1. Health Promotion: Theory & Practice
Prof. Dr. Edwin van Teijlingen

2. Determinants of Health
Evans & Stoddart

3. Dahlgren and Whitehead model

4. 5 Health Promotion Actions
Developing public policy.
Developing personal skills.
Strengthening community action.
Creating supportive environments.
Reorienting health services

5. Health promotion approaches
Medical or preventive
Behaviour change
Educational
Empowerment
Social change

6. Psycho-social theories of behaviour change
Health Belief Model
Theories of Reasoned Action/ Planned Behaviour
Social Learning/Cognative Theory
Transtheoretical (Stages of Change) Model

7. Health Belief Model Rosenstock
“an individual is likely to take action related to a given health problem based on the interaction between four different types of belief.”
Nutbeam 1999

8. Health Belief Model (Nutbeam 1999).

9. Theory of Reasoned Action
Attitude
Personal beliefs about value of behavior
Subjective norms
Social environments value on behavior
Behavioral Intention
Combination of both, predicts behavior
The two concepts of this theory are attitude and subjective norms. The theory of Reasoned Action says that attitude towards a behavior and subjective norms are the two main predictors of behavioral intention. Attitude refers to the individuals beliefs about the value equated with doing a behavior. The subjective norm refers to the importance an individual puts on what other people value. The behavioral intention is the combination of the two and predicts actual behavior.

10. Example Theory of Reasoned Action
The validity of the behavioral intention is based upon the commonality between the measure of intention and behavior.

11. Health Belief Model Rosenstock
“an individual is likely to take action related to a given health problem based on the interaction between four different types of belief.”
Nutbeam 1999

12. Health Belief Model (Nutbeam 1999).

13. Health promotion approaches
Medical or preventive
Behaviour change
Educational
Empowerment
Social change

14. Social Learning Theory
Built on understanding of the interaction of the individual and his/her environment.
Taken as a whole, it provides insight into approaches to improve individuals’ knowledge and skills to act to improve their health.
It explicitly identifies the importance of social norms and cues, and environmental influences on health behaviour.

15. Social Learning Theory
Environment
Behaviour
Personal
Cognitive
Factors