Chapter 1: An Invitation
to Healthy Change
An Invitation to Health Brief,
5th Edition
Hales
Prepared by: Jeanne Freeman, PhD, CHES
Health and Wellness

Health



Sound in body, mind, and spirit
“Not merely the absence of disease or
infirmity, but a state of complete physical,
mental, and social well-being” (WHO)
Multidimensional

Physical, psychological, spiritual, social,
intellectual, and environmental
Health and Wellness

Wellness

Purposeful, enjoyable living
Deliberate lifestyle choice
 Characterized by personal responsibility

Overlap of the functions of mind, body, and
spirit
 Also multidimensional

State of health
Lifestyle/behavioral level
Cultural/psychological/motivational
level
Spiritual/being/meaning
realm
Fig. 1-1, p. 5
The Dimensions of Health
Insert Figure 1-2 Here
The Dimensions of Health
Physical health
 Psychological health
 Spiritual health
 Social health
 Intellectual health
 Environmental health

The Dimensions of Health
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Impact your world has on your well-being
Protecting yourself from surrounding
dangers
Working to preserve the environment
The State of Our Health
Americans are living longer and healthier
lives
 Leading causes of preventable death
 Healthy People 2010
 Healthy Campus 2010

The State of Our Health
Insert Figure 1-3 Here
What unhealthy habits and risky behaviors do you have?
Personalizing Health Care
Involves personal responsibility
 Sex and gender matters
 Race affects health
 Poverty, genetics, and the environment

Personalizing Your Health Care
Making Health Changes
Models of Behavior Change
Models of Behavior Change

Health Belief Model (HBM)

People will take health related action if
they:
Feel they can avoid a negative
consequence;
 Expect a positive outcome; and
 Believe they can be successful in taking
action.

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Perception and self-efficacy
How You Change
Awareness of negative behavior
 Locus of control (Internal vs. external)
 Decisional balance (pros and cons)
 Identify support and situational cues
 Cultural norms
 Self-talk
 Reinforcements
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