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Proactive health behavior in older adults: A concept analysis
Kai Yu1, Xiaoqing Wang1, Yuexian Shi1
1School of Nursing, Peking University, Beijing, PR China.
Geriatric Nursing (New York, N.Y.)
|May 17, 2026
Summary
Older adults actively optimize their health through proactive health behaviors, driven by self-initiation and a preventive mindset. This approach enhances well-being and reduces societal healthcare burdens.
Area of Science:
- Gerontology
- Health Behavior Science
- Public Health
Background:
- Aging populations pose significant healthcare challenges globally.
- Proactive health behavior is vital for successful aging.
- A clear definition is needed for effective health interventions.
Purpose of the Study:
- To conduct a concept analysis of proactive health behavior in older adults.
Main Methods:
- Utilized Rodgers' evolutionary concept analysis framework.
- Systematically searched six English and two Chinese databases (inception–August 2025).
- Included 30 articles, with independent review for selection and data extraction.
Main Results:
- Proactive health behavior features self-initiated agency, preventive philosophy, health competence development, and multidimensional optimization.
- Antecedents include individual traits, social support, and health system support.
- Consequences involve enhanced individual well-being, decreased caregiving burden, and societal advantages.
Conclusions:
- Clarified the theoretical framework of proactive health behavior, emphasizing older adults' active role.
- Provides a basis for interventions and tools to promote proactive health behavior.
- Supports successful aging and mitigates socioeconomic pressures.
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