Health Behavior Model Essay Link

On By In 1

1. National Center for Health Statistics . Healthy People 2000 Final Review. Public Health Service; Hyattsville, MD: 2001.

2. U.S. Department of Health and Human Services . Healthy People 2010: Understanding and Improving Health. 2nd ed. U.S. Government Printing Office; Washington, DC: 2000.

3. van Dyck PC, Kogan MD, McPherson MG, Weissman GR, Newacheck PW. Prevalence and characteristics of children with special health care needs. Arch Pediatr Adolesc Med. 2004;158:884–890.[PubMed]

4. Center for Disease Control Chronic Disease Program. Chronic disease overview. [March 28, 2008]. http://www.cdc.gov/print.do?url=http://www.cdc.gov/nccdphp/overview.htm.

5. Committee on Communication for Behavior Change in the 21st Century . Speaking of Health: Assessing Health Communication Strategies for Diverse Populations. The National Academies Press; Washington, DC: 2002. p. 1. [Executive summary] [PubMed]

6. Naylor M. Transitional care of older adults. Annu Rev Nurs Res. 2002;20:127–147.[PubMed]

7. Doran D, editor. Nursing-Sensitive Outcomes: State of the Science. Jones & Bartlett; Sandbury, MA: 2003.

8. Bodenheimer T. Helping patient improve their health-related behaviors: what system changes do we need? Dis Manag. 2005;8(5):319–330.[PubMed]

9. Bodenheimer T. Interventions to improve chronic illness care: evaluating their effectiveness. Dis Manag. 2003;6(2):63–71.[PubMed]

10. Marek KD, Popejoy L, Petroski G, Mehr D, Rantz M, Lin WC. Clinical outcomes of aging in place. Nurs Res. 2005;54(3):202–211.[PubMed]

11. Center for the Advancement of Health Health behavior change in managed care: a status report executive summary. [January 2008]. http://www.cfah.org/pdfs/health_execsumm.pdf.

12. Institute of Medicine . Health and Behavior: The Interplay of Biological, Behavioral, and Societal Influences: Committee on Health and Behavior: Research, Practice and Policy Board on Neuroscience and Behavioral Health. National Academy Press; Washington, DC: 2001.

13. Lorig K, Sobel DS, Stewart AL, et al. Evidence suggesting that a chronic disease self-management program can improve health status while reducing hospitalization. Med Care. 1999;37:5–14.[PubMed]

14. Lorig KR, Sobel DS, Ritter PL, Laurent DD, Hobbs M. Effect of a self-management program on patients with chronic disease. Eff Clin Pract. 2001;4(6):256–262.[PubMed]

15. Feetham SL, Thomson EJ. Keeping the individual and family in focus. In: Miller SM, MCDaniel SH, Rolland JS, Feetham SL, editors. Individual, Families, and the New Era of Genetics: Biopsychosocial Perspectives. WW Norton; New York, NY: 2006. pp. 102–110.

16. Grey M, Knafl K, McCorkle R. A framework for the study of self- and family management of chronic conditions. Nurs Outlook. 2006;54(5):278–286.[PubMed]

17. US Department of Health and Human Services . Healthy People 2010: Understanding and Improving Health. 2nd ed. US Government Printing Office; Washington, DC: 2000.

18. Clark NM, Becker MH, Janz NK, Lorig KR, Bakowski W, Andereson L. Self-management of chronic disease by older adults: a review and questions for research. J Aging Health. 1991;3(1):3–27.

19. Lorig K, Ritter PL, Plant K. A disease-specific self-help program compared with a generalized chronic disease self-help program for arthritis patients. Arthritis Rheum. 2005;53(6):950–957.[PubMed]

20. Barlow J, Sturt J, Hearnshaw H. Self-management interventions for people with chronic conditions in primary care: examples from arthritis, asthma and diabetes. Health Educ J. 2002;61(4):365–378.

21. Parry C, Kramer HM, Coleman EA. A qualitative exploration of a patient-centered coaching intervention to improve care transitions in chronically ill older adults. Home Health Care Serv Q. 2006;25:39–53.[PubMed]

22. Schreurs KMG, Colland VT, Kuijer RG, de Ridder DTD, van Elderen T. Development, content, and process evaluation of a short self-management intervention in patients with chronic disease require self-care behaviors. Patient Educ Couns. 2003;51:133–141.[PubMed]

23. Tsai AC, Morton SC, Mangione CM, Keeler EB. A meta-analysis of interventions to improve care for chronic illnesses. Am J Manag Care. 2005;11:478–488.[PMC free article][PubMed]

24. Lorig KR. Chronic disease self-management. Am Behav Sci. 1996;39(6):676–683.

25. Miller JF, editor. Coping With Chronic Illness: Overcomming Powerlesness. 3rd ed. FA Davis; Philadelphia, PA: 2000.

26. USDHHS . Steps to a Healthier US: A Program and Policy Perspective: Prevention Strategies That Work. USDHHS; Washington, DC: 2003.

