Abstract
Theory development has not proceeded at a pace commensurate with the evolution of health promotion practice. At least three examples of this disparity are apparent: (1) theory is developed in an evidence-based paradigm rather than a practice-based paradigm, (2) a substantial majority of health behavior theories exist at the individual level, thereby neglecting contextual realities that shape behavior, and (3) “accessibility” levels of theory to practitioners may be quite low in comparison to the growing demands to prevent disease through expanding health promotion practices. The challenges of health promotion demand a great deal more attention to developing theories that reflect the reality of broad influences on health behavior. One critical question that must be answered involves setting limits regarding the realistic role of behavioral interventions in public health practice. The evolution of theory should be practice-based, largely ecological in nature, and the resulting theories should be easily accessible to practitioners.
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References
Adams, J., & White, M. (2005). Why don’t stage-based activity promotion interventions work? Health Education Research, 20(2), 237–243.
Aveyard, P., Massey, L., Parsons, A., Manaseki, S., & Griffin, C. (2009). The effect of transtheoretical model based interventions on smoking cessation. Social Science and Medicine, 68(3), 397–403.
Baranowski, T., Anderson, C., & Carmack, C. (1998). Mediating variable framework in physical activity interventions. How are we doing? How might we do better? American Journal of Preventive Medicine, 15(4), 266–297.
Bartholomew, L. K., Parcel, G. S., Kok, G., Gottlieb, N. H., Schaalma, H., Markham, C., et al. (2006). Planning health promotion programs: An intervention mapping approach (2nd ed.). San Francisco, CA US: Jossey-Bass.
Bryan, A., Schmiege, S. J., & Broaddus, M. R. (2007). Mediational analysis in HIV/AIDS research: Estimating multivariate path analytic models in a structural equation modeling framework. AIDS and Behavior, 11(3), 365–383.
Crosby, R. A., Kegler, M. C., & DiClemente, R. J. (2002). Understanding and applying theory in health promotion practice and research. In R. J. DiClemente, R. A. Crosby, & M. C. Kegler (Eds.), Emerging theories in health promotion practice and research: Strategies for improving public health (1st ed., pp. 1–15). San Francisco: Jossey-Bass.
DiClemente, R. J., Crosby, R. A., & Kegler, M. C. (2002). Emerging theories in health promotion practice and research: Strategies for improving public health. San Francisco: Jossey-Bass.
Farley, T., & Cohen, D. (2005). Prescription for a healthy nation: A new approach to improving our lives by fixing our everyday world. Boston, MA: Beacon Press.
Glanz, K., Rimer, B. K., & Lewis, F. M. (2002). Health behavior and health education: Theory, research, and practice (3rd ed.). San Francisco: Jossey-Bass.
Glasgow, R. E., Vogt, T. M., & Boles, S. M. (1999). Evaluating the public health impact of health promotion interventions: The RE-AIM framework. American Journal of Public Health, 89(9), 1322–1327.
Glasgow, R. E., Lichtenstein, E., & Marcus, A. C. (2003). Why don’t we see more translation of health promotion research to practice? Rethinking the efficacy-to-effectiveness transition. American Journal of Public Health, 93(8), 1261–1267.
Green, L., & Kreuter, M. K. (2005). Health program planning: An educational and ecological approach (4th ed.). New York: McGraw Hill.
Green, L. W., Glanz, K., Hochbaum, G. M., Kok, G., Kreuter, M. W., Lewis, F. M., et al. (1994). Can we build on, or must we replace, the theories and models in health education? Health Education Research, 9(3), 397–404.
Institute of Medicine. (2002). Speaking of health: Assessing health communication strategies for diverse populations. Washington, DC: The National Academies Press.
Kreuter, M., Farrell, D., Olevitch, L., & Brennan, L. (2000). Tailoring health messages: Customizing communication with computer technology. Mahwah, NJ: Lawrence Erlbaum.
Legler, J., Meissner, H. I., Coyne, C., Breen, N., Chollette, V., & Rimer, B. K. (2002). The effectiveness of interventions to promote mammography among women with historically lower rates of screening. Cancer Epidemiology, Biomarkers and Prevention, 11(1), 59–71.
McLeroy, K. R., Bibeau, D., Steckler, A., & Glanz, K. (1988). An ecological perspective on health promotion programs. Health Education Quarterly, 15(4), 351–377.
McLeroy, K. R., Steckler, A. B., Simons-Morton, B., Goodman, R. M., Gottlieb, N., & Burdine, J. N. (1993). Social socience theory in health education: Time for a new model? Health Education Research, 8(3), 305–312.
National Cancer Institute. (2005). Theory at a glance: A guide for health promotion practice. Washington, DC: National Institutes of Health.
Noar, S. M. (2008). Behavioral interventions to reduce HIV-related sexual risk behavior: Review and synthesis of meta-analytic evidence. AIDS and Behavior, 12(3), 335–353.
Noar, S. M., & Zimmerman, R. S. (2005). Health behavior theory and cumulative knowledge regarding health behaviors: Are we moving in the right direction? Health Education Research, 20(3), 275–290.
Noar, S. M., Chabot, M., & Zimmerman, R. S. (2008). Applying health behavior theory to multiple behavior change: Considerations and approaches. Preventive Medicine, 46(3), 275–280.
Ogden, J. (2003). Some problems with social cognition models: A pragmatic and conceptual analysis. Health Psychology, 22(4), 424–428.
Painter, J. E., Borba, C. P. C., Hynes, M., Mays, D., & Glanz, K. (2008). The use of theory in health behavior research from 2000 to 2005: A systematic review. Annals of Behavioral Medicine, 35(3), 358–362.
Park-Higgerson, H.-K., Perumean-Chaney, S. E., Bartolucci, A. A., Grimley, D. M., & Singh, K. P. (2008). The evaluation of school-based violence prevention programs: A meta-analysis. Journal of School Health, 78(9), 465–479.
Prochaska, J. O. (2009). Flaws in the theory or flaws in the study: A commentary on “The effect of Transtheoretical Model based interventions on smoking cessation”. Social Science and Medicine, 68(3), 404–406.
Smedley, B. D., & Syme, S. L. (2000). Promoting health: Intervention strategies from social and behavioral research. Washington, DC: National Academy Press.
Weinstein, N. D. (2007). Misleading tests of health behavior theories. Annals of Behavioral Medicine, 33(1), 1–10.
Weinstein, N. D., & Rothman, A. J. (2005). Commentary: Revitalizing research on health behavior theories. Health Education Research, 20(3), 294–297.
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Crosby, R., Noar, S.M. Theory development in health promotion: are we there yet?. J Behav Med 33, 259–263 (2010). https://doi.org/10.1007/s10865-010-9260-1
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DOI: https://doi.org/10.1007/s10865-010-9260-1