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KMID : 0606420200260020120
Korean Journal of Women Health Nursing
2020 Volume.26 No. 2 p.120 ~ p.130
Theoretical evaluation of Cox¡¯s interaction model of client health behavior for health promotion in adult women
Kim You-lim

Lee Hyeon-Kyeong
Ryu Gi-Wook
Abstract
This study aimed to evaluate Cox¡¯s interaction model of client health behavior (IMCHB) as used in studies on women¡¯s health. Using keyword combinations of ¡°women¡± and ¡°IMCHB¡± or ¡°interaction model of client health behavior,¡± we searched the PubMed, MEDLINE, Embase, and RISS databases for studies on the promotion of women¡¯s health published from January 2009 to April 2019. Finally, 11 studies were selected and evaluated according to seven criteria for theory evaluation, which combined Fawcett¡¯s theory evaluation criteria and Chinn and Kramer¡¯s criteria. We found that the IMCHB corresponds to a verifiable practical level of a middle-range theory, although it may be partially abstract. It contains all four concepts of the metaparadigm of nursing, in terms of a holistic philosophical approach. A theoretical evaluation demonstrated that the IMCHB has significance, generality, testability, empirical adequacy, and pragmatic adequacy for nursing practice and research. However, the lack of clear conceptual definitions and the presence of complex relationships among concepts resulted in a lack of internal consistency and parsimony. According to an in-depth verification through a review of the literature, the IMCHB has been used as a health promotion intervention strategy for various populations of women and has led to useful results in nursing practice. The IMCHB was confirmed to be a suitable theory for experimental and clinical research. Future research can build on this middle-range theory for women¡¯s health research and practice.
KEYWORD
Health behavior, Health promotion, Nursing theory, Women
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