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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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.
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.
Jones, CJ and Rikli, RE, The gerontology movement—Is it passing us by?JOPERD 64:17–26, 1993.
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.
Ajzen, I and Fishbein, M:Understanding Attitudes and Predicting Social Behavior. Englewood Cliffs, NJ: Prentice-Hall, 1980. Pp. 79–100.
Bandura, A:Social Learning Theory. Englewood Cliffs, NJ: Prentice-Hall, 1977, Pp. 16–158.
Bandura, A, Self-efficacy: Toward a unifying theory of behavioral change.Psychol Rev 84:191–215, 1977.
Bandura, A, Self-efficacy mechanisms in human agency.Am Psychol 37:122–147, 1982.
Bandura, A,Social Foundations of Thought and Action: A Social Cognitive Theory. Englewood Cliffs, NJ: Prentice-Hall, 1986, Pp. 390–453.
Bandura, A, Human agency in social cognitive theory.Am Psychol 44:1175–1184, 1989.
Parcel, GS and Baranowski, T, Social learning theory and health education.Health Educ 12:14–18, 1981.
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.
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.
Godin, G and Shephard, RJ, Use of attitude-behaviour models in exercise promotion.Sports Med 10:103–121, 1990.
Herbert, L and Teague, ML, Exercise adherence and older adults: A theoretical perspective.Activ Adapt Aging 13:91–105, 1989.
Lashley, ME, Predictors of breast self-examination practice among elderly women.Adv Nurs Sci 9:25–34, 1987.
Mills, KR, Smoking cessation treatment with older adults.Clin Gerontol 10:99–101, 1990.
Breckon, DJ:Hospital Health Education: A Guide to Program Development. Rockville, MD: Aspen Systems Corp, 1982. Pp. 203–205.
Campbell, JM and Lancaster, J, Communicating effectively with older adults.Fam Comm Health 11:74–85, 1988.
Taub, HA, Life-span education: A need for research with meaningful prose.Educ Grontol 5:175–187, 1980.
Kicklighter, JR, Characteristics of older adult learners: A guide for dietetics practioners.J Am Diet Assoc 91:1418–1422, 1991.
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.
Hendricks, J and Hendricks, CD:Aging in Mass Society: Myths and Realities, 3rd Ed. Boston: Little, Brown and Company, 1986. Pp. 81–115.
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.
Richardson, GE, Neiger, BL, Jensen, S, Kumpfer, KL, The resiliency model.Health Educ 21:33–39, 1990.
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.
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.
Rowe, JW and Kahn, RL, Human aging: Usual and successful.Science 237:143–149, 1987.
Institute of Medicine:The Second Fifty Years: Promoting Health and Preventing Disability. Washington, DC: National Academy Press, 1990. Pp. 193–194.
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.
Swenson, CA, “Circle of trust” key to over-50 market.Optimal Health 3:30–32, 1987.
Lawton, MP, Environment and other determinants of well-being in older people.Gerontologist 23: 349–357, 1983.
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.
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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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DOI: https://doi.org/10.1007/BF02260411