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HEALTH BELIEF
MODEL
Deblina Roy
M.SC Nursing 1st year
K.G.M.U. Institute of Nursing
Model
• Model is a theoretical way of understanding concept or
idea.
•Health Beliefs:
• These are person’s Ideas, convictions, attitudes about
health and illness.
History of the HBM
• Developed in the 50’s by the U.S. Public Health Service
• Social psychologists were asked to explain why people do
not participate in health behaviors (Rosenstock, 1960;
1966)
• Developed based on operant and cognitive-behavioral
theory
Premise of the Health Belief Model
• Individuals will take action to ward off, to
screen for, or to control an ill health condition
if:
• 1) they regard themselves as susceptible to the
condition
• 2) they believe it to have potentially serious
consequences
• 3) they believe a course of action can reduce the
susceptibility and seriousness
• 4) they believe the costs of the action are outweighed
by its benefits
Components of the HBM
• Perceived Susceptibility
• an individual’s perception of her or his risk of contracting a health
condition
• Perceived Severity
• an individual’s perception of the seriousness of a health condition if
left untreated
• Note: the combination of these is the perceived threat of the health
condition (emotive response is fear)
Components of the HBM
• Perceived Benefits
• the perceived effectiveness of taking action to improve a health
condition
• Perceived Barriers
• the perceived impediments to taking action to improve a health
condition
Components of the HBM
•Cues to Action
• Body or environmental events that trigger the HBM
Additional Components?
• Self-Efficacy
• confidence to continue the healthy behavior and overcome
temptations
Where Do We Intervene?
• Educate about threat (vulnerability, susceptibility)
• Fear appraisals
• Educate about coping (response efficacy, self-efficacy)
• Health education
Evaluating the HBM
• APPLICABILITY TO PRACTICE (IS IT USEFUL?)
• Coping efficacy is the most important component
• Self-efficacy (and perceived barriers) is the most influential
component for health behavior
• Perceived severity is the weakest component
• Health behaviors are long-term?
• Perceived vulnerability often influences intentions but not
behavior
Evaluating the HBM
• COMPREHENSIVE (Does it explain behavior completely?)
• No
• What about other motives for behavior other than health? These
motives appear untapped for explaining behavior.
Application Exercise
• Please choose a health behavior and population
• Assume you are an specialist contracted to develop a
persuasive communication (poster, news advertisement
etc.) to improve the health behavior for the population
• Create a message that includes severity, susceptibility,
response efficacy, and self-efficacy for the target
population
Questions?
Bibliography
• Potter P.A,Perry A.F,Stokert P.A,Hall A.M.Fundamentals of
nursing. 3rd Ed;Elsevier,Noida( India);2013.p03-05
• Klenpell RM. Advanced nursing practice ,3rd ed ;Sprigers
Publishing Company, New York;2013.p13
• Polit DF, Beck CT. Nursing research:Principles and
methods. 7th ed. Philadelphia: Lippincott Williams &
Wilkins; 2007
• Black JM, Hawks JH, Keene AM. Medical surgical
nursing. 6th ed. Philadelphia: Elsevier Mosby; 2006.
Thank You

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health belief model

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  • 3. HEALTH BELIEF MODEL Deblina Roy M.SC Nursing 1st year K.G.M.U. Institute of Nursing
  • 4. Model • Model is a theoretical way of understanding concept or idea. •Health Beliefs: • These are person’s Ideas, convictions, attitudes about health and illness.
  • 5. History of the HBM • Developed in the 50’s by the U.S. Public Health Service • Social psychologists were asked to explain why people do not participate in health behaviors (Rosenstock, 1960; 1966) • Developed based on operant and cognitive-behavioral theory
  • 6. Premise of the Health Belief Model • Individuals will take action to ward off, to screen for, or to control an ill health condition if: • 1) they regard themselves as susceptible to the condition • 2) they believe it to have potentially serious consequences • 3) they believe a course of action can reduce the susceptibility and seriousness • 4) they believe the costs of the action are outweighed by its benefits
  • 7. Components of the HBM • Perceived Susceptibility • an individual’s perception of her or his risk of contracting a health condition • Perceived Severity • an individual’s perception of the seriousness of a health condition if left untreated • Note: the combination of these is the perceived threat of the health condition (emotive response is fear)
  • 8. Components of the HBM • Perceived Benefits • the perceived effectiveness of taking action to improve a health condition • Perceived Barriers • the perceived impediments to taking action to improve a health condition
  • 9. Components of the HBM •Cues to Action • Body or environmental events that trigger the HBM
  • 10. Additional Components? • Self-Efficacy • confidence to continue the healthy behavior and overcome temptations
  • 11. Where Do We Intervene? • Educate about threat (vulnerability, susceptibility) • Fear appraisals • Educate about coping (response efficacy, self-efficacy) • Health education
  • 12. Evaluating the HBM • APPLICABILITY TO PRACTICE (IS IT USEFUL?) • Coping efficacy is the most important component • Self-efficacy (and perceived barriers) is the most influential component for health behavior • Perceived severity is the weakest component • Health behaviors are long-term? • Perceived vulnerability often influences intentions but not behavior
  • 13. Evaluating the HBM • COMPREHENSIVE (Does it explain behavior completely?) • No • What about other motives for behavior other than health? These motives appear untapped for explaining behavior.
  • 14. Application Exercise • Please choose a health behavior and population • Assume you are an specialist contracted to develop a persuasive communication (poster, news advertisement etc.) to improve the health behavior for the population • Create a message that includes severity, susceptibility, response efficacy, and self-efficacy for the target population
  • 16. Bibliography • Potter P.A,Perry A.F,Stokert P.A,Hall A.M.Fundamentals of nursing. 3rd Ed;Elsevier,Noida( India);2013.p03-05 • Klenpell RM. Advanced nursing practice ,3rd ed ;Sprigers Publishing Company, New York;2013.p13 • Polit DF, Beck CT. Nursing research:Principles and methods. 7th ed. Philadelphia: Lippincott Williams & Wilkins; 2007 • Black JM, Hawks JH, Keene AM. Medical surgical nursing. 6th ed. Philadelphia: Elsevier Mosby; 2006.