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Health Belief Model (Detailed)

100 comments
Theory Summary

 

 

 

1. The Health Belief Model (HBM) is a psychological model that attempts to explain and predict health behaviours by focusing on the attitudes and beliefs of individuals. The HBM was developed in the 1950s as part of an effort by social psychologists in the United States Public Health Service to explain the lack of public participation in health screening and prevention programmes (e.g., a free and conveniently located tuberculosis screening project). Since then, the HBM has been adapted to explore a variety of long- and short-term health behaviours, including sexual risk behaviours and the transmission of HIV/AIDS. The key variables of the HBM are as follows (Rosenstock, Strecher and Becker, 1994):

 

 

 

  • Perceived Threat: Consists of two parts: perceived susceptibility and perceived severity of a health condition.
    • Perceived Susceptibility: One's subjective perception of the risk of contracting a health condition,
    • Perceived Severity: Feelings concerning the seriousness of contracting an illness or of leaving it untreated (including evaluations of both medical and clinical consequences and possible social consequences).

  • Perceived Benefits: The believed effectiveness of strategies designed to reduce the threat of illness.
  • Perceived Barriers: The potential negative consequences that may result from taking particular health actions, including physical, psychological, and financial demands.
  • Cues to Action: Events, either bodily (e.g., physical symptoms of a health condition) or environmental (e.g., media publicity) that motivate people to take action. Cues to actions is an aspect of the HBM that has not been systematically studied.
  • Other Variables: Diverse demographic, sociopsychological, and structural variables that affect an individual's perceptions and thus indirectly influence health-related behaviour.
  • Self-Efficacy: The belief in being able to successfully execute the behaviour required to produce the desired outcomes. (This concept was introduced by Bandura in 1977.)


2.


Concept
Definition
Application
Perceived Susceptibility
One's opinion of chances of getting a condition
Define population(s) at risk, risk levels. Personalise risk based on a person's features or behaviour. Heighten perceived susceptibility if too low
Perceived Severity
One's opinion of how serious a condition and its sequelae are
Specify consequences of the risk and the condition
Perceived Benefits
One's opinion of 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



"The Health Belief Model (HBM) was one of the first models that adapted theory from the behavioral sciences to health problems, and it remains one of the most widely recognized conceptual frameworks of health behavior. It was originally introduced in the 1950s by psychologists working in the U.S. Public Health Service (Hochbaum, Rosenstock, Leventhal, and Kegeles). Their focus was on increasing the use of then-available preventive services, such as chest x-rays for tuberculosis screening and immunizations such as flu vaccines. They assumed that people feared diseases, and that health actions were motivated in relation to the degree of fear (perceived threat) and expected fear-reduction potential of actions, as long as that potential outweighed practical and psychological obstacles to taking action (net benefits)."

Source

1. "Behaviour Change - a Summary of Four Major Theories," [PDF]Family Health International.

2.'Theory at a Glance: A Guide for Health Promotion Practice' National Institutes of Health, National Cancer Institute.

Comments

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Submitted by Anonymous (not verified) on Sat, 12/11/2004 - 18:11 Permalink

The page is informative and contains clear and concise information with a table of definition and application.

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Submitted by Anonymous (not verified) on Sun, 01/09/2005 - 09:00 Permalink

Helped in answering a pre-advised topic on 'describing and predicting health behaviours' for health psychology exam. A++++++

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Submitted by Anonymous (not verified) on Fri, 03/18/2005 - 23:27 Permalink

It is an excelant, you need to add some of the study which used the
H.B model

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Submitted by Anonymous (not verified) on Thu, 03/31/2005 - 03:03 Permalink

really helpful and useful.Thanks

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Submitted by Anonymous (not verified) on Tue, 04/12/2005 - 16:36 Permalink

Thank you

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Submitted by Anonymous (not verified) on Mon, 04/25/2005 - 12:26 Permalink

well laid out and concept clearly and easily understood. Good teaching aid.

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Submitted by Anonymous (not verified) on Mon, 05/16/2005 - 03:43 Permalink

very good

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Submitted by Anonymous (not verified) on Sat, 11/05/2005 - 12:24 Permalink

Excellent summary. Thanks for making this concise and clear.

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Submitted by Anonymous (not verified) on Tue, 10/18/2005 - 04:37 Permalink

This page was useful, along with the other information. It explained it in a different format.

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Submitted by Anonymous (not verified) on Wed, 12/07/2005 - 13:27 Permalink

what is a topic that is very obscure? Behavior and Belief, this page set good ground for my research in behavioural pshyc.
A basic thesauraus fear and reality, Good stuff!

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Submitted by Anonymous (not verified) on Wed, 12/07/2005 - 15:52 Permalink

Very good summary.

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Submitted by Anonymous (not verified) on Sat, 12/10/2005 - 10:16 Permalink

Provides key points for quick understanding of concepts

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Submitted by Anonymous (not verified) on Sun, 12/11/2005 - 06:53 Permalink

what is this...?waste of time im afraid

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Submitted by Anonymous (not verified) on Sun, 12/11/2005 - 06:53 Permalink

wankers

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Submitted by Anonymous (not verified) on Mon, 02/13/2006 - 10:27 Permalink

I'd like to see references detail.

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Submitted by Anonymous (not verified) on Tue, 02/14/2006 - 12:55 Permalink

It was very educational and helpful thanks for having it and please keep up the good work

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Submitted by Anonymous (not verified) on Tue, 02/21/2006 - 07:38 Permalink

Great article! Helped a lot in my paper on primary prevention. Thanks

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Submitted by Anonymous (not verified) on Mon, 02/27/2006 - 16:38 Permalink

Information was very informative to my research.

