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Origin of Health Belief Model: 1950s |
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Explain the widespread failure of participation in programs to prevent & detect disease |
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Origin of Health Belief Model: Later |
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-Extended to explain responses to symptoms and to diagnosed illnesses -Especially medical regimens |
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Origin of Health Belief Model: 1980's |
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Expanded again to include self-efficacy |
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Origin of Health Belief Model: two major sources |
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Definition
-Stimulus response theory -Cognitive Theory |
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-Strictly learning from cause and effect events -Reasoning & thinking not included |
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-Behavior is a function of the subjective value of an outcome and probability (expectation) that a particular action will achieve that outcome -“If I eat better and exercise more, my blood pressure will go down.” |
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pull together different parts of theory together that work well with each other. |
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Based on general principles of |
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desire to avoid sickness (value), belief in availability of preventive tools (expectancy) |
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used to predict what a person is going to do |
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Perceptions guide behavior Perceptions are usually inaccurate |
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Perceived susceptibility Perceived severity Perceived benefits Perceived barriers Cues to action Self-efficacy |
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Belief of a person to acquire a disease or harmful state as a result of a particular behavior |
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Three parts of perceived susceptibility |
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Definition
-Define population at risk (apply descriptive epidemiology) -Personalize risk (discussion, role play, simulation, case study) -Consistent with actual risk (apply analytical epidemiology) |
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: Belief of a person in the extent of harm that can result from the acquired disease or harmful state as a result of a particular behavior |
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Implement perceived severity |
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Definition
Specify consequences of the risk and the condition (lecture, discussion, self-reflection, case study, case narration, video presentation) |
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Belief of a person in the usefulness of the methods suggested for reducing risk or seriousness of the disease or harmful state resulting from a particular behavior |
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Two parts of perceived benefits |
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Definition
-Define action to take (clear steps, specific demonstration, re-demonstration) -Clarify the positive effects to be expected (discussion, lecture, self-reading, video presentation, computer-aided presentation) |
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Belief of a person regarding actual and imagined costs of performing the new behavior |
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4 parts of perceived barriers |
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Definition
-Reassurance (one-on-one counseling, case study, discussion, active listening) -Correction of misinformation (lecture, video presentation, role play) -Incentives (tangible and intangible aids, verbal encouragement, case accounts) -Assistance (providing services, transportation) |
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Definition
Precipitating force that makes the person feel the need to take action |
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Term
Two parts of cues to action |
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Definition
-Provide how-to information (lecture, demonstration, re-demonstration, role play) -Employ reminder system (buddy-system, log, diary, Post-it notes |
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Belief of confidence to perform a behavior |
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-Provide training in small steps (demonstration, re-demonstration) -Progressive goal setting (self-reflection, diary) -Verbal reinforcement (one-on-one counseling) -Reduce anxiety (stress management techniques) |
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Importance of self-efficacy |
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Definition
“People who regard themselves as highly efficacious act, think, and feel differently from those who perceive themselves as inefficacious. They produce their own future, rather than simply foretell it.” |
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Term
most powerful single predictor across all studies and behaviors in the health belief model |
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Definition
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The perceived barriers component: most powerful single predictor across all studies and behaviors in the health belief model Why? |
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Definition
Whether or not they can change their behavior is completely dependent on whether or not they can overcome the barrier |
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4 applications of the HBM |
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Definition
-Screening behaviors (TB, breast cancer, colorectal cancer, influenza vaccinations, high blood pressure, etc.) -Preventive behaviors (seat belt use, smoking cessation, physician visiting, etc.) -Health promotion behaviors (exercise, healthy nutrition, etc.) -Treatment compliance behaviors (diabetes, end-stage renal disease, bronchial asthma, weight loss, etc.) |
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1st model that was developed exclusively for |
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Definition
health-related behaviors. All the other models we talk about aren’t necessarily just used for health behavior |
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Definition
behavioral research, primary prevention, and secondary prevention |
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