Sağlık Davranışlarının Ardındaki İtici Güçler: Sağlıklı Yaşam Motivasyonuna Yön Veren Faktörler Üzerine Kavramsal Bir İnceleme

Öz

Bu çalışmanın amacı, sağlıklı yaşam motivasyonu kavramını açıklamak ve bu motivasyonu etkileyen bireysel ve çevresel faktörleri değerlendirmektir. Literatür taramasına dayalı kavramsal derleme türündeki bu çalışmada, ilgili literatür incelenerek sağlıklı yaşam motivasyonunun ardındaki itici güçler tespit edilmiştir. Bireysel faktörler kapsamında kişilik özellikleri, öz yeterlilik, sağlık inançları, beden algısı, algılanan faydalar ve geçmiş deneyimler ele alınırken; çevresel faktörler olarak sosyal destek, dini inanç ve fiziksel çevre incelenmiştir. Bulgular, sağlıklı yaşam motivasyonunun bireyin kişilik yapısı, yeterlilik algısı ve sağlıkla ilgili inançları gibi içsel unsurların yanı sıra sosyal çevre, dini değerler ve fiziksel ortam gibi dışsal unsurlardan da önemli ölçüde etkilendiğini göstermiştir. Bu çalışma, bireylerin sağlık davranışlarını anlama ve destekleme noktasında önemli bilgiler sunmakta, sağlık profesyonelleri ve politika yapıcıların daha etkili ve kişiye özgü sağlık programları geliştirmelerine katkı sağlamaktadır.

Anahtar Kelimeler

• Sağlıklı Yaşam
• Motivasyon
• Sağlıklı Yaşam Motivasyonu

Destekleyen Kurum

Çalışmada herhangi bir kurum ya da kuruluştan destek alınmamıştır.

Etik Beyan

Etik kurul belgesi gerektiren bir çalışma değildir.

Driving Forces Behind Health Behaviors: A Conceptual Review of Factors Directing Healthy Living Motivation

Öz

The aim of the study is to define the concept of healthy living motivation and to evaluate the individual and environmental factors influencing this motivation. In this conceptual review based on a literature survey, the driving forces behind healthy lifestyle motivation are identified through an examination of the relevant literature. Individual factors examined include personality traits, self-efficacy, health beliefs, body image, perceived benefits, and past experiences, while environmental factors considered are social support, religious beliefs, and the physical environment. The findings reveal that healthy living motivation is significantly influenced by internal factors such as an individual’s personality traits, perceived self-efficacy, and health beliefs, as well as external factors including social environment, religious values, and physical surroundings. The study provides essential insights into understanding and supporting individuals' health behaviors and contributes to enabling health professionals and policymakers to develop more effective and personalized health programs.

Anahtar Kelimeler

• Healthy Life
• Motivation
• Healthy Life Motivation

Destekleyen Kurum

No support is taken from any institution or organization.

Etik Beyan

The study does not necessitate an approval of ethical committee.

Kaynakça

1. Allen, K. M., Blascovich, J., Tomaka, J. ve Kelsey, R. M. (1991). Presence of human friends and pet dogs as moderators of autonomic responses to stress in women. Journal of Personality and Social Psychology, 61(4), 582–589. https://doi.org/10.1037/0022-3514.61.4.582
2. Allen, M. S., Vella, S. A. ve Laborde, S. (2015). Health-related behaviour and personality trait development in adulthood. Journal of Research in Personality, 59, 104–110. https://doi.org/10.1016/j.jrp.2015.10.005
3. Angelini, G. (2023). Big five model personality traits and job burnout: a systematic literature review. BMC Psychology, 11(49). https://doi.org/10.1186/s40359-023-01056-y
4. Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Englewood Cliffs, Prentice-Hall.
5. Bandura, A. (1997). Self-efficacy: The exercise of control. W.H. Freeman.
6. Bandura, A. (2002). Social foundations of thought and action. D. F. Marks (Ed.), The health psychology reader içinde. SAGE Publications.
7. Bogg, T. ve Roberts, B. W. (2004). Conscientiousness and health-related behaviors: a meta-analysis of the leading behavioral contributors to mortality. Psychological Bulletin, 130(6), 887-919.
8. Buckworth, J. (2017). Promoting self-efficacy for healthy behaviors. ACSM's Health & Fitness Journal, 21(5), 40-42. https://doi.org/10.1249/FIT.0000000000000318

