2204 Course Work Individual
2204 Course Work Individual
2204 Course Work Individual
YEAR: TWO
SEMESTER: TWO
Introduction
Refers to the science and art of using health behavior theories reflect an amalgamation of
approaches, methods and strategies from social and behavioral sciences. This broad range of
perspectives from social and behavioral sciences are referred to as social and behavioral science
theory.
Behavioral and social science theories ad models have been used to provide a comprehensive
understanding of all the determinants and influences relevant to a particular health issue and
informing the development of efficacious, practitioner -delivered life style change interventions
to address these issues at public health and societal level. Retrieved from International
encyclopedia of social and behavioral science (second edition 2015, pages 545-551)
The Health Belief Model (HBM) is a psychological model that attempts to explain and predict
health behaviors by focusing on the attitudes and predict health behaviors by focusing on the
attitudes and beliefs of individuals. The HBM was developed in the 1950’s as part of an effort by
social psychologists in the United States public health service to explain lack of public
participation in health screening and prevention programs.
The key variables of the health belief model are as follow (By Rosenstock, Strecker and Becker,
1994);
Perceived Threats: 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
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 health condition) or
environmental (e.g., media publicity) that motivate people to take action. Cues to action
is an aspect of the health belief model that has not been systematically studied.
Other variables: Diverse demographic, sociopsychological, and structural variables that
affect an individual’s perceptions and thus indirectly influence health-related behavior.
Self-Efficacy: The belief in being able to successfully execute the behavior required to
produce the desired outcomes (This concept was introduced by Bandura in 1977)
Stages of change/Transtheoretical Model
Psychologists developed the stage of change theory in 1982 to compare smokers in therapy and
self-changers along a behavior change continuum. The rationale behind “staging” people, as
such, was to tailor therapy to a person’s needs at his/her particular point in change process. As a
result, the four original components of the stages of change. Since then, a fifth stage (preparation
for action) has been incorporated into the theory, as well as ten processes that help predict and
motivate individual movement across stages. In addition, the stages are no longer considered
liner; rather, they are components of a cyclical process that varies from each individual. The
stages and processes, as described by Prochaska, DiClemente and Norcross (1992), are listed
below,
Precontemplation: Individual has the problem (whether he/she reorganizes it or not) and
has no intention of changing
Processes: Consciousness raising (information and knowledge)
Dramatic relief (role playing)
Environmental reevaluation (how problem affects physical environment)
Contemplation: Individual reorganizes the problem and is seriously thinking about
changing
Processes: Self-reevaluation (assessing one’s feeling regarding behavior)
Preparation for action: Individual reorganizes the problem and intends to change behavior
within the next month. Some behavior change efforts may be reported, such as
inconsistent condom usage. However, the defined behavior change criterion has not been
reached (I.e., consistent condom usage).
Processes: Self-liberation (commitment or belief in ability to change)
Action: Individual has enacted consistent behavior change (i.e., consistent condom usage)
for the next six months.
Processes: Reinforcement management (overt and convert rewards)
Helping relationships (social support, self-help groups)
Counterconditioning (alternatives for behavior)
Stimulus control (avoid high-risk cues)
Maintenance: Individual maintains new behaviors for six months or more.
Conclusion
In summary, the theories, approaches and models have contributed immensely in the
development, implementation and evaluation of public health and health promotion intervention
and their success. It is also important to appreciate that each theories complement one another
since each has its strengths and limitations.
References