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Health Promotion for People with Disabilities: A Primer for Rehabilitation Counsellors

Published online by Cambridge University Press:  27 November 2017

Daniel Eagle ,
Fong Chan ,
Kanako Iwanaga ,
Antonio Reyes ,
Chung-Yi Chiu ,
Jill Bezyak ,
Jessica M. Brooks Open the ORCID record for Jessica M. Brooks [Opens in a new window] ,
John Keegan  and
Veronica Muller
Daniel Eagle*
Affiliation:
Defense Institute of Security Cooperation Studies, VA, USA
Fong Chan
Affiliation:
University of Wisconsin–Madison, WI, USA
Kanako Iwanaga
Affiliation:
University of Wisconsin–Madison, WI, USA
Antonio Reyes
Affiliation:
University of Wisconsin–Madison, WI, USA
Chung-Yi Chiu
Affiliation:
Defense Institute of Security Cooperation Studies, VA, USA
Jill Bezyak
Affiliation:
University of Northern Colorado, CO, USA
Jessica M. Brooks
Affiliation:
Dartmouth College, NH, USA University of North Texas, TX, USA
John Keegan
Affiliation:
Hunter College, City University of New York, NH, USA
Veronica Muller
Affiliation:
Hunter College, City University of New York, NH, USA
*
Address for correspondence: Daniel Eagle, Director of Strategy Instruction, Defense Institute of Security Cooperation Studies, National Capital Region Campus, 201 12th St South, Arlington, VA 22201-5408, USA.
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Abstract

To engage in the community and the workplace requires physical, mental, and social health and wellbeing. Health promotion is a crucial rehabilitation counselling function for the health and wellbeing of people living with chronic illness and disability (CID). This exploratory review seeks to examine theories and models of motivation applicable to health promotion interventions in rehabilitation counselling practice. Although no single theory can address all the potential variables affecting people with CID's health behaviours, Bandura's (1977) concept of self-efficacy and outcome expectancy appear to be the most common factors in the health promotion models we surveyed. Among theories of motivation, only self-determination theory specifically includes a motivation variable, autonomy (internal and external motivation). We developed a diagram to depict a model, including all the theories and models covered in this exploratory review and identify commonalities among their constructs. This diagram can be used by rehabilitation counsellors to apply theories and models of motivation in case conceptualisation, formulating clinical hypotheses, developing treatment plans, and selecting and implementing evidence-based health promotion interventions for their clients.

Keywords

rehabilitation counsellingvocational rehabilitationhealth promotionpeople with disabilities
Type
Articles
Information
The Australian Journal of Rehabilitation Counselling , Volume 23 , Issue 2 , December 2017 , pp. 98 - 111
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Copyright
Copyright © The Author(s) 2017 

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References

Ajzen, I. (1985). From intentions to actions: A theory of planned behaviour. In Kuhl, J. & Beckmann, J. (Eds.), Action Control: From Cognition to Behaviour (pp. 11–39). New York, NY: Springer-Verlag.CrossRefGoogle Scholar
Ajzen, I., & Fishbein, M. (2005). The influence of attitudes on behaviour. In Albarracin, D., Johnson, B.T., & Zanna, M.P. (Eds.), The Handbook of Attitudes (pp. 173–221). Mahwah, NJ: Erlbaum.Google Scholar
Ajzen, I., & Madden, T. (1986). Prediction of goal-direction behaviour: Attitudes, intentions and perceived behavioural control. Journal of Experimental Social Psychology, 22, 453–474.CrossRefGoogle Scholar
