The Middle Range Nursing Integrated Theory of Health Behavior Change

2 pages
440 words
Middlebury College
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The major idea in this theory is how various ways can be used to change behaviors of the individual. There are three major concepts. These are social facilitation enhancement, fostering beliefs and knowledge, and self-regulation skills and abilities. The minor concepts of fostering knowledge and beliefs are goal congruence, expectations of outcome and self-efficacy. The minor concepts of self-regulation are goal setting, decision making, self-monitoring, cognitive responses, emotional, self-managing physical, and planning for specific behaviors,. The minor concepts of social facilitation are social influence, social support and negotiated collaboration (Ryan, 2009).

The three concepts are related because it looks at ways which enhance health behavior change. The fostering knowledge and beliefs help to influence behaviors though coming up with expectations which make one to change usual actions (Ryan, 2009). Through self-regulation, one can practice activities which will guide them towards better health. Lastly, the concept of social facilitation shows how one can be influenced by individuals and families so as to change some behaviors. These concepts are very wide since it touches on several aspects of human behaviors (Raingruber, 2014).

The qualitative dimensions came about through review of literature which is related to the theory. This includes the descriptive midrange theory and advanced practice of nurses. On the other hand, the quantitative dimensions used include research on the chronic conditions where more than 50% of illnesses are caused by personal behaviors. The research also involved collecting data on behavior change where results show that 37% of older people have 4 or more serious chronic diseases and 11% of the children have special health care requirements. (Raingruber, 2014).

The concept of goal congruence is defined because it is one of the health belief concepts which is new. Other concepts are only stated because they are common in our day-to-day lives. The definitions, however, are not competing since they are similar in explain how behavior change can be achieved.

The major assumption is that the behavior change is flexible in such a way that it can be changed easily. The desires and motivations can be changed, and the self-reflection can facilitate the behavior change (Riegel, Jaarsma & Stromberg, 2012). This, however, cannot be factually verified because they are just theoretical assumptions which depend on the behavior of different people. The assumptions are related to the concepts of the presented above since it is the driving factor behind the behavior change.



Ryan, P. (2009). Integrated theory of health behavior change: background and intervention development. Clinical nurse specialist CNS, 23(3), 161.

Riegel, B., Jaarsma, T., & Stromberg, A. (2012). A middle-range theory of self-care of chronic illness. Advances in Nursing Science, 35(3), 194-204.

Raingruber, B. (2014). Health promotion theories. Contemporary health promotion in nursing practice, 53, 53-94.


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