Health promotion model: an integrative literature review
Open accessAbstract
Background: The Health Promotion Model (HPM) indicates that each person is a biopsychosocial creature that is partially shaped by the environment, but also seeks to create an environment in which inherent and acquired human potential can be fully expressed. The HPM is proposed as a holistic predictive model of health-promoting behavior for use in research and practice. Purpose: The purpose of this review is to examine how the HPM has been applied in various research studies. Methods: An integrative review was used to find studies that were guided by the HPM. Data search was between 2008 to 2018 using Google Scholar, Scopus, Web of Science, Science Direct, PubMed, Medline, CINAHL, EBSCO, Cochrane, ERIC, Joanna Briggs Institute and EBSCO host. The keywords used were Pender’s and Health Promotion Model. Results: Seventeen studies were reviewed; most of them were quantitative studies. These studies discussed variables from the HPM. Most of the study variables were measured using instruments derived from the HPM. The results of the reviewed studies revealed that the HPM had predictive value in estimating health-promoting behaviors. Conclusion: The HPM was widely established in the nursing community and was implemented in nursing practice, education, and research. In addition, the HPM constructs were used to hypothesize conceptual frameworks in many studies to predict health-promoting behaviors in many chronic diseases.
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Pender's Health Promotion Model has been recognized as suitable for eliciting health promotion from nursing recipients based on previous studies.
“The model has been recognized as suitable for eliciting health promotion from nursing recipients based on previous studies of patients with chronic diseases [14,20,22], middle and high school students and college students [15,20,22], pregnant women and women of childbearing age, and general adults and workers [20,22,23].”
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Cites
The Health-Promoting Lifestyle Profile: Development and Psychometric Characteristics
WALKER, S. N., SECHRIST, K. R., & PENDER, N. J. (1987) · Nursing Research · doi:10.1097/00006199-198703000-00002 · Cited by 1,427 · cited 1× · see citing works
“The final outcome is engagement in health promotion behaviors [4].”
BackgroundJournal of the Pakistan Medical Association
(n.d.) · RWTH Publications (RWTH Aachen) · Cited by 1,228 · see citing works
Factors Affecting Health-Promoting Behaviors of University Students in Jordan
Shaheen, A. M., Nassar, O. S., Amre, H., & Hamdan‐Mansour, A. M. (2015) · Health · doi:10.4236/health.2015.71001 · Cited by 82 · see citing works
Diabetes empowerment related to Pender's Health Promotion Model: A meta‐synthesis
Ho, A. Y. K., Berggren, I., & Dahlborg‐Lyckhage, E. (2010) · Nursing and Health Sciences · doi:10.1111/j.1442-2018.2010.00517.x · Cited by 72 · see citing works
Khodaveisi, M., Omidi, A., Farokhi, S., & Soltanian, A. R. (2017) · BMJ Open · doi:10.1136/bmjopen-2016-015415.131 · Cited by 65 · see citing works
International Journal of Nursing Didactics
(2021) · International journal of Nursing Didactics · doi:10.15520/ijnd · Cited by 55 · see citing works
Predictors of the Health-Promoting Behaviors of Nepalese Migrant Workers
