Health Belief Model Flashcards

1
Q

Health Belief Model (HBM)

HISTORY

→ influenced & developed by?

A

50’s → US public health researchers began developing psychological models to enhance effectiveness of health education programs

influenced by theories of Kurt Lewin

  • stated that world of perciever determines what they will & won’t do

developed by Rosenstack in 1966

  • attributed it to Hochbaum’s research studies of uptake of TB x-ray screening
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2
Q

HBM

  • example of?
  • used to?
A

example of cognition model that examines predictors/precursors to health behavior

used to explain & predict preventative health behavior, sick-role & illness behavior

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3
Q

HBM

  • description of model
A

Value Expectancy Theory

→ attempts to predict health-related behaviors in terms of belief patterns

→ motivation to undertake health behavior → 3 main categories

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4
Q

HBM → Value Expectancy Theory

  • explain
A

desire to avoid illness or get well (value) & belief that specific health action available would prevent illness (expectation)

→ people will take action to prevent/screen for/control ill-health conditions IF they:

  • regard themselves as susceptible to condition
  • believe it has potentially serious consequences
  • believe available action is beneficial in ↓ susceptibility/severity
  • believe anticipated benefits outweigh barriers of taking action
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5
Q

HBM → Description of Model

Motivation to undertake health behavior divided into (3) main categories

A

1) Individual perceptions
2) Modifying behaviors
3) Likelihood of action

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6
Q

Motivation to undertake health behavior:

1) Individual perceptions

A

perceived susceptibility & severity

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7
Q

Motivation to undertake health behavior:

2) Modifying behaviors

A

demographic information

cues to action

percieved threat

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8
Q

Motivation to undertake health behavior:

3) Likelihood of action

A

chances that individual will take recommended preventative health action

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9
Q

Exploring Concept of Beliefs

  • definition
    • influenced by?
    • function of?
A

perception IS reality

Beliefs = enduring individual characteristics that shape behavior & can be acquired through primary socialization → (link b/w behavior & socialization)

  • modifiable & can differ b/w individuals from same background
    • influenced by intrapersonal factors affecting health behavior
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10
Q

HBM → (2) core concepts

A

HBM focuses on 2 aspects of individual’s representation of health & health behavior:

1) Threat Perception
2) Behavioral Evaluation

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11
Q

HBM → Core Concepts

(1) Threat Perception

(2) Behavioral Evaluation

→ further broken down into (4) constructs

A

1) Percieved Susceptibility
2) Percieved Severity
3) Percieved Barriers
4) Percieved Benefits

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12
Q

HBM → Core Concepts → Threat Perception

1) Percieved Susceptibility

  • 2 additional points
A

individual’s subjective assessment of risk of contracting condition

  • exists on continuum
    • extreme (denial) → moderate (admits probability) → extreme (hypochondriac)
  • important to get background information since certain popns are at higher risk
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13
Q

HBM → Core Concepts → Threat Perception

2) Perceived Severity/Seriousness

  • effect/predictor?
A

individual’s assessment of seriousness of condition & potential consequences

  • includes evaluations of medical & clinical consequences (death vs. disability)
  • possible social consequences

→ only moderate effect on preventative health behavior but 2nd powerful predictor of sick-role behavior

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14
Q

HBM → Core Concepts → Behavioral Evaluation

3) Percieved Barriers

A

individual’s assessment of influences that discourage adoption of promoted behavior

  • belief about tangible & psychological costs of advised action
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15
Q

HBM → Core Concepts → Behavioral Evaluation

4) Percieved Benefits
* important role in?

A

individual’s assessment of positive consequences of adopting behavior

  • opinion of value/usefulness of new behavior in ↓ risk of disease
  • additional factors include non-health related benefits

play important role in adoption of secondary prevention behaviors

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16
Q

Perceived Threat

A

results from perception of susceptibility combined with severity/seriousness

  • strong cognitive component & partly dependant on knowledge
17
Q

(2) other important constructs

A

1) Cues to Action

2) Self-efficacy

18
Q

1) Cues to Action

A

events/people/things that move people to change behavior

  • strategies to activate readiness & stimulate behavior

can be:

→ Internal

→ External

19
Q

1) Cues to Action

Internal vs. External

  • provide examples
A

Internal Cue

  • smoker coughing after light physical exertion

External Cue

  • warning label of cigarette package
20
Q

2) Self-efficacy

A

Belief in one’s own ability to do something

  • added to original 4 beliefs in 1988
21
Q

Relative Importance/Significance of 4 Beliefs in Changing Behavior

A

Barriers > Susceptibility > Benefits > Severity

22
Q

Other variables to consider (3)

A

a) Demographic
b) Sociopsychological
c) Structural

23
Q

a) Demographic
* (4)

A

Age

Sex

Race

Ethnicity

24
Q

b) Sociopsychological
* (3)

A

personality

social class (SES)

peer/reference group pressure

25
Q

c) Structural
* (2)

A

knowledge about disease

prior contact with disease

26
Q

Application of:

1) Perceived Susceptibility

(4)

A
  • define at-risk population(s)
  • risk levels
  • personalize risk based on individual’s features/behavior
  • heighten if too low
27
Q

Application of:

2) Perceived Severity/Seriousness

A

specify consequences of risk & condition

28
Q

Application of:

3) Perceived Benefits

(2)

A
  • define action to take
    • how
    • where
    • when
  • clarify expected positive effects
29
Q

Application of:

4) Perceived Barriers

A
  • identify & reduce barriers through:
    • Reassurance
    • incentives
    • Assistance
30
Q

Application of:

5) Cues to Action

(3)

A
  • provide how-to information
  • promote awareness
  • reminders
31
Q

Application of:

6) Self-Efficacy

(2)

A
  • provide training
  • guidance in performing action
32
Q

Interventions → Cost-Benefit Analysis

A

standard tool used in Cognitive Behavioral Therapy when people are weighing pros/cons of change

aka decisional balance sheet

33
Q

Most people have developed/learned health habits they will fall back on later in life by age…?

A

11 or 12

34
Q

Behavior is function of (2)

A

subjective value of outcome

subjective expectation that particular action will achieve outcome