Both the health belief model (HBM) and theories of reasoned action/planned behavior (TRA/TPB) are two model that has their root from psychology. Both models rely on social cognition as a mechanism to change individuals’ behaviors. Opponent criticizes the models for being unable to target social influence outside of an individual and overlook difference between target audiences. First, the HBM insist individuals are likely to change behavior if they believe they are susceptible to certain condition, and the condition is severe enough. Cues to action provide a guide for individual to engage in the healthy behaviors. Benefits must overrule barriers, and the individual must have confidence that he or she can engage in this healthy behavior for the change to occur. To illustrate, one of the diabetes healthy people 2020 objective is to “Increase the proportion of adults with diabetes who perform self-blood glucose-monitoring at least once daily” …show more content…
Both TRA/TPB connects attitude to behavior. In fact, the constructs parts of the theories are attitude about the behavior, subjective norm that is what others think about the behavior, and intention. Unlike the HBM, TRA/TPB acknowledge an individual social group has an influence on their behavior they choice to engage in. If I were to use the same objective above from healthy people 2020 with a different patient using TRA/TPB, it would look like this. 1) Attitude about target behavior: patient does not like testing his blood glucose because he or she has to carry blood sugar checking supplies everywhere he goes. 2) Subjective Norm: patient friends look at him weird whenever he/ she carry blood glucose kit. Health program offers diabetes community education and affordable glucometer kits that are much smaller to carry. 3) Intention: patient check blood sugar consistently because he or she is able to carry blood sugar kit during where
It has substantial success in predicting a variety of behaviors (Conner & Sparks, 1996). It details the causes of an individual's decision to behave in a particular manner. Theory of Planned Behavioral is rooted in the fact that behavior reflects expected value. It aims to explain rationally motivated, intentional health and non-health behaviors. Extremely specific behavioral intentions measures that closely match the intended behaviors are used in the Theory of Planned Behavior. Behavioral intention measures can assess planning. The Theory of Planned Behavioral provides an account of the elements of behavior when both motivation and opportunity to process information are high (Conner & Armitage, 1998). Self-efficacy plays a vital role in this
The Health Belief Model is the model I have selected to guide me through the internship. In the Health Belief Model there is the assumption that people will take responsibility and action if they believe that their health issues is possible to address, they have a positive outlook on the proposed plan of action, and if the person believes they are able to take the proposed action. The levels of the Health Belief Model go step by step with how people process their logic of the health issue they are faced with. Taking obesity in children. If the child or parent takes an assessment of how likely they are to get the perceived issue of obesity is perceived susceptibility.
The Health Belief Model is commonly used for health promotion and health education. Its’ underlying concept is that health behavior is explained by perception of the disease and the strategies available to lower its occurrence. There are four perceptions of the HBM, which are perceived seriousness, perceived benefit, perceived susceptibility and perceived barriers. In addition to that, more constructs are added to health belief model that includes motivating factor, cues to action and self-efficacy. Each of these constructs in combination or individually, could be used to determine health behavior. The HBM also provides guidelines for the program development allowing planners to address reasons for non-compliance with recommended health action. The health belief model is a process used to promote healthy behavior among individuals who may be at risk of developing adverse health outcomes. A person must gauge their perceptions of severity and susceptibility of developing a disease. Then it is essential to feel vulnerable by these perceptions. Environmental factors can play a role as well as cues to action such as media, and close friends. In order to determine that taking action will be meaningful, the benefits to change must be weighed, against the barriers to change behavior (Green & Murphy, 2014).
The health belief model is composed of two factors that influences a person’s particular health behavior: the perceived health threat and the perceived threat reduction (pros and cons). Using the health belief model, there are three factors considered when perceiving a health threat: general health values, specific beliefs about personal vulnerability/susceptibility, and beliefs about the consequences of the disorder as well as the severity of it. In the scenario, Charles is a college student that smokes cigarettes and is fully aware of the risks and consequences associated with doing so because of the Surgeon General’s warning.
According to Rural Health Information Hub (2017), the fundamental purpose of disease prevention is to keep individuals healthy. One implements health promotion interventions in an effort to promote healthy behaviors and to decrease the risks of developing chronic illnesses (RHIH, 2017). According to the ADA (2016) individuals that participate in health promotion behaviors are more likely to have better health outcomes compared to those who do not. The EBP change project has shown that educating patients with prediabetes can increase diabetes knowledge and promote an increase in health promotion behaviors. The EBP change project outcome has indicated that participants who completed the 6-week diabetes education program were able to increase their knowledge regarding type 2 diabetes. Therefore, with the positive outcome of the EBP change project, the EBP change project site can incorporate certain aspects of the diabetes education program into their patient education to increase diabetes knowledge, picking healthier food options and participants in activities that would increase physical fitness.