27. US Preventative Task Force Screening for breast cancer. 2008. [January 5, 2009]. http://www.ahrq.gov/clinic/3rduspstf/breastcancer/brcanrr.htm.

28. US Department of Health and Human Services . Bone Health and Osteoporosis: A Report of the Surgeon General. US Department of Health and Human Services, Office of the Surgeon General; Rockville, MD: 2004.

29. Wagner ED. The role of patient care teams in chronic disease management. Br Med J. 2000;320:567–572.

30. Institute of Medicine. Committee on Health Literacy. Board on Neuroscience and Behavioral Health . Health Literacy: A Prescription to End Confusion. The National Academies Press; Washington, DC: 2004.

31. US Department of Health and Human Services Office of Disease Prevention and Health Promotion (ODPHP) Improved healthfinder.gov makes health information quicker and easier to use: DHHS. 2008. [September 22, 2008]. http://www.hhs.gov/ophs/news/20080922.html.

32. Parsons T. The Social System. Free Press; Glencoe, IL: 1951.

33. Bayliss EA. Supporting self-management for patients with complex medical needs: recommendations of a working group. Chron Illn. 2007;3(2):167–175.[PubMed]

34. Sevick MA, Trauth JM, Ling BS, et al. Patients with complex chronic diseases: perspectives on supporting self-management. J Gen Intern Med. 2007;22(suppl 3):438–444.[PMC free article][PubMed]

35. Destache CJ, Dewan N, O'Donohue WJ, Campbell JC, Angelillo VA. Clinical and economic considerations in the treatment of acute exacerbation of chronic bronchitis. J Antimicrob Chemother. 1999;43(suppl A):107–113.[PubMed]

36. Seneff MG, Wagner DP, Wagner JE, Zimmerman JE, Knaus WA. Hospital and 1-year survival of patients admitted to intensive care units with acute exacerbation of chronic obstructive pulmonary disease. JAMA. 1995;274(23):1852–1857.[PubMed]

37. Weiss M, Piacentine LB, Lokken A, et al. Perceived readiness of hospital discharge in adult medical-surgical patients. Clin Nurse Spec. 2007;21(3):31–42.[PubMed]

38. Weiss M, Ryan P, Lokken A, Nelson E. Length of stay after vaginal birth: socio-demographics and readiness-for-discharge. Birth. 2004;31(2):93–101.[PubMed]

39. Prochaska JO. Multiple health behavior research represents the future of preventive medicine. Prev Med. 2008;46:281–285.[PubMed]

40. Tessaro IA, Taylor S, Belton L, et al. Adapting a natural (lay) helpers model of change for worksite health promotion for women. Health Educ Res. 2008;15(5):603–614.[PubMed]

41. Gordon C. Live Well Live Long: Health Promotion and Disease Prevention for Older Adults. American Society on Aging; Cal State, LA: 2006. American Society on Aging, Edward R. Roybal, Institute for Applied Gerontology.

42. Chen LS, Kowok OM, Goodson P. US health educators’ likelihood of adopting genomic competencies into health promotion. Am J Public Health. 2008;98(9):1651–1657.[PMC free article][PubMed]

43. Bassett EM, Glandon RP. Influencing design, promoting health. J Public Health Manag Pract. 2008;14(3):244–254.[PubMed]

44. DiClemente C, Kegler MC. Emerging Theories in Health Promotion Practice and Research. Jossey-Bass; San Francisco, CA: 2002.

45. Glanz K, Lewis FM, Rimer BK. Health Behavior and Health Education: Theory, Research and Practice. Jossey-Bass; San Francisco, CA: 1997.

46. Gochman DS, editor. Handbook of Health Behavior Research II: Provider Determinants. Plenum; New York, NY: 1997.

47. Haynes B, Taylor DW, Sackett DL. Compliance in Health Care. Johns Hopkins University Press; Baltimore, MD: 1979.

48. Janz NK, Becker MH. The health belief model: a decade later. Health Educ Behav. 1984;11(1):1–47.[PubMed]

49. Marlatt GA, Gordon JR, editors. Prevention: Maintenance Strategies in the Treatment of Addictive Behaviors. Guilford Press; New York, NY: 1985.

