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Cited by 120Health and Wellbeing ResearchSchool Health and Nursing EducationChild and Adolescent Health

Family as a health promotion setting: a scoping review of conceptual models of the health-promoting family

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Michaelson, Valerie, Pilato, Kelly A., Davison, Colleen M.·2021·PLOS ONE
DOI 10.1371/journal.pone.0249707PMC PMC8041208
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Abstract

Background: The family is a key setting for health promotion. Contemporary health promoting family models can establish scaffolds for shaping health behaviors and can be useful tools for education and health promotion. Objectives: The objective of this scoping review is to provide details as to how conceptual and theoretical models of the health promoting potential of the family are being used in health promotion contexts. Design: Guided by PRISMA ScR guidelines, we used a three-step search strategy to find relevant papers. This included key-word searching electronic databases (Medline, PSycINFO, Embase, and CINAHL), searching the reference lists of included studies, and intentionally searching for grey literature (in textbooks, dissertations, thesis manuscripts and reports.) Results: After applying inclusion and exclusion criteria, the overall search generated 113 included manuscripts/chapters with 118 unique models. Through our analysis of these models, three main themes were apparent: 1) ecological factors are central components to most models or conceptual frameworks; 2) models were attentive to cultural and other diversities, allowing room for a wide range of differences across family types, and for different and ever-expanding social norms and roles; and 3) the role of the child as a passive recipient of their health journey rather than as an active agent in promoting their own family health was highlighted as an important gap in many of the identified models. Conclusions: This review contributes a synthesis of contemporary literature in this area and supports the priority of ecological frameworks and diversity of family contexts. It encourages researchers, practitioners and family stakeholders to recognize the value of the child as an active agent in shaping the health promoting potential of their family context.

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Cited by

Sorted by citations

Authors
Michaelson, V., Pilato, K. A., & Davison, C. M.
Affiliations
  • Brock University (CA)
  • Queen's University (CA)
Corresponding author
  • Michaelson, Valerie
  • Pilato, Kelly A.
  • Davison, Colleen M.
ORCID
Venue
PLOS ONE
Publisher
Public Library of Science (PLoS)
Published
2021-04-12
Volume
16
Issue
4
Pages
e0249707
ISSN
1932-6203 (ISSN-L)
DOI
10.1371/journal.pone.0249707
PMC
PMC8041208
OpenAlex
W3154787607
Cited by
120
References
8
Citations by year
2026: 20 · 2025: 28 · 2024: 34 · 2023: 18 · 2022: 15 · 2021: 4
FWCI
19.95
Type
journal article
Language
en
Open access
Licence
Locations
  • PLoS ONE (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Brock University Digital Repository (Brock University) (submittedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
Canadian Institutes of Health Research (MOP 341188, MOP 97962)
Topics
  • Health Sciences › Health Professions › General Health Professions › Health and Wellbeing Research
  • Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
  • Health Sciences › Health Professions › General Health Professions › Child and Adolescent Health
Keywords
conceptual model, ecological model, cultural diversity, family diversity, children as active agents, family health, health behavior
MeSH terms
Child, Culture, Delivery of Health Care, Family, Health Promotion, Humans, Models, Theoretical, Databases, Factual, Ecosystem

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