Arbour-Nicitopoulos, K.P., Ginis, K.A.M., Wilson, P.M., & SHAPE-SCI Research Group. (2010). Examining the individual and perceived neighborhood associations of leisure-time physical activity in persons with spinal cord injury. Annals of Behavioural Medicine, 39, 192–197.CrossRefGoogle ScholarPubMed
Armitage, C.J., & Conner, M. (2001). Efficacy of the theory of planned behaviour: A Meta-Analytic review. British Journal of Social Psychology, 40, 471–479.CrossRefGoogle ScholarPubMed
Bandura, A. (1977). Toward a unifying theory of behavioural change. Psychological Review, 84, 191–215.CrossRefGoogle Scholar
Bandura, A. (2004). Health promotion by social cognitive means. Health Education and Behaviour, 31, 143–164.CrossRefGoogle ScholarPubMed
Baumeister, R.F., & Leary, M.R. (1995). The need to belong: Desire for interpersonal attachments as a fundamental human motivation. Psychological Bulletin, 117, 497–529.CrossRefGoogle ScholarPubMed
Bezyak, J.L., Berven, N.L., & Chan, F. (2011). Stages of change and physical activity among individuals with severe mental illness. Rehabilitation Psychology, 56, 182–190.CrossRefGoogle ScholarPubMed
Brady, T.J., Murphy, L., Beauchesne, D., Bhalakia, A., Chervin, D., Daniels, B., . . . O'Colmain, B. (2011). Sorting Through the Evidence for the Arthritis Self-Management Program and the Chronic Disease Self-Management Program: Executive Summary of Asmp/Cdsmp Meta-Analysis. Atlanta, GA: Centers for Disease Control and Prevention.Google Scholar
Brooks, J., Iwanaga, K., Chiu, C.Y., Cotton, B., Deiches, J., Morrison, B., . . . Chan, F. (2017). Relationships between self-determination theory and theory of planned behaviour applied to physical activity and exercise behaviour in chronic pain. Psychology, Health, & Medicine, 22, 814–822. doi: 10.1080/13548506.2017.1282161.CrossRefGoogle ScholarPubMed
Chan, F., Chiu, C., Bezyak, J., & Keegan, J. (2012). Introduction to health promotion for people with chronic illness and disability. Rehabilitation Counseling Bulletin, 56 (1), 3–6.CrossRefGoogle Scholar
Chiu, C.Y., Lynch, R.T., Chan, F., & Berven, N.L. (2011). The health action process approach as a motivational model for physical activity self-management for people with multiple sclerosis: A path analysis. Rehabilitation Psychology, 56, 171–181.CrossRefGoogle ScholarPubMed
Cho, H., & Witte, K. (2005). Managing fear in public health campaigns: A theory-based formative evaluation process. Health Promotions Practice, 6, 482–490.CrossRefGoogle ScholarPubMed
Deci, E.L. & Ryan, R.M. (2002). Handbook of Self-Determination Research. Rochester, NY: University of Rochester Press.Google Scholar
Di Masso, J., Avi-Itzhak, T., & Obler, D.R. (2001). The clubhouse model: An outcome study on attendance, work attainment and status, and hospitalization recidivism. Work: Journal of Prevention, Assessment & Rehabilitation, 17 (1), 23–30.Google Scholar
Godin, G., & Kok, G. (1996). The theory of planned behaviour: a review of its applications to health-related behaviours. American Journal of Health Promotion, 11, 87–98.CrossRefGoogle Scholar
Gore, T.D., & Bracken, C.C. (2005). Testing the theoretical design of a health risk message: reexamining the major tenets of the extended parallel process model. Health Education & Behavior, 32 (1), 27–41.CrossRefGoogle ScholarPubMed
Hagger, M.S., & Chatzisarantis, N.L. (2009). Integrating the theory of planned behaviour and self-determination theory in health behaviour: a meta-analysis. British Journal of Health Psychology, 14 (2), 275–302.CrossRefGoogle ScholarPubMed
