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A Model of Health Behavior to Guide Studies of Childhood Cancer Survivors

Cheryl Lorane Cox
ONF 2003, 30(5), E92-E99 DOI: 10.1188/03.ONF.E92-E99

Purpose/Objectives: To describe the Interaction Model of Client Health Behavior (IMCHB) and its application to health promotion in childhood cancer survivors.

Data Sources: Periodical literature about cancer survivors, health behavior models, and the IMCHB.

Data Synthesis: Childhood cancer survivors are at risk for various late complications of treatment. The primary goal of intervention is the modification of health-related behavior. Conceptual models that extend beyond health beliefs are needed to guide explanatory and intervention studies in this group.

Conclusions: The IMCHB identifies background, cognitive, affective, motivational, and contextual variables that explain health-related behaviors. The model defines the interactive and collective contributions of a survivor, family, and provider to adherence to protocols, reduction of risk behavior, and promotion of health-protective behavior.

Implications for Nursing: This model may identify new determinants of health-related behavior that can be targeted by specific inter- or intrapersonal interventions to protect the health of childhood cancer survivors and reduce their risk of late sequelae.