The Objective for Healthy People 2020 is to significantly reduce the chances of the high risk population and the population who has the disease. The goal is try to implement a change in their lifestyle choices. Health People 2020 reports that “44.6 percent of adults aged 18 years and over who were at high risk for diabetes with prediabetes reported increasing their levels of physical activity in 2005-08.” The 2020 baseline objective in 2005-08 was at 44.6 percent and
The Health Belief Model (HBM) of health behaviour change was originally developed in the 1950s in order to understand and explain why vaccination and screening programs being implemented at the time were not meeting with success (Edberg 2007). It was later extended to account for preventive health actions and illness behaviours (Roden 2004). Succinctly, it suggests that behaviour change is influenced by an individuals’ assessment of the benefits and achievability of the change versus the cost of it (Naidoo and Wills 2000).
The healthy belief method was demonstrated with this study. The study demonstrated that the impact of health beliefs on behavior showed a direct relationship between health
The transtheoretical model helps explain the patient’s behavior change related to the health aspects. As per this change agent, the patient’s purposeful behavior change consists of the cognitive and the performance-based elements. The five stages of the model are precontemplation, contemplation, preparation, action and the maintenance stage (Virginia Tech Continuing & Professional Education, n.d.).
A health promotion strategy that may be of benefit in Webb County is increasing community diabetes education. Diabetes self-management classes that utilize the Trans-theoretical Model of Change have proven successful in reducing GHb levels. The Trans-theoretical model of behavior change evaluates an individual's willingness to adopt healthy behaviors and provides methods to guide the individual through the stages of change to achieve self-efficacy. A study published by the American Diabetes Association concluded that “self-management education improves GHb levels at immediate follow-up, and increased contact time increases the effect” (Norris, Lau, Smith, Schmid, & Engelgau,
Boskey (2014) concludes that a person’s willingness to change their health behaviors includes perceived susceptibility, perceived severity, perceived barriers, and cues to action and self-efficacy. For example, Carpenter (2010) report the Health Belief Model stipulates that a change may occur if individuals see an adverse health outcome to be severe and perceive them to be vulnerable to it. Other perceptions include benefits of behaviors that reduce the likelihood of that outcome to be high, and the barriers to adopting those behaviors low (Carter, 2010). Furthermore, the HBM addresses the relationship between a person’s beliefs and behaviors. It provides a way of understanding and predicting how clients will behave about their health and how they will comply with healthcare therapies (Boskey, 2014).
The scores of social support in later stages of behavior change were higher than those in the earlier stages. The scores of self-efficacy and compliance in blood glucose monitoring, regular exercise, and diet control in later stages of behavior change were higher than those in earlier stages. Self-efficacy showed a gradual increase from pre-contemplation to maintenance. HbA1C levels were higher in contemplation/preparation stages when compared to other later stages. The more compliant participants were, the lower their HbA1C values; and the more negativity from family and friends, the higher HbA1C values. Stronger self-efficacy correlated to higher compliance to routines. Social support increased various positive dimensions of self-efficacy. The routine management of diabetes was the key factor that influenced the stages of behavior change.
Conner and Norman, 1995 describe the health belief model as ‘the oldest and most widely used model in health psychology’. It originated in the 50’s and was developed further by Hochbaum, Rosenstock and Kegals throughout the 1980’s for health education programmes and to predict different health behaviours and responses to treatments. The four terms that are the basis for the HBM are perceived susceptibility, perceived barriers, perceived severity and perceived benefits. The behaviour of the individual depends on their belief that they are susceptible to a health problem, how serious they deem it to be, whether they think that treatment will benefit them and if there are barriers that may get in the way.
The Health Belief Model (HBM) is one of the first theories of health behavior. It was developed in the 1950s by social psychologists in the U.S. Public Health Services to better understand the widespread failure of tuberculosis screening programs. Today it continues to be one of the most widely used theories. Research studies use it to explain and predict health behaviors seen in individuals. There is a broad range of health behaviors and subject populations that it is applied in. The concepts in the model involve perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cues to action, and self-efficacy. Focusing on the attitudes and beliefs of individuals being studied create an understanding of their
An individual's attitude towards his health influences his capacity to maintain an optimum level of health, prevent illness or recover from a disease. Understanding patient's attitude towards his condition is the key to establishing an effective health-related program for health promotion, disease prevention and disease management. Hence, different health behavior theories have emerged. All of these are designed to help the patient and his family to facilitate learning, adjustment and behavior change to improve his quality of life. ( Butts & Rich, 2011)