50. Norman P. Predicting Health Behavior. Open University Press; Philadelphia, PA: 1998.

51. Shumaker SA, Schron EB, Ockene JK, McBee WL, editors. The Handbook of Health Behavior Change. 2nd ed. Springer; New York, NY: 1998.

52. Glanz K, Rimer B, Su S. Theory at a Glance: A Guide for Health Promotion Practice. Vol. 2. National Cancer Institute; Bethesda, MD: 2005.

53. Greene J, Yedidia MJ, The Take Care to Learn Evaluation Collaborative Provider behaviors contributing to patient self-management of chronic illness among underserved populations. J Health Care Poor Underserved. 2005;16:808–824.[PubMed]

54. Given B, Beck S, Etland C, Holmes Gobel B, Lamkin L, Marsee VD. Nursing-Sensitive Patient Outcomes. Oncology Nursing Society; Pittsburg, PA: 2004.

55. McCauley KM, Bixby MB, Naylor MD. Advanced practice nurse strategies to improve outcomes and reduce costs in elders with health failure. Dis Manag. 2006;9(5):302–310.[PubMed]

56. International Council of Nurses Position statement: promoting the value and cost-effectiveness of nursing. 2001. [September 28, 2008]. http://icn.ch/psvalue.htm.

57. Donaldson SI, Grant-Vallone EJ. Understanding self-report bias in organizational behavior research. J Bus Psychol. 2002;17(2):245–260.

58. Fernandez-Ballesteros R, Botella J. Self-report measures. In: Nezu AM, Nezu CM, editors. Evidence-Based Outcome Research: A Practical Guide to Conducting Randomized Controlled Trials for Psychosocial Interventions. Oxford; New York, NY: 2008. pp. 95–120.

59. Lorig KR, Holman HR. Self-management and education: history, definition, outcomes, and mechanisms. Ann Behav Med. 2003;26(1):1–7.[PubMed]

60. Sin MK, Kang DH, Weaver M. Relationships of asthma knowledge, self-management, and social support in African American adolescents with asthma. Int J Nurs Stud. 2005;42:307–313.[PubMed]

61. Becker MH. The Health Belief Model and Personal Health Behaviors. Charles B Slack Inc; Thorofare, NJ: 1974.

62. Pender NJ, Murdaugh C, Parsons MA. Health Promotion in Nursing Practice. Vol. 4. Appleton & Lang; Norwalk, CT: 2002.

63. Ajzen I, Albarracin D, Hornick . Predicting and Change of Health Behavior: Applying the Reasoned Action Approach. Lawrence Erlbaum Associates; Mahwah, NJ: 2007.

64. Ajzen I, Fishbein M. Understanding Attitudes and Predicting Social Behavior. Prentice Hall; Englewood Cliffs, NJ: 1980.

65. Nigg CR, Allegrante JJP, Ory M. Theory-comparison and multiple-behavior research: common themes advancing health behavior research. Health Educ Res. 2002;17(5):670–679.[PubMed]

66. Skinner TC, John M, Hampson SE. Social support and personal models of diabetes as predictors of self-care and well-being: a longitudinal study of adolescents with diabetes. J Pediatr Psychol. 2000;25(4):257–267.[PubMed]

67. Cohen S, Underwood LG, Gottlieb BH. Social Support Measurement and Intervention. Oxford University Press; New York, NY: 2000.

68. Whitehead D. An international Delphi study examining health promotion and health education in nursing practice, education and policy. J Clin Nurs. 2008;17:891–900.[PubMed]

69. Rodgers BL. Developing Nursing Knowledge: Philosophical Traditions and Influences. Lippincott Williams & Wilkins; Philadelphia, PA: 2005.

70. American Association of Colleges of Nursing The essential of master's education for advance practice nursing. [April 28, 2008]. http://www.aacnnche.edu/Education/pdf/MasEssentials96.pdf.

71. National Association of Clinical Nurse Specialists 2004 Statement Development Task Force . Statement on Clinical Nurse Specialist Practice and Education. National Association of Clinical Nurse Specialists; Harrisburg, PA: 2004.

72. Ryan P. Interventions to Facilitate Behavior Change. Marquette University College of Nursing; Milwaukee, WI: 1998.

73. Ajzen I. Understanding attitudes and predicting social behavior. Prentice Hall; Englewood Cliffs, NJ: 1980.

74. Bandura A. Self-efficacy: The Exercise of Control. WH Freeman & Company; New York, NY: 1997.

75. Bandura A. Social Foundations of Thoughts & Action: A Social Cognitive Theory. Prentice Hall; Englewood Cliffs, NJ: 1986.