Hagger, M.S., & Chatzisarantis, N.L. (2016). The trans-contextual model of autonomous motivation in education: Conceptual and empirical issues and meta-analysis. Review of Educational Research, 86 (2), 360–407.CrossRefGoogle ScholarPubMed
Hall, A., & Walton, G. (2004). Information overload within the health care system: A literature review. Health Information & Libraries Journal, 21 (2), 102–108.CrossRefGoogle ScholarPubMed
Han, K.S., Lee, S.J., Park, E.S., Park, Y.J., & Cheol, K.H. (2005). Structural model for quality of life in patients with chronic cardiovascular disease in Korea. Nursing Research, 54, 85–96.CrossRefGoogle ScholarPubMed
Hughes, R.B., Nosek, M.A., Howland, C.A., Groff, J.Y., & Mullen, P.D. (2003). Health promotion for women with physical disabilities: A pilot study. Rehabilitation Psychology, 48, 182–188.CrossRefGoogle Scholar
Ipsen, C. (2006). Health, secondary conditions, and employment outcomes for adults with disabilities. Journal of Disability Policy Studies, 17, 77–87.CrossRefGoogle Scholar
Ipsen, C., Ravesloot, C., Arnold, N., & Seekins, T. (2012). Working well with a disability: Health promotion as a means to employment. Rehabilitation Psychology, 57 (3), 187–195.CrossRefGoogle ScholarPubMed
Ipsen, C., Seekins, T., & Arnold, N. (2011). A prospective study to examine the influence of secondary health conditions on vocational rehabilitation client employment outcomes. Disability and Health Journal, 4, 28–38.CrossRefGoogle ScholarPubMed
Ipsen, C., Seekins, T., & Ravesloot, C. (2010). Building the case for delivering health promotion services within the vocational rehabilitation system. Rehabilitation Counseling Bulleting, 53, 67–77.CrossRefGoogle Scholar
Keegan, J., Chan, F., Ditchman, N., & Chiu, C. (2012). Predictive ability of Pender's health promotion model for physical activity and exercise in people with spinal cord injuries: A hierarchical regression analysis. Rehabilitation Counseling Bulletin, 56 (34), 34–47.CrossRefGoogle Scholar
Kosma, M., Cardinal, B.J., & McCubbin, J.A. (2004). Predictors of physical activity stage of change among adults with physical disabilities. American Journal of Health Promotion, 19, 114–117.CrossRefGoogle ScholarPubMed
Laxman, K.E., Lovibond, K.S., & Hassan, M.K. (2008). Impact of bipolar disorder in employed populations. American Journal of Managed Care, 14, 757–764.Google ScholarPubMed
Leventhal, H., Rabin, C., Leventhal, E.A., & Burns, E. (2001). Health risk behaviours and aging. Handbook of The Psychology of Aging, 5, 186–214.Google Scholar
Liou, T.H., Pi-Sunyer, F.X., & Laferere, B. (2005). Physical disability and obesity. Nutrition Reviews, 63, 321–331.CrossRefGoogle ScholarPubMed
Lorig, K.R., Ritter, P.L., Laurent, D.D., & Plant, K. (2008). The internet-based arthritis self-management program: A one-year randomized trial for patients with arthritis or fibromyalgia. Arthritis Care & Research, 59 (7), 1009–1017.CrossRefGoogle ScholarPubMed
May, K., & Rew, L. (2010). Mexican American youths’ and mothers’ explanatory models of diabetes prevention. Journal for Specialists in Pediatric Nursing, 15 (1), 6–15.CrossRefGoogle ScholarPubMed
Mendias, E., & Parr, D. (2007). Perceptions of health and self-care learning needs in outpatients with HIV/AIDS. Journal of Community Health Nursing, 24 (1), 49–64.CrossRefGoogle ScholarPubMed
Morrison, K. (2005). Motivating women and men to take protective action against rape: Examining direct and indirect persuasive fear appeals. Health Communications, 18, 237–256.CrossRefGoogle ScholarPubMed
