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The role of the family in health promotion: a scoping review of models and mechanisms

The family is an important contributor to the cultural conditions that support health. Current challenges in family health promotion interventions include programme design that is not always guided by theory and change mechanisms. Multifaceted programmes also make it hard to examine what works for w...

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Autores principales: Ho, Yi-Ching Lynn, Mahirah, Dhiya, Ho, Clement Zhong-Hao, Thumboo, Julian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9673498/
https://www.ncbi.nlm.nih.gov/pubmed/36398941
http://dx.doi.org/10.1093/heapro/daac119
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author Ho, Yi-Ching Lynn
Mahirah, Dhiya
Ho, Clement Zhong-Hao
Thumboo, Julian
author_facet Ho, Yi-Ching Lynn
Mahirah, Dhiya
Ho, Clement Zhong-Hao
Thumboo, Julian
author_sort Ho, Yi-Ching Lynn
collection PubMed
description The family is an important contributor to the cultural conditions that support health. Current challenges in family health promotion interventions include programme design that is not always guided by theory and change mechanisms. Multifaceted programmes also make it hard to examine what works for whom, given different family roles and the range of lifestyle behaviour and mechanisms examined within diverse conceptual frameworks and cultures. We performed a scoping review on the heterogeneous literature to map and categorize the models and mechanisms by which a family may promote health behaviours among its members. We searched five electronic databases and grey literature up to 2020. Publications were included if they examined health-promoting behaviours, influences at the family level, and outlined the behavioural mechanisms involved. Two hundred and forty studies were identified. Ecological systems theory, social cognitive theory, family systems theory and the theory of planned behaviour were the frameworks most widely used in explaining either study context and/or mechanism. The most frequently studied family mechanisms involved aspects of family support, supervision and modelling, while some studies also included individual-level mechanisms. Majority of the studies investigated parental influence on the child, while few studies assessed the elderly family member as a recipient or actor of the influences. Studies on African, Asian and Middle Eastern populations were also in the minority, highlighting room for further research. Improving the understanding of context and behavioural mechanisms for family health promotion will aid the development of public health policy and chronic disease prevention programmes, complementing efforts targeted at individuals.
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spelling pubmed-96734982022-11-21 The role of the family in health promotion: a scoping review of models and mechanisms Ho, Yi-Ching Lynn Mahirah, Dhiya Ho, Clement Zhong-Hao Thumboo, Julian Health Promot Int Perspectives The family is an important contributor to the cultural conditions that support health. Current challenges in family health promotion interventions include programme design that is not always guided by theory and change mechanisms. Multifaceted programmes also make it hard to examine what works for whom, given different family roles and the range of lifestyle behaviour and mechanisms examined within diverse conceptual frameworks and cultures. We performed a scoping review on the heterogeneous literature to map and categorize the models and mechanisms by which a family may promote health behaviours among its members. We searched five electronic databases and grey literature up to 2020. Publications were included if they examined health-promoting behaviours, influences at the family level, and outlined the behavioural mechanisms involved. Two hundred and forty studies were identified. Ecological systems theory, social cognitive theory, family systems theory and the theory of planned behaviour were the frameworks most widely used in explaining either study context and/or mechanism. The most frequently studied family mechanisms involved aspects of family support, supervision and modelling, while some studies also included individual-level mechanisms. Majority of the studies investigated parental influence on the child, while few studies assessed the elderly family member as a recipient or actor of the influences. Studies on African, Asian and Middle Eastern populations were also in the minority, highlighting room for further research. Improving the understanding of context and behavioural mechanisms for family health promotion will aid the development of public health policy and chronic disease prevention programmes, complementing efforts targeted at individuals. Oxford University Press 2022-11-18 /pmc/articles/PMC9673498/ /pubmed/36398941 http://dx.doi.org/10.1093/heapro/daac119 Text en © The Author(s) 2022. Published by Oxford University Press. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs licence (https://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial reproduction and distribution of the work, in any medium, provided the original work is not altered or transformed in any way, and that the work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Perspectives
Ho, Yi-Ching Lynn
Mahirah, Dhiya
Ho, Clement Zhong-Hao
Thumboo, Julian
The role of the family in health promotion: a scoping review of models and mechanisms
title The role of the family in health promotion: a scoping review of models and mechanisms
title_full The role of the family in health promotion: a scoping review of models and mechanisms
title_fullStr The role of the family in health promotion: a scoping review of models and mechanisms
title_full_unstemmed The role of the family in health promotion: a scoping review of models and mechanisms
title_short The role of the family in health promotion: a scoping review of models and mechanisms
title_sort role of the family in health promotion: a scoping review of models and mechanisms
topic Perspectives
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9673498/
https://www.ncbi.nlm.nih.gov/pubmed/36398941
http://dx.doi.org/10.1093/heapro/daac119
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