9. Canesqui, A. M. ve Barsaglini, R. A. (2012). Apoio social e saúde: pontos de vista das ciências sociais e humanas (Social support and health: Standpoints from the social and human sciences). Ciencia & Saude Coletiva, 17(5), 1103-1114. https://doi.org/10.1590/S1413-81232012000500002
10. Christakis, N. A. ve Fowler, J. H. (2008). The collective dynamics of smoking in a large social network. New England Journal of Medicine, 358(21), 2249-2258. https://doi.org/10.1056/NEJMsa0706154
11. Cobb, L. K., McAdams-DeMarco, M. A., Huxley, R. R., Woodward, M., Koton, S., Coresh, J. ve Anderson, C. A. M. (2014). The association of spousal smoking status with the ability to quit smoking: the Atherosclerosis Risk in Communities Study. American Journal of Epidemiology, 179(10), 1182-1187. https://doi.org/10.1093/aje/kwu041
12. Cohen, S. (2004). Social relationships and health. American Psychologist, 59(8), 676-684. https://doi.org/10.1037/0003-066x.59.8.676
13. Corbin, C. B., Welk, G. J., Corbin, W. R. ve Welk, K. (2008). Concepts of fitness and wellness: A comprehensive lifestyle approach (7th ed.). McGraw-Hill.
14. Cox, C. (1982). An interaction model of client health behavior: Theoretical prescription for nursing. Advances in Nursing Science, 5, 41-56.
15. Cunningham, S. A., Vaquera, E., Maturo, C. C. ve Narayan, K. M. V. (2012). Is there evidence that friends influence body weight? A systematic review of empirical research. Social Science & Medicine, 75(7), 1175-1183. https://doi.org/10.1016/j.socscimed.2012.05.024
16. Darker, C. D., French, D. P., Eves, F. F. ve Sniehotta, F. F. (2010). An intervention to promote walking amongst the general population based on an extended theory of planned behaviour: A waiting list randomised controlled trial. Psychology and Health, 25(1), 71-88. https://doi.org/10.1080/08870440902893716
17. De los Santos Roig, M., Fusinato Ponce, C. ve Fernández Alcántara, M. (2023). Motivational influences on health, well being, and lifestyle: Validation of the Spanish version of the Treatment Self Regulation Questionnaire in four health domains. European Journal of Investigation in Health, Psychology and Education, 13(11), 2328–2341. https://doi.org/10.3390/ejihpe13110164
18. Deci E. L. ve Ryan R. M. (1985). Intrinsic motivation and self-determination in human behavior. Plenum.
19. Dunton, G. F., Berrigan, D., Ballard-Barbash, R., Graubard, B. I. ve Atienza, A. A. (2009). Environmental influences on exercise intensity and duration in a U.S. time use study. Medicine and Science in Sports and Exercise, 41(9), 1698-1705. https://doi.org/10.1249/mss.0b013e3181a06c9b
20. Fennis, B. M., Andreassen, T. W. ve Lervik-Olsen, L. (2015). Behavioral disinhibition can foster intentions to healthy lifestyle change by overcoming commitment to past behavior. PLOS One, 10(11), e0142489 https://doi.org/10.1371/journal.pone.0142489
21. Fishbein, M. (2008). A reasoned action approach to health promotion. Medical Decision Making, 28(6), 834-844. https://doi.org/10.1177/0272989X08326092
22. Foster, S. ve Giles-Corti, B. (2008). The built environment, neighborhood crime and constrained physical activity: An exploration of inconsistent findings. Preventive Medicine, 47(3), 241-251. https://doi.org/10.1016/j.ypmed.2008.03.017
23. Fuemmeler, B. F., Anderson, C. B. ve Mâsse, L. C. (2011). Parent-child relationship of directly measured physical activity. International Journal of Behavioral Nutrition and Physical Activity, 8(1), 17. https://doi.org/10.1186/1479-5868-8-17
24. García Salirrosas, E. E., Escobar Farfán, M., Esponda Perez, J. A., Villar Guevara, M., Rondon Eusebio, R. F., Ezcurra Zavaleta, G., Urraca Vergara, E. M. ve Guerra Velásquez, M. (2025). Healthy lifestyle motivators of willingness to consume healthy food brands: An integrative model. Foods, 14(1), Article 125. https://doi.org/10.3390/foods14010125