76. Bandura A. Social Learning Theory. Prentice Hall; Englewood Cliffs, NJ: 1977.

77. Glasgow RE, Funnell MM, Bonomi AE, Diavis C, Beckham V, Wagner EH. Self-management aspects of the improving chronic illness care breakthrough series: implementation with diabetes and heart failure teams. Ann Behav Med. 2002;24(2):80–87.[PubMed]

78. Gochman DS. Health Behavior: Emerging Research Perspectives. Plenum Press; New York, NY: 1988.

79. Baumeister RF, Vohs KD. Handbook of Self-regulation: Research, Theory, and Applications. Guilford Press; New York, NY: 2004.

80. Boekaerts M, Pintrich PR, Zeidner M. Handbook of Self-regulation. Academic Press; San Diego, CA: 2000.

81. Carver CS, Scheier MF. On the Self-regulation of Behavior. Cambridge University Press; New York, NY: 1998.

82. Carver CS, Scheier MF, Boekaerts M, Pintrich PR, Zeidner M. On the Structure of Behavioral Self-regulation. Handbook of Self-regulation. Academic Press/Harcourt; San Diego, CA: 2002. p. 41.

83. Creer TL, Holroyd KA. Self-management. In: Baum A, Newman S, Weinman J, West R, McManus C, editors. Cambridge Handbook of Psychology, Health and Medicine. Cambridge University Press; Cambridge, England: 1997. pp. 255–258.

84. Holroyd KA, Creer TL. Self-management of Chronic Disease: Handbook of Clinical Interventions and Research. Academic Press Inc; Orlando, FL: 1986.

85. Karoly P. Mechanisms of self-regulation: a systems view. Annu Rev Psychol. 1993;44:23–52.

86. Jenerette CM, Phillips RCS. An examination of differences in intra-personal resources, self-care management, and health outcomes in older and younger adults with sickle cell disease. South Online J Nurs Res. 2006;7:1–24.

87. Mancini JA, Bowen GL, Martin JA. Community social organization: a conceptual linchpin in examining families in the context of community. Fam Relations. 2005;54(5):570–582.

88. Shoor S, Lorig KR. Self-care and the doctor-patient relationship. Med Care. 2002;40(4 suppl):II–40–II–44.[PubMed]

89. Bodenheimer T, Lorig KR, Holman HR, Grumbach K. Patient self-management of chronic disease in primary care. JAMA. 2002;288(19):2469–2475.

explaining health behaviors

History and Orientation

The Health Belief Model (HBM) is a psychological model that attempts to explain and predict health behaviors. This is done by focusing on the attitudes and beliefs of individuals. The HBM was first developed in the 1950s by social psychologists Hochbaum, Rosenstock and Kegels working in the U.S. Public Health Services. The model was developed in response to the failure of a free tuberculosis (TB) health screening program. Since then, the HBM has been adapted to explore a variety of long- and short-term health behaviors, including sexual risk behaviors and the transmission of HIV/AIDS.

Core Assumptions and Statements

The HBM is based on the understanding that a person will take a health-related action (i.e., use condoms) if that person:

  1. feels that a negative health condition (i.e., HIV) can be avoided,
  2. has a positive expectation that by taking a recommended action, he/she will avoid a negative health condition (i.e., using condoms will be effective at preventing HIV), and
  3. believes that he/she can successfully take a recommended health action (i.e., he/she can use condoms comfortably and with confidence).

The HBM was spelled out in terms of four constructs representing the perceived threat and net benefits: perceived susceptibility, perceived severity, perceived benefits, and perceived barriers. These concepts were proposed as accounting for people's "readiness to act." An added concept, cues to action, would activate that readiness and stimulate overt behavior. A recent addition to the HBM is the concept of self-efficacy, or one's confidence in the ability to successfully perform an action. This concept was added by Rosenstock and others in 1988 to help the HBM better fit the challenges of changing habitual unhealthy behaviors, such as being sedentary, smoking, or overeating.

Table from “Theory at a Glance: A Guide for Health Promotion Practice" (1997)

Concept

Definition

Application

Perceived Susceptibility

One's opinion of chances of getting a condition

Define population(s) at risk, risk levels; personalize risk based on a person's features or behavior; heighten perceived susceptibility if too low.

Perceived Severity

One's opinion of how serious a condition and its consequences are

Specify consequences of the risk and the condition

Perceived Benefits

One's belief in the efficacy of the advised action to reduce risk or seriousness of impact

Define action to take; how, where, when; clarify the positive effects to be expected.

