The health promotion model is based on seven assumptions of these three elements: people strive to create circumstances in which they can manifest their distinctive health potential; people have the ability to reflect on their own abilities; people positively value progress and strive to achieve a balance between consistency and change; people pursue the act of changing their actions; people mix with the environment, which ultimately changes the environmental environment and the person; health workers function as part of the social context, which impacts people's lives; and an individual must be willing to change the way he or she interacts with other people and the environment for behavior modification to occur (Alligood,