社區職能治療專題 theoretical framework for community-based practice —health belief model...

社區職能治療專題Theoretical Framework for Community-

Based Practice—Health Belief Model

報告者：鄭筱儒報告日期： 09.27.2012指導老師：毛慧芬老師

OutlineBackgroundDevelopConceptHealth-action linkPsychometricsApplied areaRelated articlesReference

BackgroundDeveloper: Hochbaum, Kegeles, Levenyhal,

and RosenstockTheory base:

◦Social psychology◦Lewin’s aspiration theory

Underlying premise:◦Phenomenological orientation

Individual’s perceptions determine behavior◦Ahistorical perspective

Current dynamics affecting an individual’s behavior

DevelopResearcher: Cummings, Becker, and

Maile(1980) 6 factors:

◦1.access to health-care services◦2.attitudes toward health care◦3.perception of threat of illness◦4.caracteristics of the social network◦5.knowledge about disease ◦6.demographic characteristics

ConceptDescribes the relationship between a

person’s beliefs about health and his or her health-specific behavior.

Beliefs:◦Perceived susceptibility◦Perceived severity◦Perceived benefits◦Perceived barriers

Cues to action◦An instigating event that stimulate the initiation

of behavior(internal or external)

Concept  Definition  Application

Perceived Susceptibility

One's opinion of chances of getting a condition

Define population(s) at risk, risk levels; personalize risk based on a person's features or behavior; heighten perceived susceptibility if too low.

Perceived Severity

One's opinion of how serious a condition and its consequences are

Specify consequences of the risk and the condition

Perceived Benefits

One's belief in the efficacy of the advised action to reduce risk or seriousness of impact

Define action to take; how, where, when; clarify the positive effects to be expected.

Perceived Barriers

One's opinion of the tangible and psychological costs of the advised action

Identify and reduce barriers through reassurance, incentives, assistance.

Cues to ActionStrategies to activate "readiness"

Provide how-to information, promote awareness, reminders.

Self-EfficacyConfidence in one's ability to take action

Provide training, guidance in performing action.

Health-action link

PsychometricPredictive validity in questionConstruct validity well defined

◦Causal associations between variables and factors are not addressed

Applied areaAlcoholismCompliance with a diabetes regimenBreast self-examinationContraceptive behaviorMedication compliance among psychiatric

outpatients

Related articlesCommunity sreening:

◦Stroke ◦Hepatitis C◦Cancer

Referencehttp://www.utwente.nl/cw/theorieenoverzi

cht/theory%20clusters/health%20communication/health_belief_model.doc/

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