Bhandari, P., & Kim, M. (2015) · Journal of Nursing Research · doi:10.1097/jnr.0000000000000120 · Cited by 40 · see citing works
Jordanian Dialysis Patients' Perceived Exercise Benefits and Barriers: A correlation study
Darawad, M. W., & Khalil, A. A. (2013) · Rehabilitation Nursing · doi:10.1002/rnj.98 · Cited by 35 · see citing works
Atividade física de escolares: análise segundo o modelo teórico de promoção da saúde de Pender
Guedes, N. G., Moreira, R. P., Cavalcante, T. F., de Araújo, T. L., & Ximenes, L. B. (2009) · Revista da Escola de Enfermagem da USP · doi:10.1590/s0080-62342009000400006 · Cited by 33 · see citing works
Darawad, M. W., Khalil, A. A., Hamdan‐Mansour, A. M., & Nofal, B. (2014) · Rehabilitation Nursing · doi:10.1002/rnj.199 · Cited by 30 · see citing works
Barriers and Facilitators to Breast Cancer Screening Among Migrant Women Within Turkey
Tuzcu, A., & Bahar, Z. (2014) · Journal of Transcultural Nursing · doi:10.1177/1043659614526245 · Cited by 29 · see citing works
Mutulei, A. C. N. (2013) · American journal of public health research · doi:10.12691/ajphr-1-5-2 · Cited by 26 · see citing works
Use of Theory to Examine Health Responsibility in Urban Adolescents
Ayres, C. G., & Pontes, N. M. H. (2017) · Journal of Pediatric Nursing · doi:10.1016/j.pedn.2017.09.011 · Cited by 25 · see citing works
Kim, S. J., & Yoo, I. Y. (2016) · Asian Nursing Research · doi:10.1016/j.anr.2015.10.008 · Cited by 22 · see citing works
Evaluation of the Health Promotion Model to Predict Physical Activity in Iranian Adolescent Boys
Taymoori, P., Lubans, D. R., & Berry, T. R. (2010) · Health Education & Behavior · doi:10.1177/1090198109356407 · Cited by 21 · see citing works
A model-based educational intervention to increase physical activity among Iranian adolescents
Sanaeinasab, H., Saffari, M., Pakpour, A. H., Nazeri, M., & Piper, C. N. (2012) · Jornal de Pediatria · doi:10.2223/jped.2223 · Cited by 20 · see citing works
Rahimian, M., Mohammadi, M., Mehri, A., & Rakhshani, M. H. (2016) · International Archives of Health Sciences · doi:10.18869/iahs.3.3.87 · Cited by 6 · see citing works
A theory guided nursing intervention for management of hypertension among adults at rural area
Hussein, A. A., Salam, E. A. E. A. E., & Amr, A. E. S. F. (2016) · Journal of Nursing Education and Practice · doi:10.5430/jnep.v7n1p66 · Cited by 3 · see citing works
Flagged first, then by citations
Research works printed but not linked: 6
- Sakraida, T.J. (2013) The Health Promotion Model. In: Alligood, M.R. and Marriner Tomey, A., Eds., Nursing Theorists and Their Work, 8th Edition, Chapter 21, Mos- by Elsevier, St. Louis.
- McEwen, M. and Wills, E.M. (2011) Theoretical Basis for Nursing. Wolters Kluw- er/Lippincott Williams & Wilkins, Philadelphia.
- Pender, N.J., Murdaugh, C. and Parsons, M.A. (2011) Health Promotion in Nursing Practice. 6th Edition, Pearson, Boston.
- Marriner-Tomey, A. and Alligood, M.R. (2006) Nursing Theorists and Their Work. 6th Edition, Mosby/Elsevier, St. Louis.
- Hanan, S.A. and Sahar, Y.M. (2011) Perceived Self-Efficacy and Commitment to an Exercise Plan in Patients with Osteoporosis and Osteoarthritis. Journal of American Science, 7, 315-323.
- Khalil, A.A., Darawad, M.W., Al-Gamal, E., Hamdan-Mansour, A.M. and Abed, M. (2012) Predictors of Dietary and Fluid Non-Adherence in Jordanian Pattients with End-Stage Renal Disease Receiving Hemodialysis: A Cross-Sectional Study. Journal of Clinical Nursing, 22, 36-127.
