Health Belief Model (HBM)
The Health Belief Model (HBM) is a psychological model that attempts to explain and predict health behaviors 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 programs (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 behaviors, including sexual risk behaviors 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
Predominant health problems: Compare at least one health problem to a credible statistic (CDC, county, or state).
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).
This unit aims to provide the learner with knowledge of the main forms of mental health problems according to the psychiatric classification system. Learners also consider the strengths and limitations of this model and look at alternative frameworks for understanding mental distress. The focus of the unit is on understanding the different ways in which mental health problems impact on the individual and others in their social network. It
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).
A fundamental component to the definition of vulnerability is the concept of risk, or the relative probability that an individual may become ill within a given period of time (Aday, 1994). Community and individual characteristics are risk factors predictive of the incidence of vulnerability. Risk factors, for example smoking or lead exposure, are attributes that are related to increases in the probability of occurrence of health-related outcomes (Aday, 1998). Evidence of differences in vulnerability or increased risk, which lead to negative health outcomes include: premature mortality, comparative morbidity, decreased functional and mental status, decreased ability to
Inability to meet costs of required medication for short-term and prolonged illnesses, and access to health services.
In the 1950’s the health belief model (HBM) was introduced to explain why people who are healthy, continue to participate in activities that keep them free of illness; while others neglect to be involved with healthy activities (Pender, Murdaugh, & Parsons, 2015). PubMed was used to find this article with the limitations of an article written in the last five years, humans, and English; the Mesh words used was health belief model. The article Applying the health belief model to college students’ health behavior, written by Kim, Ahn, and No, in 2012, reviews the study done to explain the use of HBM on college students and healthy students. This paper will discuss the use of the health belief model, in college students, to determine if their knowledge of nutrition will affect their healthy behaviors.
• Poor disease management (patients not properly managing chronic health conditions because of lack of understanding of disease process).
On the webpage for Healthy People 2020 (www.healthypeople.gov), social determinants of health are described as a range of factors that affect the ability of a person to obtain a healthy status. Promoting good health for everyone through improved social and physical environments is one of Healthy People 2020 decade long goal. The determinants fall into the broad categories of policy making, social factors, health services, individual behavior and biology and genetics. Within the healthcare setting we see many examples of this. A patient arrives to the emergency department (ED) with a headache and chest pressure. Upon triaging them you discover that they have been diagnoses with hypertension, however, they ran out of their medications three month ago
The World Heath Organization defines health as being a state of wholeness in a person’s mental, physical, and social well being (Gurung, 2014). Different models of health are used worldwide to assist in achieving this state. Two widely used models of health in the United States include the biomedical model of health and the biopsychosocial model of health. They both strive to help individuals and communities achieve wholeness, while approaching this in different manners. Each model of health has strengths, drawbacks, and practical uses in the field of medicine.
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.
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.
individual risk factors must also be considered when looking at the broader context of the
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