Motl, R.W., Snook, E.M., McAuley, E., Scott, J.A., & Douglas, M.I. (2006). Correlates of physical activity among individuals with multiple sclerosis. Annals of Behavioural Medicine, 32, 154–161.CrossRefGoogle ScholarPubMed
Must, A., Spadano, J., Coakley, E.H., Field, A.E., Colditz, G., & Dietz, W.H. (1999). The disease burden associated with overweight and obesity. JAMA, 282, 1523–1529.CrossRefGoogle ScholarPubMed
Ng, J.Y.Y., Ntoumanis, N., Thogersen-Ntoumani, C., Deci, E.L., Ryan, R.M., Duda, J.L., & Williams, G.C. (2012). Self-determination theory applied to health contexts: A meta-analysis. Perspectives on Psychological Science, 7, 325–340.CrossRefGoogle ScholarPubMed
Orbell, S., & Sheeran, P. (1998). “Inclined abstainers”: A problem for predicting health-related behaviours. British Journal of Social Psychology, 37, 151–165.CrossRefGoogle Scholar
Pender, N.J. (1996). Health Promotion in Nursing Practice (3rd ed.). Stamford, CT: Appleton & Lange.Google Scholar
Pender, N.J., Murdaugh, C.L., & Parsons, M.A. (2006). Health Promotion in Nursing Practice (5th ed.). Upper Saddle River, NJ: Prentice Hall.Google Scholar
Plotnikoff, R.C., Lipke, S., Courneya, K.S., Birkett, N., & Sigal, R.J. (2008). Physical activity and social cognitive theory: A test in a population with Type I and II diabetes. Applied Psychology: An International Review, 57, 628–643.CrossRefGoogle Scholar
Pope, A.M., & Tarlov, A. (1991). Disability in America: Toward a National Agenda for Prevention. Washington, DC: National Academy Press.Google Scholar
Prochaska, J.O., & DiClemente, C.C. (1983). Stages and processes of self-change in smoking: Toward an integrative model of change. Journal of Consulting and Clinical Psychology, 51, 390– 395.CrossRefGoogle ScholarPubMed
Prochaska, J.O., DiClemente, C.C., & Norcross, J.C. (1992). In search of how people change. American Psychologist, 47, 1102–1114.CrossRefGoogle ScholarPubMed
Prochaska, J.O., Redding, C.A., & Evers, K. (2002). The transtheoretical model and stages of change. In Glanz, K., & Rimer, B.K. (eds.), Health Behaviour and Health Education: Theory, Research, and Practice. San Francisco, CA: Jossey-Bass, Inc.Google Scholar
Ravesloot, C., Ruggiero, C., Ipsen, C., Traci, M., Seekins, T., Boehm, T., Rigles, B. (2011). Health promotions in people with disabilities. Disability and Health Journal, 4 (1), 19–23.CrossRefGoogle Scholar
Ravesloot, C., Seekins, T., & White, G. (2005). Living well with a disability health promotion: Improved health status for consumers and lower health care costs for policymakers. Rehabilitation Psychology, 50, 239–245.CrossRefGoogle Scholar
Reeve, J., Nix, G., & Hamm, D. (2003). Testing models of the experience of self-determination in intrinsic motivation and the conundrum of choice. Journal of Educational Psychology, 95, 375–392.CrossRefGoogle Scholar
Roberto, A., & Goodall, C. (2009). Using the extended parallel process model to explain physicians’ decisions to test their patients for kidney disease. Journal of Health Communication, 14, 400–412.CrossRefGoogle ScholarPubMed
Ryan, R.M., & Deci, E.L. (2000). Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. American Psychologist, 55 (1), 68–78.CrossRefGoogle ScholarPubMed
Ryan, R.M., Patrick, H., Deci, E.L., & Williams, G.C. (2008). Facilitating health behaviour change and its maintenance: Interventions based on self-determination theory. European Health Psychologist, 10, 2–5.Google Scholar
Schwarzer, R. (1992). Self-efficacy in the adoption of and maintenance of health behaviours: Theoretical approaches and a new model. In Schwarzer, R. (ed.), Self-efficacy: Thought Control of Action (pp. 217–243). Washington, DC: Hemisphere.Google Scholar