Cited by
Sorted by citations
Chong, K. E., & Shorey, S. (2022) · International Journal of Nursing Practice · doi:10.1111/ijn.13030 · Cited by 19 · see citing works
Gheibizadeh, M., Rouholamini, S., Maraghi, E., & Jahanshahi, A. (2020) · Iranian Journal of Nursing and Midwifery Research · doi:10.4103/ijnmr.ijnmr_97_19 · Cited by 15 · see citing works
Hareru, H. E., Mamo, T. T., Abebe, M., & Debela, B. G. (2024) · Frontiers in Public Health · doi:10.3389/fpubh.2024.1453281 · Cited by 10 · see citing works
Health-promoting behaviors among patients with coronary artery disease in Palestine
Aqtam, I. F., Darawad, M. W., Alshraideh, J. A., Nabolsi, M., Shoqirat, N. A., & Ayed, A. (2023) · Palestinian medical and pharmaceutical journal/Palestinian medical & pharmaceutical journal · doi:10.59049/2790-0231.1142 · Cited by 8 · see citing works
Pavithran, A. A., Ramamoorthy, L., Suryanarayana, B. S., Murugesan, R., & Kumari, M. J. (2020) · Europe PMC (PubMed Central) · doi:10.34172/jcs.2020.028 · Cited by 8 · see citing works
Análisis y evaluación del Modelo de Promoción de la Salud
Navarro-Rodríguez, D. C., Guevara-Valtier, M. C., & Paz-Morales, M. D. L. Á. (2023) · Temperamentvm · doi:10.58807/tmptvm20235777 · Cited by 7 · see citing works
Choi, M. J., Kim, S., & Jeong, S. H. (2024) · Asian Nursing Research · doi:10.1016/j.anr.2024.04.007 · Cited by 8 · see citing works
Damayanti, M. R., Sudira, P. G., & Nopriani, N. L. P. (2020) · Enfermería Clínica · doi:10.1016/j.enfcli.2020.07.019 · Cited by 6 · see citing works
Modelo de Nola Pender para promoção da saúde do adolescente: Revisão integrativa
Santi, D. B., Nogueira, I. S., & Baldissera, V. D. A. (2023) · REME-Revista Mineira de Enfermagem · doi:10.35699/2316-9389.2023.40440 · Cited by 7 · see citing works
Sadeghi, R., Arefi, Z., Shojaeizadeh, D., & Shaahmadi, F. (2022) · Journal of Lifestyle Medicine · doi:10.15280/jlm.2022.12.2.83 · Cited by 5 · see citing works
Empowerment of Parents with Stunting Children
Indanah, I., Wanda, D., & Nurhaeni, N. (2022) · Jurnal Aisyah Jurnal Ilmu Kesehatan · doi:10.30604/jika.v7i4.1183 · Cited by 5 · see citing works
Zhou, Y., Ye, L., Chen, X., & Zhang, J. (2024) · International Journal of Nursing Practice · doi:10.1111/ijn.13294 · Cited by 4 · see citing works
Mumin, K. H. A., Maideen, A. A., Lupat, A., Mohd-Alipah, S. N.-D., Mohammad-Alli, R. H., Abd-Manaf, H.-N. H., Osman, A.-R., Fata, H. M. R. A., busrah, N., Darling‐Fisher, C. S., et al. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20176629 · Cited by 5 · see citing works
MANifest Health Theory: A Holistic Approach to Cis-Gender Men’s Health
Gallegos, J. L. (2024) · American Journal of Men s Health · doi:10.1177/15579883241274616 · Cited by 4 · see citing works
Jalali, A., Rajati, F., & Kazeminia, M. (2025) · Geriatric Nursing · doi:10.1016/j.gerinurse.2024.12.020 · Cited by 4 · see citing works
Hasylin, H., Mumin, K. H. A., Pg-Hj-Ismail, P.-K., Trivedi, A., & Win, K. N. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph192315469 · Cited by 4 · see citing works
Lee, S., Pantik, C., Duggirala, S., & Lindquist, R. A. (2021) · Western Journal of Nursing Research · doi:10.1177/01939459211013580 · Cited by 3 · see citing works
