社區職能治療專題Theoretical Framework for Community-
Based Practice—Health Belief Model
報告者:鄭筱儒報告日期: 09.27.2012指導老師:毛慧芬老師
OutlineBackgroundDevelopConceptHealth-action linkPsychometricsApplied areaRelated articlesReference
BackgroundDeveloper: Hochbaum, Kegeles, Levenyhal,
and RosenstockTheory base:
◦Social psychology◦Lewin’s aspiration theory
Underlying premise:◦Phenomenological orientation
Individual’s perceptions determine behavior◦Ahistorical perspective
Current dynamics affecting an individual’s behavior
DevelopResearcher: Cummings, Becker, and
Maile(1980) 6 factors:
◦1.access to health-care services◦2.attitudes toward health care◦3.perception of threat of illness◦4.caracteristics of the social network◦5.knowledge about disease ◦6.demographic characteristics
ConceptDescribes the relationship between a
person’s beliefs about health and his or her health-specific behavior.
Beliefs:◦Perceived susceptibility◦Perceived severity◦Perceived benefits◦Perceived barriers
Cues to action◦An instigating event that stimulate the initiation
of behavior(internal or external)
Concept Definition Application
Perceived Susceptibility
One's opinion of chances of getting a condition
Define population(s) at risk, risk levels; personalize risk based on a person's features or behavior; heighten perceived susceptibility if too low.
Perceived Severity
One's opinion of how serious a condition and its consequences are
Specify consequences of the risk and the condition
Perceived Benefits
One's belief in 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.
Health-action link
PsychometricPredictive validity in questionConstruct validity well defined
◦Causal associations between variables and factors are not addressed
Applied areaAlcoholismCompliance with a diabetes regimenBreast self-examinationContraceptive behaviorMedication compliance among psychiatric
outpatients
Related articlesCommunity sreening:
◦Stroke ◦Hepatitis C◦Cancer
Referencehttp://www.utwente.nl/cw/theorieenoverzi
cht/theory%20clusters/health%20communication/health_belief_model.doc/
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