Fanshawe College

NRSG 1016 Health Promotion

Learning Activity: Theory and Models

Match the theory with the appropriate description

SELF- EFFICACY THEORY

HEALTH BELIEF MODEL
COMMUNITY CHANGE THEORIES
SOCIAL COGNITIVE (LEARNING THEORY)
HEALTH PROMOTION MODEL
TRANSTHEORETICAL MODEL

Description Theory
HEALTH BELIEF MODEL
1. Essential to understand an individual’s beliefs about
health, includes 4 components: individuals’ perception,
modifying factors, cues to action, and likelihood of
action

2. Behavior changes in the result of the interplay of SOCIAL COGNITIVE

individuals and their environment. Key elements (LEARNING THEORY)
include reciprocal determinism, observational learning,
expectation, and self-efficacy

3. Based on the social learning theory. A person’s belief SELF- EFFICACY THEORY
about their capability of performing a certain action.

4. Extends the health belief model to include determinants HEALTH PROMOTION

of health promoting behavior, and includes self- MODEL
efficacy theory

5. This model explains that people move through a series TRANSTHEORETICAL

of 5 stages in their effort to change behavior: pre- MODEL
contemplation, contemplation, preparation, action, and
maintenance.

6. Continuing to develop, these models include the COMMUNITY CHANGE

diffusion of innovation theory, community mobilization THEORIES
framework, and building healthy public policy models
 Fanshawe College
NRSG 1016 Health Promotion

Multiple Choice Questions:

1) Primary Health Care (WHO) makes health care:

a) the responsibility of individuals

b) universally accessible at an affordable cost
c) available to those with adequate funding
d) dependent on resource allocation

2) Intersectoral and interdisciplinary collaboration :

a) is a non-essential component of Primary Health Care

b) is essential in order that health is looked at with regards to the determinants of health
c) means health care professionals will function in an independent role
d) reflects the need for hierarchical processes of control for health services

3) The broad goals for Achieving Health for All by 2000, the report written by Jake Epp
include:

a) moving health care into the acute care setting

b) empowering health professionals to control health delivery
c) increasing quality and years of life for individuals
d) creating a stratified health care service

4) The Jakarta Declaration:

a) integrates all 5 strategies of the Ottawa Charter for Health Promotion

b) emphasizes collaboration and capacity of community members on health issues
c) called for Health for All by 2000
d) developed the notion of Healthy Cities

5) Why was the Ottawa charter important?

a) It identified prerequisites for health
b) It identified recommendations for federal funding
c) It identified nursing standards of practice
d) It identified the need for interprofessional education

Trans theoretical Model Stages of Change Model (1995)

People move through a series of 5 stages in their effort to change behavior:
1) Pre-contemplation - Not considering change in next 6 months
2) Contemplation - Thinking about change in next 6 months
3) Preparation - Identifies start date within the next month
4) Action - Implementing change builds self-efficacy – reinforce behavior
5) Maintenance - Continues new behavior – no temptation, increased self-efficacy