25. Gligoric, V., da Silva, M. M., Eker, S., van Hoek, N., Nieuwenhuijzen, E., Popova, U. ve Zeighami, G. (2021). The usual suspects: How psychological motives and thinking styles predict the endorsement of well known and COVID 19 conspiracy beliefs. Applied Cognitive Psychology, 35(5), 1171–1181. https://doi.org/10.1002/acp.3844
26. Gonçalves, J. P. B., Lucchetti, G., Menezes, P. R. ve Vallada, H. (2015). Religious and spiritual interventions in mental health care: a systematic review and meta-analysis of randomized controlled clinical trials. Psychological Medicine, 45(14), 2937-2949. https://doi.org/10.1017/S0033291715001166
27. Goodwin, R. D. ve Friedman, H. S. (2006). Health status and the five-factor personality traits in a nationally representative sample. Journal of Health Psychology, 11(5), 643-654. https://doi.org/10.1177/1359105306066610
28. Gopalan, V., Abu Bakar, J. A., Zulkifli, A. N., Alwi, A. ve Mat, R. C. (2017). A review of the motivation theories in learning. AIP Publishing.
29. Green, E. C., Murphy, E. M. ve Gryboski, K. (2020). The health belief model. K. Sweeny, M. L. Robbins ve L. M. Cohen (Ed.), The wiley encyclopedia of health psychology içinde. https://doi.org/10.1002/9781119057840.ch68
30. Haefner, D. P. ve Kirscht, J. P. (1970). Motivational and behavioral effects of modifying health beliefs. Public Health Reports (Washington, D.C. : 1896), 85(6), 478–484.
31. Heimendinger, J., Uyeki, T., Andhara, A., Marshall, J. A., Scarbro, S., Belansky, E. ve Crane, L. A. (2007). Coaching process outcomes of a family visit nutrition and physical activity intervention. Health Education & Behavior, 34(1), 71-89. https://doi.org/10.1177/1090198105285620
32. Hill, T. D., Ellison, C. G., Burdette, A. M. ve Musick, M. A. (2007). Religious involvement and healthy lifestyles: evidence from the survey of Texas adults. Annals of Behavioral Medicine, 34(2), 217-222. https://doi.org/10.1007/BF02872676
33. Holley, T. J., Collins, C. E., Morgan, P. J., Callister, R. ve Hutchesson, M. J. (2016). Weight expectations, motivations for weight change, and perceived factors influencing weight management in young Australian women: a cross-sectional study. Public Health Nutrition, 19(2), 275-286. https://doi.org/10.1017/S1368980015000993
34. Kaczynski, A. T., Potwarka, L. R. ve Saelens, B. E. (2008). Association of park size, distance, and features with physical activity in neighborhood parks. American Journal of Public Health, 98(8), 1451-1456. https://doi.org/10.2105/AJPH.2007.129064
35. Kebbe, M., Perez, A., Buchholz, A., McHugh, T.-L. F., Scott, S. D., Richard, C., Mohipp, C., Dyson, M. P. ve Ball, G. D. C. (2018). Barriers and enablers for adopting lifestyle behavior changes in adolescents with obesity: A multi-centre qualitative study. PLOS One, 13(12), e0209219. https://doi.org/10.1371/journal.pone.0209219
36. Kiecolt, J. K. ve Wilson, S. J. (2017). Lovesick: How couples' relationships influence health. Annual Review of Clinical Psychology, 13, 421-443. https://doi.org/10.1146/annurev-clinpsy-032816-045111
37. Kornas, K., Bornbaum, C., Bushey, C. ve Rosella, L. (2016). Exploring active transportation investments and associated benefits for municipal budgets: A scoping review. Transport Reviews, 37(4), 465–487. https://doi.org/10.1080/01441647.2016.1252446
38. Kwan, S. (2009). Competing motivational discourses for weight loss: means to ends and the nexus of beauty and health. Qualitative Health Research, 19(9), 1223-1233. https://doi.org/10.1177/1049732309343952
39. Lee, A. C. ve Maheswaran, R. (2011). The health benefits of urban green spaces: a review of the evidence. Journal of Public Health, 33(2), 212-222. https://doi.org/10.1093/pubmed/fdq068
40. Mantyselka, P., Kautiainen, H. ve Miettola, J. (2019). Beliefs and attitudes towards lifestyle change and risks in primary care – a community-based study. BMC Public Health, 19, 1049. https://doi.org/10.1186/s12889-019-7377-x
41. Matera, C., Scafoglieri, A. ve Banos, R. (2018). Why are men interested in cosmetic surgery procedures? The roles of peer influence, internalization, social comparison, and body dissatisfaction. Body Image, 25, 47–51. https://doi.org/10.1016/j.bodyim.2018.06.003
