Marshall H. BeckerHealth Belief Model : Marshall H. BeckerHealth Belief Model By
LaShawn Horton RN
Jenny Amador RN Theorist : Theorist Marshall H. Becker
Johns Hopkins University
Professor at the Univ. of Michigan
Master’s in Public Health
PhD in Health Education and Health Behavior
1981 Distinguished Recipient of SOPHE Award
1940-1993? Evolution of the theory : Evolution of the theory It is a Psycho-socialogical Model
First developed in the 1950’s.
Three social psychologists: Hochbaum, Rosenstock, and Kegels
Public health service
Response to the failure of a free TB health screening program.
Flu immunizations Evolution of Theory Cont’d : Evolution of Theory Cont’d Becker and Rosenstock later added to theory.
Nursing model adapted Purpose : Purpose Health seeking behavior
What was the reason people were not taking advantage of a free service? Four Original Concepts : Four Original Concepts Perceived Susceptibility
Perceived Barrier 2 More Concepts : 2 More Concepts Cues to action
Self- efficacy Health Belief Model : Health Belief Model The first two concepts refer to particular disease.
The second two concepts refer to a course of action that may reduce the risk or severity of that disease. Perceived Susceptibility : Perceived Susceptibility One’s opinion of chances of getting a condition. Perceived Severity : Perceived Severity One’s evaluation of how serious a condition is, its treatment, and it consequences. Perceived Benefits : Perceived Benefits One’s evaluation of how well advised action will reduce impact. Perceived Barriers : Perceived Barriers One’s evaluation of how difficult an advised action will be. Cues to action : Cues to action Events or strategies that increase one’s motivation. Self-efficacy : Self-efficacy Confidence in one’s ability to take action. Relationships : Relationships Original Health Model : Original Health Model Structure of the theory : Structure of the theory The central focus of the theory is that a person’s attitudes and beliefs toward illness and disease will determine their responses. Assumptions of the Model : Assumptions of the Model The HBM is based on the understanding that a person will take health-related action if that person:
Feels that a negative health condition can be avoided
Has a positive recommendation action
Believes that he or she can successfully take a recommended health action Clarity : Clarity The concepts are easily defined
The illustration brings the concepts into sharper focus
The diagrams are self-explanatory
The Health Belief Model is very simple and the constructs are easy to follow. Simplicity : Simplicity Moderately Simple
The concepts are simple and easily followed
It makes sense
Can be used in other disciplines Generality : Generality Psychological
Nursing (All settings)
Can be used by other fields of study besides nursing
General Accessibility : Accessibility Other disciplines are using this theory.
Concepts are narrow enough to be defined.
Definitions reflect the meaning of the concepts. Scope of Theory : Scope of Theory Grand Theory Level of Theory Development : Level of Theory Development Situation-relating theory
As it predicts and promotes risk factors based on the behaviors and attitudes toward disease, health promotion, or health risk. Commonplaces : Commonplaces Person- groups
Health- behaviors, attitudes, and beliefs
Environment- physical and psychosocial
Nursing- bedside to community Importance to Nursing : Importance to Nursing Popular model for nursing
Preventive health care practices Circle of Contagiousness : Circle of Contagiousness Theory used in psychology, sociology, health education, nursing and other health professions.
One of the most influential models in health promotion. Do you like this theory? : Do you like this theory? Yes, we do like the theory.
The theory is applicable to us as school nurses as well as other nursing settings.
Health promotion can be used in all areas of nursing. Web CT Questions : Web CT Questions How would you utilize this theory in your practice?
Cite an example of how you’ve seen this theory used in mass media. References : References Department of Health Behavior and Health Education. (n.d.). Retrieved October 28, 2008, from University of Michigan Web site: http://www.sph.umich.edu/hbhe/
Distinguished Fellow Past Recipients. (11/30/2004). Retrieved October 26, 2008, from Society for Public Health Education Web site: http://www.sophe.org/about/awards/pastawards.html
How We Do It Health Behavior Theories. (n.d.). Retrieved October 26, 2008, from Center for Health Communications Research Web site: http://chcr.umich.edu/how_we_do_it/health_theories/healththeories2/chcr_document_view References : References Linden, A., & Roberts, N. (11/4/2004). Disease Management Interventions: What’s in The Black Box? Retrieved October 26, 2008, from Mary Ann Liebert, Inc. Web site: http://www.lindenconsulting.org/documents/DMBlackBox.pdf
Roden, J. (2004). Revisiting The Health Belief Model: Nurses Applying It to. Retrieved October 28, 2008, from Nursing and Health Sciences Web site: http://web.ebscohost.com.proxy.lib.csus.edu/ehost/pdf?vid=2&hid=115&sid=bb438b77-f14f-47bf-b81c-902451b93c71%40sessionmgr108 References : References Social Security Death Index Results for "Marshall Becker". (n.d.). Retrieved November 8, 2008, from Obitfinder Web site: http://www.legacy.com/obituaries.asp?Page=ObitFinderSSIResults&DateRange=1990-1999&LastName=becker&FirstName=marshall&State=ALL&Town=&Newspaper=ALL&PageNo=1&Keyword=&FHName=&FHIndex=
Sutton, S. (n.d.). Health Behavior: Psychosocial Theories. Retrieved October 26, 2008, from University of Aberdeen Web site: http://www.abdn.ac.uk/~psy408/dept/Sutton.pdf
Behavior Theory and the Prevention of HIV. (n.d.). Retrieved October 24, 2008, from State of Nevada Health Division Web site: http://health2k.state.nv.us/hiv/prevention/chapt6.htm References : References Health & Nutrition: Human Health - Health Education Behavior Models and Theories- a Review of The Literature - Part I. (n.d.). Retrieved October 26, 2008, from Mississippi State University Web site: http://msucares.com/health/health/appa1.htm
Health Belief Model. (n.d.). Retrieved October 26, 2008, from University of Twente Web site: http://www.tcw.utwente.nl/theorieenoverzicht/Theory%20clusters/Health%20Communication/Health_Belief_Model.doc/
Health Belief Model [Detailed]. (n.d.). Retrieved October 26, 2008, from Communication Initiative Network Web site: http://www.comminit.com/en/node/27093 References : References Health Belief Model. (n.d.). Retrieved October 26, 2008, from The Medicine Program Web site: http://www.themedicineprogram.com/home/article/Health_Belief_Model
Nursing Theories: Health Belief Model [HBM]. (n.d.). Retrieved November 2, 2008, from Current Nursing Web site: http://currentnursing.com/nursing_theory/health_belief_model.htm
Redding, C. A., et al. (Comps.). (2000). Health Behavior Models. Retrieved October 26, 2008, from International Journal of Health Education Web site: http://www.kittle.siu.edu/iejhe/3special/pdf/redding.pdf