Climaterio relacionado al estilo de vida en mujeres de una población mexiquense
Garduño, M. D. M., Bello, P. C., González, E. M., Rios-Becerril, J., & Torres, D. G. (2022) · Enfermería Global · doi:10.6018/eglobal.516611 · Cited by 3 · see citing works
Willis, E., & Friedel, K. (2025) · Journal of Health Psychology · doi:10.1177/13591053251335728 · Cited by 3 · see citing works
Muhammad, R., & Hardy, S. (2022) · Science Midwifery · doi:10.35335/midwifery.v10i5.952 · Cited by 3 · see citing works
Tse, M. Y. M., Ng, S. S. M., LOU, V. W. Q., Lo, R. S. K., Cheung, D. S. K., Lee, P. H., Tang, S. K., Leung, S. H., & Tse, P. P.-S. (2023) · OBM Neurobiology · doi:10.21926/obm.neurobiol.2303183 · Cited by 2 · see citing works
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Karasu, F. (2021) · Sağlık Bilimleri Dergisi · doi:10.34108/eujhs.708931 · Cited by 2 · see citing works
Beheshtaeen, F., Molazem, Z., Kalyani, M. N., & Mohebbi, Z. (2025) · BMC Nursing · doi:10.1186/s12912-025-03918-9 · Cited by 2 · see citing works
Jaravaza, D. C., Mukucha, P., Dangaiso, P., Jaravaza, N., Mpondwe, N., Katsande, T., Jaravaza, V., & Chingwaru, T. (2025) · Journal of African Business · doi:10.1080/15228916.2025.2585607 · Cited by 1 · see citing works
Gülşen, M., Uludağ, C. B., & Binokay, H. (2025) · BMC Public Health · doi:10.1186/s12889-025-25784-5 · Cited by 1 · see citing works
Aluko, J. O., Oluwafunmilayo, O. S., Badmus, J. A., Makinde, O. Y., Olajide, A. O., & Olabisi, O. I. (2023) · International Journal of Nursing Midwife and Health Related Cases · doi:10.37745/ijnmh.15/vol9n31228 · Cited by 1 · see citing works
Diagrama de prevenção de quedas para pessoas idosas: revisão integrativa
Diniz, J. L., de Sousa, C. R., Aquino, P. D. S., Silva, R. D. R. L., Evangelista, B. P., Coutinho, J. F. V., Souza, R. L. D. P., & Tabosa, K. Y. D. S. (2023) · Acta Paulista de Enfermagem · doi:10.37689/acta-ape/2024ar002211 · Cited by 1 · see citing works
Propuesta de un modelo teórico para el control de riesgo de obesidad en adolescentes mexicanos
Rodríguez, D. C. N., Valtier, M. C. G., Morales, M. D. L. Á. P., Litago, J. D. U., & Ingelmo, R. M. G. (2024) · Enfermería Universitaria · doi:10.22201/eneo.23958421e.2022.2.1284 · Cited by 1 · see citing works
Harini, R. (2022) · Preprints.org · doi:10.20944/preprints202206.0327.v1 · Cited by 1 · see citing works
Elkest, H. R. A., Awad, E. Y. A., & Mahmoud, N. S. (2022) · International Egyptian Journal of Nursing Sciences and Research · doi:10.21608/ejnsr.2022.212262
Smoking Cessation Counseling in the PreAnesthesia Testing Clinic: A Quality Improvement Initiative
Schaaf, D. (2022) · Journal of PeriAnesthesia Nursing · doi:10.1016/j.jopan.2021.11.004
Mumin, K. H. A., Maideen, A. A., Lupat, A., Mohd-Alipah, S. N.-D., Mohammad-Alli, R. H., Abd-Manaf, H.-N. H., Osman, A.-R., Fata, H. M. R. A., busrah, N., Darling‐Fisher, C. S., et al. (2022) · Research Square · doi:10.21203/rs.3.rs-2160729/v1
Hany, A., Subekti, P. T., & Lukitasari, M. (2021) · Bali Medical Journal · doi:10.15562/bmj.v10i3.2869