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Submitted by Anonymous (not verified) on Sun, 03/05/2006 - 10:59 Permalink

very very useful and it really helped me a lot.i'm currently studying MBChB and we are doing a special module called "people and their environment" so this model is greatly used.

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Submitted by Anonymous (not verified) on Fri, 05/09/2008 - 22:11 Permalink

This is a thoughtful abstract of the HBM, however it would be useful if the sources you refer to could be accessible.
Well done,
Daniel

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Submitted by Anonymous (not verified) on Tue, 03/07/2006 - 12:09 Permalink

PLEASE ,
KINDLY ASSIST ME TO JOIN IN YOUR ASSOCIATION , FOR I NEED SOMEONE WHO CAN SPONSOR ME TO COME AND VOLUNTEER, FOR MY NAME IS KWEKU OWUSU AGYEPONG ,
MY POSTAL ADDRESS IS %ASAMPONG NYARKO , MAILS OFFICE , ACCRA - NORTH , GHANA

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Submitted by Anonymous (not verified) on Mon, 03/13/2006 - 07:30 Permalink

this page is a LIFE SAVER

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Submitted by Anonymous (not verified) on Tue, 03/14/2006 - 19:16 Permalink

Very clear.

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Submitted by Anonymous (not verified) on Tue, 03/14/2006 - 23:01 Permalink

Wonderful. Precisely the kind of overview that I need to get started... thank you.

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Submitted by Anonymous (not verified) on Mon, 04/10/2006 - 06:26 Permalink

change theories in health

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Submitted by Anonymous (not verified) on Sun, 04/23/2006 - 09:36 Permalink

Excellent explanation and detailes, good examples.

Thank You

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Submitted by Anonymous (not verified) on Mon, 11/20/2006 - 00:19 Permalink

I find it very useful for my psychology class

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Submitted by Anonymous (not verified) on Sat, 11/04/2006 - 05:51 Permalink

Great-- a perfect, short summary of the information I was looking for. Thank you!

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Submitted by Anonymous (not verified) on Tue, 10/17/2006 - 20:38 Permalink

A fantastic, succint overview of the Health Belief Model - really appreciated the pdf links which easily facilitated further reading. Thank you!

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Submitted by Anonymous (not verified) on Wed, 11/15/2006 - 20:11 Permalink

Thank you!!!

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Submitted by Anonymous (not verified) on Tue, 08/15/2006 - 14:14 Permalink

It was just what I was looking for and added clarity to what I was working on.

Thank you!

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Submitted by Anonymous (not verified) on Sat, 11/25/2006 - 09:50 Permalink

As a health psychology student I found this an excellent resource, especially the attached 'Sources'

Many thanks

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Submitted by Anonymous (not verified) on Tue, 11/28/2006 - 00:57 Permalink

SELF EFFICACY IS NOT A VARIABLE OF THE HEALTH BEHAVIOR MODEL. THIS WOULD BE A NICE ADDITION, BUT IT WAS PURELY BANDURA.

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Submitted by Anonymous (not verified) on Fri, 12/01/2006 - 18:05 Permalink

Concise! Very useful.

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Submitted by Anonymous (not verified) on Fri, 01/05/2007 - 10:07 Permalink

you should give the references too

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Submitted by Anonymous (not verified) on Mon, 03/05/2007 - 03:52 Permalink

I HAVE AN ASSIGNMENT TO DO ON HEALTH PROMOTION AND I HAVE CHOSEN THE HBM SO IT WAS VERY USEFUL AND EXPLAINED IN AN EASY TO READ MANNER.

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Submitted by Anonymous (not verified) on Sun, 03/11/2007 - 16:54 Permalink

well i need to do an essay on this so i found it all very good.

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Submitted by Anonymous (not verified) on Sat, 06/02/2007 - 14:43 Permalink

not so useful i thing you should add how the contribution of psycholgical theories understand health behaviours

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Submitted by Anonymous (not verified) on Thu, 04/05/2007 - 17:20 Permalink

Excellent overview; useful

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Submitted by Anonymous (not verified) on Thu, 04/26/2007 - 22:01 Permalink

Thank you for the conciseness. It will ne even better if you include the references to Rosenstock?

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Submitted by Anonymous (not verified) on Sun, 11/15/2009 - 06:39 Permalink

very useful indeed i have been able to use these thory as famework for my study

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Submitted by Anonymous (not verified) on Thu, 12/03/2009 - 07:42 Permalink

great!

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Submitted by Anonymous (not verified) on Fri, 10/22/2010 - 03:38 Permalink

Communication for behavior change is a fundamental subject as far as people perceive things,situations and outcomes in their daily lives.in summary this theory outline postulates such as the modifying variables,cues to action and self efficacy affect our perception of susceptibility,seriousness,benefits and therefore,our behavior at large are influenced by how much we are exposed to knowledge that can either positively or negatively influence the outcome of our habits hence behavior change.

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Submitted by Anonymous (not verified) on Sun, 11/21/2010 - 05:48 Permalink

I AM LOOKING AT HEALTH BELIEF MODEL AS A PSSIBLE MODEL TO USE IN EXAMINING THE SUCCESS OF HIV/AIDS PROGRAMMES IN KENYA IN REDUCING PREVALENCE.

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Submitted by Anonymous (not verified) on Thu, 02/17/2011 - 03:04 Permalink

I did not know that this kind of data modeling could predict such things, really impressive .