Schwarzer, R. (2008). Modeling health behaviour change: How to predict and modify the adoption and maintenance of health behaviours. Applied Psychology: An International Review, 57, 1–29.Google Scholar
Schwarzer, R., Lippke, S., & Luszczynska, A. (2011). Mechanisms of health behaviour change in persons with chronic illness or disability: The health action process approach (HAPA). Rehabilitation Psychology, 56, 161–170.CrossRefGoogle ScholarPubMed
Seekins, T., Clay, J., & Ravesloot, C. (1994). A descriptive study of secondary conditions reported by a population of adults with physical disabilities served by three independent living centers in a rural state. Journal of Rehabilitation, 60 (2), 47–51.Google Scholar
Seekins, T., White, G.W., Ravesloot, C., Norris, K., Szalda-Petree, A., Lopez, J. C., . . . Young, Q. (1999). Developing and evaluating community-based health promotion programs for people with disabilities. In Simeonsson, R.J. & McDevitt, L.N. (Eds.), Issues in disability & health: the role of secondary conditions & quality of life (pp. 221–238). Chapel Hill, NC: University of North Carolina, FPG Child Development Center.Google Scholar
Smith, S., Rosenman, K., Kotowski, M.R., Glazer, E., McFeters, C., & Keesecker, N. (2008). Using the EPPM to create and evaluate the effectiveness of brochures to increase the use of hearing loss protection in farmers and landscape workers. Journal of Applied Communications, 36, 741–755.Google Scholar
Sniehotta, F., Schwarzer, R., Scholz, U., & Schuz, B. (2005). Action planning and coping planning for long-term lifestyle change: Theory and assessment. European Journal of Social Psychology, 35, 565–576.CrossRefGoogle Scholar
Sweet, S.N., Fortier, M.S., Strachan, S.M., & Blanchard, C.M. (2012). Testing and integrating self-determination theory and self-efficacy theory in a physical activity context. Canadian Psychology/Psychologie Canadienne, 53, 319–327.CrossRefGoogle Scholar
U.S. Department of Health and Human Services. (2011). Healthy People 2020: Disability and Health. Retrieved from http://www.healthypeople.gov.Google Scholar
Williams, G.C., McGregor, H.A., Sharp, D., Levesque, C.S., Kouides, R.W., Ryan, R.M., & Deci, E.L. (2006). Testing a self-determination theory intervention for motivating tobacco cessation: Supporting autonomy and competence in a clinical trial. Health Psychology, 25, 91–101.CrossRefGoogle ScholarPubMed
Witte, K. (1992). Putting the fear back into fear appeal: The extended parallel process model. Communication Monographs, 59, 329–349.CrossRefGoogle Scholar
Witte, K. (1994). Fear control and danger control: A test of the extended parallel process model. Communication Monographs, 61, 113–134.CrossRefGoogle Scholar
Witte, K., & Allen, M. (2000). A meta-analysis of fear appeals: Implications for effective public health campaigns. Health Education & Behaviour, 27, 591–615.CrossRefGoogle ScholarPubMed
Wong, N., & Cappella, J. (2009). Antismoking threat and efficacy appeals: Effects on smoking cessation intentions for smokers with low and high readiness to quit. Journal of Applied Communication Research, 37 (1), 1–20.CrossRefGoogle ScholarPubMed
Woodgate, J., & Brawley, L.R. (2008). Use of an efficacy-enhancing message to influence the self-regulatory efficacy of cardiac rehabilitation participants: Field experimentation. Rehabilitation Psychology, 53, 153–161.CrossRefGoogle Scholar
World Health Organization. (2000). World Health Organization Health Report 2000: Health Systems, Improving Performance. Geneva: World Health Organization.Google Scholar