Effectiveness of Nola Pender’s Health Promotion Model: A Comprehensive Approach for Enhancing Healthy Behaviors and Quality of Life in Adults

Indiana L. Rojas-Torres (), Claudia M. Garizábalo Dávila, Keidis S. Ruidíaz Gómez, Shirley P. Fernández Aragón, Diana M. Perea-Rojas, Greys M. Rodelo Olmos and Norma I. Liñán Meléndez
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Indiana L. Rojas-Torres: Faculty of Health Sciences, Universidad Simón Bolívar, Barranquilla 080002, Colombia
Claudia M. Garizábalo Dávila: Department of Health Sciences, Universidad de la Costa, Barranquilla 080002, Colombia
Keidis S. Ruidíaz Gómez: Department of Nursing, Faculty of Health Sciences, University of Sinú, Cartagena 130001, Colombia
Shirley P. Fernández Aragón: Faculty of Nursing, Universidad de Cartagena, Cartagena 130001, Colombia
Diana M. Perea-Rojas: Faculty of Health Sciences, Universidad Simón Bolívar, Barranquilla 080002, Colombia
Greys M. Rodelo Olmos: Faculty of Health Sciences, Universidad Simón Bolívar, Barranquilla 080002, Colombia
Norma I. Liñán Meléndez: Faculty of Health Sciences, Universidad Simón Bolívar, Barranquilla 080002, Colombia

IJERPH, 2025, vol. 22, issue 10, 1-10

Abstract: Health behavior encompasses the attitudes, decisions, and actions that individuals adopt in their daily lives and that directly influence their well-being. The objective of this study was to evaluate the effectiveness of a nursing intervention based on Nola Pender’s Health Promotion Model in promoting healthy behaviors among adults over 20 years of age. A quasi-experimental design was used with a sample of adults from a Colombian community. In 2022, sociodemographic data were collected, and the Health-Promoting Lifestyle Profile II (HPLP-II), developed by Nola Pender to measure healthy lifestyles, was administered. In 2023, the intervention was carried out in 24 group sessions of 40 min each, supported by printed educational material and focused on the dimensions of Pender’s theory. Statistical analysis using nonparametric tests such as the Mann–Whitney U and Kruskal–Wallis tests showed significant improvements: the overall score increased from 22.92 in the pre-test to 27.30 in the post-test. The physical activity dimension received the lowest score, while the spiritual growth dimension showed the highest improvement. The results indicate that nursing interventions based on Pender’s model led to statistically significant improvements in multiple dimensions of healthy behavior, with the greatest impact on spiritual growth and health responsibility.

Keywords: health promotion; physical activity; community health; health behavior (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2025
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