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Health promotion and the older population: Expanding our theoretical horizons

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Abstract

As the year 2000 approaches (and beyond) more health educators will be involved in the implementation of health promotion programs and related activities specifically designed for the older population. Most health educators draw upon a variety of theoretical frame-works as they design programs. Traditionally, health education has been grounded in behavior change theories such as the Health Belief Model, the Theory of Reasoned Action, and Bandura's Social Learning/Cognitive Theories. When the focus is gerontological, however, an opportunity exists to expand health education's theoretical horizons by incorporating features drawn from gerontology itself. Principles of adult cognitive development, social gerontology and person-environment fit can potentially complement and supplement those models already in use as more programs are targeted for a growing older population.

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References

  1. U.S. Senate Special Committee on Aging:Aging America: Trends and Projections. United States Department of Health and Human Services, Federal Council on Aging. DHHS Publication No. (FCoA) 91-28001, 1991. Pp. 6–13.

  2. U.S. Department of Health and Human Services:Healthy People 2000: National Health Promotion and Disease Prevention Objectives. United States Department of Health and Human Services, Public Health Service. DHHS Publication No. (PHS) 91-50212, 1990. P. 259.

  3. Jones, CJ and Rikli, RE, The gerontology movement—Is it passing us by?JOPERD 64:17–26, 1993.

    Google Scholar 

  4. Rosenstock, IM: The health belief model: Explaining health behavior through expectancies. In K Glanz, FM Lewis and BK Rimer (Eds.)Health Behavior and Health Education San Francisco: Jossey-Bass, 1990, Pp. 39–62.

    Google Scholar 

  5. Ajzen, I and Fishbein, M:Understanding Attitudes and Predicting Social Behavior. Englewood Cliffs, NJ: Prentice-Hall, 1980. Pp. 79–100.

    Google Scholar 

  6. Bandura, A:Social Learning Theory. Englewood Cliffs, NJ: Prentice-Hall, 1977, Pp. 16–158.

    Google Scholar 

  7. Bandura, A, Self-efficacy: Toward a unifying theory of behavioral change.Psychol Rev 84:191–215, 1977.

    Article  PubMed  Google Scholar 

  8. Bandura, A, Self-efficacy mechanisms in human agency.Am Psychol 37:122–147, 1982.

    Article  Google Scholar 

  9. Bandura, A,Social Foundations of Thought and Action: A Social Cognitive Theory. Englewood Cliffs, NJ: Prentice-Hall, 1986, Pp. 390–453.

    Google Scholar 

  10. Bandura, A, Human agency in social cognitive theory.Am Psychol 44:1175–1184, 1989.

    Article  PubMed  Google Scholar 

  11. Parcel, GS and Baranowski, T, Social learning theory and health education.Health Educ 12:14–18, 1981.

    Google Scholar 

  12. Stevens, VJ, Hornbrook, MC, Wingfield, DJ, Hollis, JF, Greenlick, MR, Ory, MG, Design and implementation of a falls prevention intervention for community-dwelling older persons.Behav Health Aging 2:57–73, 1992.

    Google Scholar 

  13. Connell, CM, Storandt, M, Lichty, W, Impact of health belief and diabetes-specific psychosocial context variables on self-care behavior, metabolic control, and depression of older adults with diabetes.Behav Health Aging 1;183–196, 1990.

    Google Scholar 

  14. Godin, G and Shephard, RJ, Use of attitude-behaviour models in exercise promotion.Sports Med 10:103–121, 1990.

    PubMed  Google Scholar 

  15. Herbert, L and Teague, ML, Exercise adherence and older adults: A theoretical perspective.Activ Adapt Aging 13:91–105, 1989.

    Google Scholar 

  16. Lashley, ME, Predictors of breast self-examination practice among elderly women.Adv Nurs Sci 9:25–34, 1987.

    Google Scholar 

  17. Mills, KR, Smoking cessation treatment with older adults.Clin Gerontol 10:99–101, 1990.

    Google Scholar 

  18. Breckon, DJ:Hospital Health Education: A Guide to Program Development. Rockville, MD: Aspen Systems Corp, 1982. Pp. 203–205.

    Google Scholar 

  19. Campbell, JM and Lancaster, J, Communicating effectively with older adults.Fam Comm Health 11:74–85, 1988.

    Google Scholar 

  20. Taub, HA, Life-span education: A need for research with meaningful prose.Educ Grontol 5:175–187, 1980.

    Google Scholar 

  21. Kicklighter, JR, Characteristics of older adult learners: A guide for dietetics practioners.J Am Diet Assoc 91:1418–1422, 1991.

    PubMed  Google Scholar 

  22. Adams, C, Labouvie-Vief, G, Hobart, CJ, Dorosz, M, Adult age group differences in story recall style.J Gerontol: Psychol Sci 45:17–27, 1990.

    Google Scholar 

  23. Hendricks, J and Hendricks, CD:Aging in Mass Society: Myths and Realities, 3rd Ed. Boston: Little, Brown and Company, 1986. Pp. 81–115.

    Google Scholar 

  24. Neugarten, BL, Havighurst, RJ, Tobin, SS: Personality and patterns in aging. In BL Neugarten (Ed.)Middle Age and Aging. Chicago: University of Chicago Press, 1968, Pp. 173–177.

    Google Scholar 

  25. Richardson, GE, Neiger, BL, Jensen, S, Kumpfer, KL, The resiliency model.Health Educ 21:33–39, 1990.

    Google Scholar 

  26. Rose, AM: The subculture of aging: A framework for social gerontology. In AM Rose and WA Peterson (Eds.)Older People and Their Social World. Philadelphia: FA Davis Company, 1965, Pp. 3–26.

    Google Scholar 

  27. Riley, MW, Johnson, M, Foner, A:Aging and Society, Volume 3: A Sociology of Age Stratification. New York: Russell Sage Foundation, 1972. Pp. 4–25.

    Google Scholar 

  28. Rowe, JW and Kahn, RL, Human aging: Usual and successful.Science 237:143–149, 1987.

    Google Scholar 

  29. Institute of Medicine:The Second Fifty Years: Promoting Health and Preventing Disability. Washington, DC: National Academy Press, 1990. Pp. 193–194.

    Google Scholar 

  30. Ory, MG Abeles, RP, Lipman, PD: Introduction: An overview of research on aging, health, and behavior. In MG Ory, RP Abeles and PD Lipman (Eds.)Aging, Health, and Behavior. Newbury Park, CA: Sage, 1992, Pp. 1–23.

    Google Scholar 

  31. Swenson, CA, “Circle of trust” key to over-50 market.Optimal Health 3:30–32, 1987.

    Google Scholar 

  32. Lawton, MP, Environment and other determinants of well-being in older people.Gerontologist 23: 349–357, 1983.

    PubMed  Google Scholar 

  33. Lawton, MP and Nahemow, L.: Ecology and the aging process. In C Eisdorfer and MP Lawton (Eds.)The Psychology of Adult Development and Aging. Washington, DC: American Psychological Association, 1973, Pp. 187–198.

    Google Scholar 

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The author acknowledges Julia Kleinschmidt, Ph.D. and Eric Trunnell, Ph.D., who provided helpful comments on an earlier draft of this manuscript.

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Caserta, M.S. Health promotion and the older population: Expanding our theoretical horizons. J Community Health 20, 283–292 (1995). https://doi.org/10.1007/BF02260411

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