Perceived Barriers

One's opinion of the tangible and psychological costs of the advised action

Identify and reduce barriers through reassurance, incentives, assistance.

Cues to Action

Strategies to activate "readiness"

Provide how-to information, promote awareness, reminders.

Self-Efficacy

Confidence in one's ability to take action

Provide training, guidance in performing action.

Conceptual Model


Source: Glanz et al, 2002, p. 52

Favorite Methods

Surveys.

Scope and Application

The Health Belief Model has been applied to a broad range of health behaviors and subject populations. Three broad areas can be identified (Conner & Norman, 1996): 1) Preventive health behaviors, which include health-promoting (e.g. diet, exercise) and health-risk (e.g. smoking) behaviors as well as vaccination and contraceptive practices. 2) Sick role behaviors, which refer to compliance with recommended medical regimens, usually following professional diagnosis of illness. 3) Clinic use, which includes physician visits for a variety of reasons.

Example

This is an example from two sexual health actions. (http://www.etr.org/recapp/theories/hbm/Resources.htm)

Concept

Condom Use Education Example

STI Screening or HIV Testing

1. Perceived Susceptibility

Youth believe they can get STIs or HIV or create a pregnancy.

Youth believe they may have been exposed to STIs or HIV.

2. Perceived Severity

Youth believe that the consequences of getting STIs or HIV or creating a pregnancy are significant enough to try to avoid.

Youth believe the consequences of having STIs or HIV without knowledge or treatment are significant enough to try to avoid.

3. Perceived Benefits

Youth believe that the recommended action of using condoms would protect them from getting STIs or HIV or creating a pregnancy.

Youth believe that the recommended action of getting tested for STIs and HIV would benefit them — possibly by allowing them to get early treatment or preventing them from infecting others.

4. Perceived Barriers

Youth identify their personal barriers to using condoms (i.e., condoms limit the feeling or they are too embarrassed to talk to their partner about it) and explore ways to eliminate or reduce these barriers (i.e., teach them to put lubricant inside the condom to increase sensation for the male and have them practice condom communication skills to decrease their embarrassment level).

Youth identify their personal barriers to getting tested (i.e., getting to the clinic or being seen at the clinic by someone they know) and explore ways to eliminate or reduce these barriers (i.e., brainstorm transportation and disguise options).

5. Cues to Action

Youth receive reminder cues for action in the form of incentives (such as pencils with the printed message "no glove, no love") or reminder messages (such as messages in the school newsletter).

Youth receive reminder cues for action in the form of incentives (such as a key chain that says, "Got sex? Get tested!") or reminder messages (such as posters that say, "25% of sexually active teens contract an STI. Are you one of them? Find out now").

6. Self-Efficacy

Youth confident in using a condom correctly in all circumstances.

Youth receive guidance (such as information on where to get tested) or training (such as practice in making an appointment).

References

Key publications

  • Conner, M. & Norman, P. (1996). Predicting Health Behavior. Search and Practice with Social Cognition Models. Open University Press: Ballmore: Buckingham.
  • Glanz, K., Rimer, B.K. & Lewis, F.M. (2002). Health Behavior and Health Education. Theory, Research and Practice. San Fransisco: Wiley & Sons.
  • Glanz, K., Marcus Lewis, F. & Rimer, B.K. (1997). Theory at a Glance: A Guide for Health Promotion Practice. National Institute of Health.
  • Eisen, M et.al. (1992). A Health Belief Model — Social Learning Theory Approach to Adolescents' Fertility Control: Findings from a Controlled Field Trial. Health Education Quarterly. Vol. 19.
  • Rosenstock, I. (1974). Historical Origins of the Health Belief Model. Health Education Monographs.Vol. 2 No. 4.
  • Becker, M.H. The Health Belief Model and Personal Health Behavior. Health Education Monographs. Vol. 2 No. 4.
  • Champion, V.L. (1984). Instrument development for health belief model constructs, Advances in Nursing Science, 6, 73-85.
  • Becker, M.H.,Radius, S.M., & Rosenstock, I.M. (1978). Compliance with a medical regimen for asthma: a test of the health belief model, Public Health Reports, 93, 268-77.

See also: http://www.comminit.com/ctheories/sld-2929.html
http://www.etr.org/recapp/theories/hbm/
See also: Theory of Planned Behavior/ Reasoned Action, Protection Motivation Theory
See also Health Communication

0 comments

Leave a Reply

Your email address will not be published. Required fields are marked *