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Amir, S. (2023) · Jurnal Ners · doi:10.31004/jn.v7i1.13613
Mawarti, H., Umaroh, S. A., & Mukhoirotin, M. (2023) · JURNAL ILMU KEDOKTERAN DAN KESEHATAN · doi:10.33024/jikk.v10i7.10308
A causal model of sexual abstinence in Thai female adolescents
Wannarit, L.-O., Chaiyawat, W., & Yunibhand, J. (2019) · doi:10.58837/chula.the.2019.376
A Qualitative Description of the Role of a Whole Health Coach
Fowler, S. A. (2023) · Journal of Practical Nurse Education and Practice · doi:10.29173/jpnep33
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Medina, J. (2023) · doi:10.33015/dominican.edu/2024.nurs.st.16
Fall prevention diagram for older adults: an integrative review
Diniz, J. L., de Sousa, C. R., Aquino, P. D. S., Silva, R. D. R. L., Evangelista, B. P., Coutinho, J. F. V., Souza, R. L. D. P., & Tabosa, K. Y. D. S. (2024) · Acta Paulista de Enfermagem · doi:10.37689/acta-ape/2024ar022111
Ali, S. A. O., Ahmed, A., Fathy, E. G., & Souilm, N. (2024) · Egyptian Journal of Health Care · doi:10.21608/ejhc.2024.357673
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George, N. S., Rajasekar, S., Ravi, K., Radhakrishnan, M., & Sherwin, J. L. A. (2023) · Medical Journal of Dr D Y Patil Vidyapeeth · doi:10.4103/mjdrdypu.mjdrdypu_470_21
Pungchompoo, W., Intawong, K., Boonchieng, W., Pungchompoo, S., Udomkhwamsuk, W., & Deechairam, S. (2024) · Journal of Health Research · doi:10.56808/2586-940x.1106
Korompis, M. D., Losu, F. N., & Tombokan, S. (2025) · Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) · doi:10.26699/jnk.v12i1.art.p044-050
Kim, S. H. (2025) · Journal of Health Informatics and Statistics · doi:10.21032/jhis.2025.50.4.370
Kurniawan, D. E., & Wijaya, D. (2024) · Malaysian Journal of Medicine and Health Sciences · doi:10.47836/mjmhs20.5.12
Wu, Y., & Kuru, O. (2026) · Health Communication · doi:10.1080/10410236.2026.2628161
Tunç, A. M., Akgün, Z. G., Gökçay, G., BAKIRHAN, D. Ş., & Çevırme, A. (2026) · Multiple Sclerosis and Related Disorders · doi:10.1016/j.msard.2026.107957
Wilandika, A., Salami, S., Nengsih, W. W., Haifa, M. I. J., & Rahmayanti, R. P. (2026) · Nursing Ethics · doi:10.1177/09697330261491023
- Authors
- Aqtam, I., & Darawwad, M.
- Affiliations
- University of Jordan (JO)
- ORCID
- Aqtam, Ibrahim
- Venue
- Open Journal of Nursing
- Publisher
- Scientific Research Publishing, Inc.
- Published
- 2018
- Volume
- 08
- Issue
- 07
- Pages
- 485-503
- ISSN
- 2162-5336 (ISSN-L)
- 2162-5344
- OpenAlex
- W2883321174
- Cited by
- 48
- References
- 18
- Citations by year
- 2026: 3 · 2025: 7 · 2024: 9 · 2023: 12 · 2022: 9 · 2021: 4 · 2020: 3 · 2019: 1
- FWCI
- 3.05
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Locations
- Open Journal of Nursing (publishedVersion, cc-by)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health and Wellbeing Research
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Keywords
- health promotion model, health-promoting behaviors, biopsychosocial model, health behavior prediction, nursing theory, chronic disease, nursing practice, nursing education
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