42. McCrae, R. R. ve Costa Jr, P. T. (1995). Trait explanations in personality psychology. European Journal of Personality, 9(4), 231-252. https://doi.org/10.1002/per.2410090402
43. McCrae, R. R. ve John, O. P. (1992). An introduction to the five-factor model and its applications. Journal of Personality, 60(2), 175-215. https://doi.org/10.1111/j.1467-6494.1992.tb00970.x
44. Michaelsen, M. M. ve Esch, T. (2023). Understanding health behavior change by motivation and reward mechanisms: A review of the literature. Frontiers in Behavioral Neuroscience, 17, 1151918. https://doi.org/10.3389/fnbeh.2023.1151918
45. Miller, W. R. ve Thoresen, C. E. (2003). Spirituality, religion, and health. An emerging research field. American Psychologist, 58(1), 24-35. https://doi.org/10.1037/0003-066x.58.1.24
46. Misra, R. ve Kaster, E. C. (2012). Health beliefs. S. Loue ve M. Sajatovic (Ed.), Encyclopedia of immigrant health içinde. Springer.
47. Mo, P. K. H., Wong, E. L. Y., Yeung, N. C. Y. et al. (2022). Differential associations among social support, health promoting behaviors, health-related quality of life and subjective well-being in older and younger persons: A structural equation modelling approach. Health Quality of Life Outcomes, 20(38). https://doi.org/10.1186/s12955-022-01931-z
48. Murphy, E. M. (2005). Promoting healthy behavior. Population Reference Bureau.
49. Oei, T. P. S. ve Burrow, T. (2000). Alcohol expectancy and drinking refusal self-efficacy: A test of specificity theory. Addictive Behaviors, 25, 499-507. https://doi.org/10.1016/S0306-4603(99)00044-1
50. Ott, P. W. (1991). John Wesley on health as wholeness. Journal of Religion and Health, 30(1), 43-57. https://doi.org/10.1007/BF00986678
51. Özer, E. ve Yılmaz, N. (2020). Sağlıklı yaşam farkındalığı: bir ölçek geliştirme çalışması. Geleneksel ve Tamamlayıcı Tıp Dergisi, 3(1), 47-60. https://doi.org/10.5336/jtracom.2019-72138
52. Pargament, K. I. ve Mahoney, A. (2005). Theory: “Sacred matters: sanctification as a vital topic for the psychology of religion”. The International Journal for the Psychology of Religion, 15(3), 179-198. https://doi.org/10.1207/s15327582ijpr1503_1
53. Ploubidis, G. B. ve Grundy, E. (2009). Personality and all cause mortality: Results from a UK longitudinal study. Social Psychiatry and Psychiatric Epidemiology, 44(10), 879–887. https://doi.org/10.1016/j.paid.2009.02.022
54. Pond, R., Stephens, C. ve Alpass, F. (2010). Virtuously watching one's health: older adults' regulation of self in the pursuit of health. Journal of Health Psychology, 15(5), 734-743. https://doi.org/10.1177/1359105310368068
55. Reblin, M. ve Uchino, B. N. (2008). Social and emotional support and its implication for health. Current Opinion in Psychiatry, 21(2), 201-205. https://doi.org/10.1097/YCO.0b013e3282f3ad89
56. Rhodes, R. E. ve Smith, N. E. I. (2006). Personality correlates of physical activity: A review and meta-analysis. British Journal of Sports Medicine, 40(12), 958–965.
57. Ryan, R. M. ve Deci, E. L. (2000). Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. The American Psychologist, 55(1), 68-78. https://doi.org/10.1037/0003-066x.55.1.68
58. Ryan, R. M., ve Deci, E. L. (2017). Self-determination theory: Basic psychological needs in motivation, development, and well-being. Guilford Press.
59. Sallis, J. F. ve Glanz, K. (2009). Physical activity and food environments: solutions to the obesity epidemic. The Milbank Quarterly, 87(1), 123-154. https://doi.org/10.1111/j.1468-0009.2009.00550.x
60. Saunders, D. M., Leak, J., Carver, M. E. ve Smith, S. A. (2017). Application of a faith-based integration tool to assess mental and physical health interventions. Journal of the Georgia Public Health Association, 7(1), 26-38. https://doi.org/10.21633/jgpha.7.105
61. Shilling, C. (1993). The body and social theory. SAGE.
62. Shipley, B. A., Weiss, A., Der, G., Taylor, M. D. ve Deary, I. J. (2007). Neuroticism, extraversion, and mortality in the UK health and lifestyle survey: A 21-year prospective cohort study. Psychosomatic Medicine, 69, 923-931. https://doi.org/10.1097/PSY.0b013e31815abf83
