Pender’s Health Promotion Model and Its Applications in Nursing Practice

Main Article Content

Chuleekorn Danyuthasilpe


Pender’s health promotion model is a conceptual framework which provides for the explaining and
predicting of health promoting behaviors. This model combines with nursing and behavioral science perspectives,
and emphasizes various factors which influence the health behaviors of persons and enhancing methods to
motivate persons to engage in health-promoting behaviors. The major conceptual components to consider
regarding the model include 1) individual characteristics and experiences 2) behavior-specific cognitions and
affect and 3) behavioral outcomes. The first two components are related to and influence the behavioral
outcomes of persons, which are health-promoting behaviors. The nursing roles in the health promotion model
influence behavioral change in persons which involve raising consciousness related to health-promoting
behaviors, promoting self-efficacy, enhancing benefits of behavior change, modifying the environment to support
health promotion practices, and managing barriers to behavior change. The nursing process is a framework that
was applied for assessing various factors related health-promoting behaviors, identifying nursing diagnosis and
planning to assist persons to improve their capacity to act for behavioral change, implementing health promotion
practices to fulfill the goals for the enhancement of health, and evaluating the planned interventions.


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How to Cite
Danyuthasilpe, C. (2018). Pender’s Health Promotion Model and Its Applications in Nursing Practice. Journal of Research in Nursing-Midwifery and Health Sciences, 38(2), 132–141. Retrieved from


1. Maville JA, Huerta CG. Theorectical foundations of health promotion. In Health promotion in nursing. 2nd ed. Clifton Park, NY: Thomson Delmar Learning; 2008.

2. Pender NJ, Murdaugh CL, Parsons MA. Health promotion in nursing practice. 4th ed. Upper Saddle River, NJ: Pearson; 2002.

3. Pender NJ, Murdaugh CL, Parsons MA. Health promotion in nursing practice. 5th ed. Jurong, Singapore: Pearson; 2006.

4. Srof BJ, Velsor-Friedrich B. Health promotion in adolescents: A review of Pender’s health promotion model. Nurs Sci Q. 2006;19(4):366-73. doi: 10.1177/0894318406292831

5. Kwong EW, Kwan AY. Participation in health-promoting behaviour: Influences on community-dwelling older Chinese people. J Adv Nurs. 2007;57(5): 522-34. doi: 10.1111/j.1365-2648.2006.04132.x

6. Morowatisharifabad MA, Ghofranipour F, Heidarnia A, et al. Self-efficacy and health promotion behaviors of older adults in Iran. Soc Behav Pers. 2006;42(7):759-68. doi: 10.2224/sbp.2006.34.7.759

7. Shin KR, Kang Y, Park HJ, et al. Testing and developing the health promotion model in low-income, Korean elderly women. Nurs Sci Q. 2008; 21(2): 173-8. doi: 10.1177/0894318408314698

8. Valek RM, Greenwald BJ, Lewis CC. Psychological factors associated with weight loss maintenance: Theory-driven practice for nurse practitioners. Nurs Sci Q. 2015; 28(2):129-35. doi: 10.1177/0894318415571598

9. Oliver-Vazquez M, Sanchez-Ayendez M, Suarez-Perez E, et al. Breast cancer health promotion model for older Puerto Rican women: Results of a pilot programme. Health Promot Int. 2002; 17(1): 3-11.

10. Goodarzi-Khoigani M, Baghiani Moghadam MH, Nadjarzadeh A, et al. Impact of nutrition education in improving dietary during pregnancy based on pender’s health promotion model: a randomized clinical trial. Iran J Nurs Midwifery Res. 2017;23(1): 18-25 doi: 10.4103/ijnmr.IJNMR_198_16.

11. Pender NJ, Murdaugh CL, Parsons MA. Health promotion in nursing practice. 6th ed. Boston: Pearson; 2011.

12. Masters K. The health promotion model: Nola J. Pednder In Nursing theories: A framework for professional practice. 2nd ed. Burlington, MA: Jones & Bartlett Learning; 2015.

13. Iamsupasit S. Theories and techniques in behavior modification. 7th ed. Bangkok: Chula Press; 2010. Thai.

14. Alkhalaileh MA, Khaled MHB, Baker OG, et al. Pender’s health promotion model: An integrative literature review. ME-JN. 2011; 5(5): 12-22. doi: 10.5742/MEJN.2011.55104

15. Mohamadian H, Eftekhar H, Rahimi A, et al. Predicting health-related quality of life by using a health promotion model among Iranian adolescent girls: A structural equation modeling approach. Nurs Health Sci. 2011; 13: 141-8. doi: 10.1111/j.1442-2018.2011.00591.x

16. Brown AS. Promoting physical activity amongst adolescent girls. Issues Compr Pediatr Nurs. 2009;32: 49-64. doi: 10.1080/01460860902737400

17. Khodaveisi M, Omidi A, Farokhi S, et al. The effect of Pender’s health promotion model in improving the nutrition behavior of overweight and obese women. Int J Community Based Nurs Midwifery. 2017; 5(2): 165-74.

