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Results of a National Survey


  • J. David Holcomb EdD,

    Corresponding authorSearch for more papers by this author
    • Dr. J. David Holcomb is the Associate Director, Center for Allied Health Professions, and Associate Professor, Department of Community Medicine, Baylor College of Medicine, Houston, Texas. Dr. Holcomb received BS (1962) and MEd (1965) degrees from Stephen F. Austin State University, Nacogdoches, Texas. He received the Doctor of Education degree from the University of Houston in 1969. Dr. Holcomb has been on the faculty and administrative staff at Baylor since 1972.

  • Patricia D. Mullen DrPH

    Corresponding authorSearch for more papers by this author
    • Dr. Patricia D. Mullen is the Associate Director, Center for Health Promotion Research and Development, and Associate Professor, School of Public Health, The University of Texas Health Science Center, Houston, Texas. Dr. Mullen received AB (1966), MPH (1971), and DrPH (1975) degrees from the University of California at Berkeley. She joined the faculty and administrative staff of The University of Texas in 1982.

Baylor College of Medicine, Center for Allied Health Professions, Texas Medical Center, Houston TX 77030.


Certified nurse-midwives were surveyed to determine to what extent important health promotion and disease prevention (HP/DP) behaviors were part of their lifestyles (n = 132, 59% response). The survey also assessed beliefs about HP/DP practices, the extent to which HP/DP is incorporated into daily patient care activities, confidence in abilities to provide patient education, and outcome expectations of HP/DP efforts.

Respondents were involved in nurse-midwifery practice either in educational institutions, hospitals, clinics, health departments, private settings, or health maintenance organizations. Most of the respondents are good health role models who perceive themselves as important providers of HP/DP services. They routinely provide a broad range of HP/DP education to their patients. Although they indicated confidence in their abilities to educate patients about needed lifestyle changes, they reported an overall lack of confidence that their patients actually would make behavioral changes to reduce health risks.