Behavior plays an integral role in health and illness. Health behavior is any behavior that directly affects a person’s health; they can be either positive or negative. Behavior is not limited to illness onset but also to management of illness and health outcome (Ogden 2017). Health Psychologists proposes that people’s beliefs can be used to predict their behavior. Some key beliefs that Health Psychologist study are attitude, control, risk perception and confidence. Researchers have developed models of behavior that are based on people’s beliefs. We will discuss the following models: states of change model, the health belief model, the protection motivation theory and the theory of planned behavior.
Being able to explain and predict a person’s
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This model has 5 stages; Pre-contemplation, contemplation, preparation, action and maintenance however the individual may not move from stage 1-5. Implementation intentions make explicit the mechanisms that reduce the ‘gap’ between intentions and the attainment of a behavioural goal. The Health Belief model, The protection motivation Theory as well as the Theory of planned all describe how a set of beliefs influence a person’s health. Beliefs that people hold towards health such as attitude, control risk perception and confidence have major impacts on their behavior. If a person is characterized by the protective motivation theory for example that person will ask themselves how severe the illness is they are trying to prevent? How susceptible are they? How effective would a change in behavior be? And how fearful they are of contracting that illness? (Ogden 2017) The answers to those questions would be used predict that individuals behavior.
People are diverse in all aspects including health beliefs; hence we will have different behaviors towards health. In keeping with our diversity there are different models of health beliefs that have been developed to predict a person’s health behavior. The ability to predict a person’s health behavior helps physicians to effectively treat patients. This ability to predict a behavior helps them to counter obstacles in treatment and devise meaningful interventions. A person’s eating behaviors is a useful tool in predicting their other health behaviors (Ogden 2017).
Health belief model was one of the first and most widely recognized theories of health behavior. (Butts & Rich, 2011). This theory was formulated in an attempt to predict health behaviors by focusing on the attitude and beliefs of individuals. It is aimed to determine the likelihood of an individual to participate in health-promotion and disease prevention programs. (Kozier & Erb, 2011). This theory postulated that if a patient is well- motivated, there is a possibility that he will participate in these activities. Motivation can be derived by the individual's perceptions towards his condition. According to Becker (1974), individual perceptions include patient's perceived susceptibility, perceived seriousness of the disease and perceived threat.
Engaging in exercise everyday would help reduce the risk of lifestyle diseases, such as diabetes and cardiovascular diseases. The counties could also educate the people on the dangers of smoking and as such spearhead campaigns to help people quit smoking. The theory of planned behavior is used to predict deliberate behavior in individuals since behavior can be planned and deliberative. The theory could be applied in reversing the health trends in the counties with emphasis on whether to exercise or use condoms when having sex. Further, there exists a correlation between independently healthy eating behaviors with barriers, such as attitude, perceived behavioral control, and subjective norm, evident in the theory of planned behavior3. The health policymakers in the counties would have to assume that people process every piece of information and act accordingly and thus would be compelled to quit smoking and result to exercise. This theory would fit the intervention plan due to its efficiency to explain intention, perceived behavioral control being as important as attitude across health-related behavior
According to Glanz, Rimer, and Viswanath (2008) the Health Belief Model attempts to explain why people do or do not engage in specific health behaviors such as taking action to prevent, screen for, or to control illness conditions through concepts including susceptibility, seriousness, benefits and barriers to a behavior, cues to action, and self-efficacy. Perceived susceptibility is defined as a person’s beliefs about the likelihood of getting a disease or condition. Perceived severity is defined as a person’s feelings about the seriousness of contracting an illness or of leaving it untreated. Perceived benefits are described as influencing whether a person’s perceived susceptibility will lead to behavior change. Perceived Barriers are described as
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 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
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 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).
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.
According to Boston University School of Public Health the health belief model (HBM) has a number of limitations that interfere with the models effectiveness in the public health system. These limitations are not limited to failure to account for individual’s attitudes, emotions, beliefs, or other determinants that command an individual’s willingness to adopt that health behavior. The HBM does not explain habitual behaviors that will lead to an advised decision-making process for a particular action. Neither does the HBM take into account those actions which are non-health related that are directly linked to social acceptability and economic factors that will influence the adoption or abandoned of the recommended action. The HBM assumes every
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).
When considering health psychology it is important to recognise the various models it is made up of. The basis of this essay will be to take a look at the health belief model and the theory of planned behaviour, considering their historical origins, the positives and negatives of applying these approaches and examples of when they have been used. After some analysis it may offer some insight into possible improvements that could be implemented from further research. Also included will be an overview of how the models compare to each other and critical evaluation of research from this field.
Health Belief Model and the Theory of Planned Behavior Compare & Contrast The similarities in Health Belief Model and the Theory of Planned Behavior stems from ones beliefs and attitude such as religion, tradition, social circle and etc. For example, in the old school tradition in African American culture turpentine and cod liver oil can cure everything from a slight cold to severe asthma attack; or high blood pressure to diabetes (Becker, M.H.,Radius, S.M., & Rosenstock, I.M., 1978). I remember my Great Grandma telling my mother after I had a bad fit with asthma “That ain’t nuthin a little asafetida dipped in some turpentime and a little liva oil; and prayer can’t cure (Big Mama).” Though she has gone on to Glory (passed on), some of
From Week 4 lecture, I have learnt about the Theory of Planned Behaviour. Initially, I thought that if a person intend to do something, they will put in their best effort to do it. However, I realized that I was wrong because ‘intention does not always accurately predict behaviour when there is a reflex or conditioned response involved.’(Long-Crowell, 2003) For example, ‘my friend with a phobia may intend to stay calm and collected when faced with their fear, but may end up having a panic attack instead.’(Long-Crowell, 2003) After this lecture, I have learnt that this theory explores the relationship between attitudes and behaviour. A person who have the intention to change is determined by attitude, subjective norms and perceived behavioural control. For example, a person who know about the negative effects are more willing to quit smoking.
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
The health belief model: Perceived Susceptibility, Perceived Severity, Perceived Benefits, Perceived Barriers, Cues to Action, Self-Efficacy (Bandura, 2001). The self-efficacy focus on an individual’s confidence in their ability to