63. Sobal, J. (1995). The medicalization and demedicalization of obesity. D. Maurer ve J. Sobal (Ed.), Eating agendas: Food and nutrition as social problems içinde. Aldine de Gruyter.
64. Sommer, L. (2011). The theory of planned behaviour and the impact of past behaviour. International Business & Economics Research Journal (IBER), 10(1), 91-110.
65. Strawbridge, W. J., Shema, S. J., Cohen, R. D. ve Kaplan, G. A. (2001). Religious attendance increases survival by improving and maintaining good health behaviors, mental health, and social relationships. Annals of Behavioral Medicine, 23(1), 68-74. https://doi.org/10.1207/S15324796ABM2301_10
66. Teixeira, P. J., Silva, M. N., Mata, J., Palmeira, A. L. ve Markland, D. (2012). Motivation, self-determination, and long-term weight control. The International Journal of Behavioral Nutrition and Physical Activity, 9, 22-22. https://doi.org/10.1186/1479-5868-9-22
67. Tokarek, J., Kapuścik, A., Kućmierz, J., Kowalczyk, E. ve Karbownik, M. S. (2023). Personality traits and health related behaviors in medical students facing a stressful event. Frontiers in Public Health, 11, 1256883. https://doi.org/10.3389/fpubh.2023.1256883
68. Vigezzi, G. P., Gaetti, G., Gianfredi, V., Frascella, B., Gentile, L., d’Errico, A., Stuckler, D., Ricceri, F., Costa, G. ve Odone, A. (2021). Transition to retirement impact on health and lifestyle habits: analysis from a nationwide Italian cohort. BMC Public Health, 21(1), 1670. https://doi.org/10.1186/s12889-021-11670-3
69. Wan, C. K., Shen, G. Q. ve Choi, S. (2020). Effects of physical and psychological factors on users’ attitudes, use patterns, and perceived benefits toward urban parks. Urban Forestry & Urban Greening, 51, 126691. https://doi.org/10.1016/j.ufug.2020.126691
70. Wansink, B. (2004). Environmental factors that increase the food intake and consumption volume of unknowing consumers. Annual Review of Nutrition, 24, 455-479. https://doi.org/10.1146/annurev.nutr.24.012003.132140
71. Williams, D. M. (2023). A meta-theoretical framework for organizing and ıntegrating theory and research on motivation for health-related behavior. Frontiers in Psychology, 14, 1130813. https://doi.org/10.3389/fpsyg.2023.1130813
72. Willroth, E. C., Smith, A. M., Shallcross, A. J., Graham, E. K., Mroczek, D. K. ve Ford, B. Q. (2021). The health behavior model of personality in the context of a public health crisis. personality and individual differences. Advance Online Publication.
73. Wills, T. A. (1991). Social support and interpersonal relationships. M. S. Clark (Ed.), Prosocial behavior içinde (s. 265–289). Sage Publications Inc.
74. Wilson, S. E. (2002). The health capital of families: an investigation of the inter-spousal correlation in health status. Social Science & Medicine, 55(7), 1157-1172. https://doi.org/10.1016/S0277-9536(01)00253-2
75. World Health Organization. (1999). What is a healthy lifestyle?. http://apps.who.int/iris/bitstream/10665/108180/1/EUR_ICP_LVNG_01_07_02.pdf adresinden 14 Temmuz 2025 tarihinde alınmıştır.
76. Xu, X., Mellor, D., Xu, Y. ve Duan, L. (2014). An update of murrayan needs: A pilot study among American college students. Journal of Humanistic Psychology, 54(1), 45-65. https://doi.org/10.1177/0022167812470870
77. Zhang, X., Raghavan, V. ve Yang, X. (2023). Health perceptions and attitudes on mobile health apps in China. Health Informatics Journal, 29(4), 14604582231207745. https://doi.org/10.1177/14604582231207745
78. Zolotareva, A., Shchebetenko, S., Belousova, S., Danilova, I., Tseilikman, V., Lapshin, M., Sarapultseva, L., Makhniova, S., Sarapultseva, M., Komelkova, M., Hu, D., Luo, S., Lisovskaya, E. ve Sarapultsev, A. (2022). Big five traits as predictors of a healthy lifestyle during the COVID-19 pandemic: Results of a Russian cross-sectional study. International Journal of Environmental Research and Public Health, 19(17), 10716. https://doi.org/10.3390/ijerph191710716