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percieved susceptibility, percieved severity, percieved benefits, percieved barriers, cues to action, self-efficacy |
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The HBM relates psychological theories of decision making (which attempt to explain action in a choice situation) to an individual’s decision about alternative health behaviors |
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Belief of the possibility of acquiring a disease or harmful state as a result of a particular behavior |
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Belief regarding 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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Percieved perceptibility + percieved severity = |
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Belief regarding 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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Belief regarding actual and imagined costs of performing the new behavior |
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Four parts of percieved barriers |
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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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Percieved benefits + percieved barriers = |
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Precipitating force that makes the person feel the need to take action |
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Belief or confidence to perform a behavior |
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The HBM stipulates that action depends on |
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The existence of sufficient motivation to make health issue salient or relevant The belief one is susceptible (perceived threat) The belief that following a particular recommendation will be beneficial in reducing perceived threat and at a subjectively-acceptable cost |
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Screening behaviors (TB, breast cancer, colorectal cancer, influenza vaccinations, Tay-Sachs disease, 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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Model lacks in consistent predictive power mainly because it focuses on a limited number of factors cultural factors, socioeconomic status, previous experiences, etc. also shape health behaviors but are not accounted for in the model Measurement error in operationalization Cross-sectional data’s failure to provide evidence of temporality Comparative studies are few and lacking Need to understand relative importance of constructs Need to use behavioral anchors in articulating questions, for example, “If you do not practice safer sex, how likely are you to become infected with HIV/AIDS?” as opposed to “How likely are you to become infected with HIV/AIDS?” |
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