18. Padden DL, Connors RA, Posey SM. Factors influencing a health promoting lifestyle in spouses of active duty military. Health Care Women Int. 2013; 34: 647-93. doi: 10.1080/07399332.2012.736572

19. Asci O, Rathfisch G. Effect of lifestyle interventions of pregnant women on their dietary habits, lifestyle behaviors, and weight gain: A randomized controlled trial. J Health Popul Nutr. 2016; 35(7): 1-9. doi: 10.1186/s41043-016-0044-2

20. Ersin F, Bahar Z. Effects of nursing intervention planned with the health promotion models on the breast and cervical cancer early detection behaviors of the women. IJCS. 2017; 10(1): 421-32.

21. Walker SN, Pullen CH, Boeckner L, et al. Clinical trial of tailored activity and eating newsletters with older rural women. Nurs Res. 2009; 58(2): 74-85. doi: 10.1097/NNR.0b013e31818fcee1

22. Kelley JA, Sherrod RA, Smyth P. Coronary artery disease and smoking cessation intervention by primary care providers in a rural clinic. Online Journal of Rural Nursing and Health Care. 2009; 9(2): 82-94.

23. Zhang P, Hu Y-D, Xing F-M, et al. Effects of a nurse-led transitional care program on clinical outcomes, health-related knowledge, physical and mental health status among Chinese patients with coronary artery disease: A randomized controlled trial. Int J Nurs Stud. 2017; 74: 34-43. doi: 10.1016/j.ijnurstu.2017.04.004

24. Sevince S, Argon G. Application of Pender’s health promotion model to post-myocard infarction patients in Turkey. IJCS. 2018; 11(1): 409-18.

25. Kraithaworn P, Sirapo-Ngam Y, Piaseu N, et al. Factors predicting physical activity among older Thai living in low socioeconomic urban communities. Pacific Rim Int J Nurs Res. 2011; 15(1): 39-56.

26. Meethien N, Pothiban L, Ostwald SK, et al. Effectiveness of nutritional education in promoting healthy eating among elders in Northeastern Thailand. Pacific Rim Int J Nurs Res. 2011;15(3): 188-202.

27. Moonwong T. Health promoting behaviors among the patient with chronic obstructive pulmonary disease. Journal of Nursing and Health Sciences. 2012; 6(1): 75-83. Thai.

28. Kitipim S, Pinyopassakul P, Sriyuktasuth A. Factors predicting health promoting behaviors in patients with mild to moderate stages of chronic kidney disease. Thai Journal of Nursing. 2013; 62(4): 35-42. Thai.

29. Sintang C, Danyuthasilpe C, Jantaravijit Y. Association between specific cognition and affect and health-promoting behaviors of people with physical disabilities in Nakhon Sawan Province. Journal of Nursing and Health Sciences. 2016;10(3): 74-85. Thai.

30. Prasertsri T, Tareepian N. Health promoting behaviors and quality of life in patients with breast cancer receiving chemotherapy. Journal of Nursing and Health Care. 2015; 33(2): 92-101. Thai.

31. Sirisudtha D, Boonyaleepun S. Health-promoting behaviors of HIV/AIDS patients receiving second-line antiretroviral therapy. Journal of Nursing and Health Care. 2017; 35(1): 177-83.Thai.

32. Pancharean S. Factors influencing health promoting behaviors of menopausal women in Sawanpracharak Nakhonsawan Nakhonsawan Province. Thai Journal of Nursing Council. 2009;24(2): 78-87. Thai.

33. Juntanintorn P, Hingkanont P, Suntayakorn C, et al. Factors affecting health promotion behavior of non insulin dependent diabetic mellitus patients. Journal of Nursing and Health Sciences. 2013;7(1): 53-62. Thai.

34. Pramoolsinsup K, Khungtumneam K, Kompayak J, et al. The effect of health promotion program on health promoting behavior primigravida adolescents. Journal of Nurses’Association of Thailand, North-Eastern Division. 2013; 31(4):54-60. Thai.

35. Prommachat K, Suntayakorn C, Noohson N, et al. Effect of health promotion program on health behavior among Mhong Hill tribe students. Journal of Nursing and Health Sciences. 2012;6(2): 48-55. Thai.

36. Nawakulpan N, Suntayakorn C, Prachanban P, et al. Effect of health promotion program on health behaviors and cerebrovascular disease control among risk group. Journal of Nursing and Health Sciences. 2013;7(1): 63-74. Thai.

37. Wassa K, Senarak W. The effect of health promoting program on blood pressure, body mass index and waist circumference in prehypertension person. Journal of Nursing and Health Care. 2015; 33(4): 65-73. Thai.

38. Manop W, Danyuthasilpe C. Effect of health promotion program to reduce drinking in the community with family participation on drinking behaviors among hazardous drinkers. Journal of Nursing and Health Sciences. 2017;11(3):102-11. Thai.

39. Rentfro AR. Health promotion and the individual. In: Edelman CL, Kudzma EC, Mandle CL, editors. Health promotion throughout the life span. 8th ed. St.Louis, Missouri: Elsevier; 2014.