Factors Related to Health Promoting Behaviors Among Older Adults: A Meta-Analysis

Abstract
Purpose: The purposes of this study were to study characteristics of research regarding factors related to health promoting behaviors among older adults, and to identify the factors that influence health promoting behaviors of older persons.Design: This study was a quantitative research synthesis using meta-analysis.Methods: Forty-eight correlational studies conducted in Thailand during 1991 - 2009 were recruited. Studies were analyzed using the meta-analysis method of Borenstein and colleagues.Main findings: Results indicated that the majority of these studies were master’s thesis (77%) in the field of nursing science (77%), and published during 1997–2007 (77%). Most of the studies used Pender’s health promotion model revised version in 1996 (75%). The crucial factors closely related to health promoting behaviors among older adults with significance at .05 level were: activityrelated affect of health-promoting practices ( r = .60), self-esteem ( r = .55), perceived self-efficacy ( r = .54), perceived benefits of health-promoting actions ( r = .53), and social support ( r = .53).Conclusion and recommendations: Findings from this meta-analysis evidently indicate that behavior-specific cognitions and affect, interpersonal influences, and psychological factors are influencing health promoting behaviors among Thai older adults. These findingscan directly contribute to nursing science if used to develop nursing interventions focusing on integration of the significant factors. It is anticipated that will promote the sustainable practice of healthpromoting behaviors among older adults.
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Citation
Journal of Nursing Science (วารสารพยาบาลศาสตร์ มหาวิทยาลัยมหิดล); Vol.28 No.3 July-September 2010; 60-68