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Models and theories of health behavior and clinical interventions in aging: a contemporary, integrative approach

Authors Rejeski WJ, Fanning J

Received 27 February 2019

Accepted for publication 4 May 2019

Published 30 May 2019 Volume 2019:14 Pages 1007—1019

DOI https://doi.org/10.2147/CIA.S206974

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Ms Justinn Cochran

Peer reviewer comments 2

Editor who approved publication: Dr Richard Walker


W Jack Rejeski, Jason Fanning

Department of Health & Exercise Science, Wake Forest University, Winston-Salem, NC 27109, USA

Background: Historically, influential models and theories of health behavior employed in aging research view human behavior as determined by conscious processes that involve intentional motives and beliefs. We examine the evolution, strengths, and weaknesses of this approach; then offer a contemporary definition of the mind, provide support for it, and discuss the implications it has for the design of behavioral interventions in research on aging.
Methods: A narrative review was conducted.
Results: Traditionally, models and theories used to either predict or change health behaviors in aging have not viewed the mind as encompassing embodied and relational processes nor have they given adequate attention to multi-level, in-the-moment determinants of health behavior.
Discussion: Future theory and research in aging would benefit from a broader integrative model of health behavior. The effects of adverse life experience and changes in biological systems with aging and chronic disease on health behavior warrant increased attention.

Keywords: health behavior, models, theories, interventions, aging
 

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