Health Promotion for People with Disabilities: A Primer for Rehabilitation Counsellors

Daniel Eagle, Fong Chan, Kanako Iwanaga, Antonio Reyes, Chung Yi Chiu, Jill Bezyak, Jessica M. Brooks, John Keegan, Veronica Muller

Research output: Contribution to journalArticlepeer-review


To engage in the community and the workplace requires physical, mental, and social health and wellbeing. Health promotion is a crucial rehabilitation counselling function for the health and wellbeing of people living with chronic illness and disability (CID). This exploratory review seeks to examine theories and models of motivation applicable to health promotion interventions in rehabilitation counselling practice. Although no single theory can address all the potential variables affecting people with CID's health behaviours, Bandura's (1977) concept of self-efficacy and outcome expectancy appear to be the most common factors in the health promotion models we surveyed. Among theories of motivation, only self-determination theory specifically includes a motivation variable, autonomy (internal and external motivation). We developed a diagram to depict a model, including all the theories and models covered in this exploratory review and identify commonalities among their constructs. This diagram can be used by rehabilitation counsellors to apply theories and models of motivation in case conceptualisation, formulating clinical hypotheses, developing treatment plans, and selecting and implementing evidence-based health promotion interventions for their clients.

Original languageEnglish (US)
Pages (from-to)98-111
Number of pages14
JournalAustralian Journal of Rehabilitation Counselling
Issue number2
StatePublished - Dec 1 2017
Externally publishedYes


  • health promotion
  • people with disabilities
  • rehabilitation counselling
  • vocational rehabilitation

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation


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