Pearson Education Inc.

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