We present the precaution adoption process model-a stage theory consisting of seven distinct states between ignorance and completed preventive action. The stages are "unaware of the issue," "aware of the issue but not personally engaged," "engaged and deciding what to do," "planning to act but not yet having acted," "having decided not to act," "acting," and "maintenance." The theory asserts that these stages represent qualitatively different patterns of behavior, beliefs, and experience and that the factors that produce transitions between stages vary depending on the specific transition being considered. Data from seven studies of home radon testing are examined to test some of the claims made by this model. Stage theories of protective behavior are contrasted with theories that see precaution adoption in terms of movement along a single continuum of action likelihood.

Hypotheses generated by the precaution adoption process model, a stage model of health behavior, were tested in the context of home radon testing. The specific idea tested was that the barriers impeding progress toward protective action change from stage to stage. An intervention describing a high risk of radon problems in study area homes was designed to encourage homeowners in the model's undecided stage to decide to test, and a low-effort, how-to-test intervention was designed to encourage homeowners in the decided-to-act stage to order test kits. Interventions were delivered in a factorial design that created conditions matched or mismatched to the recipient's stage (N = 1,897). Both movement to a stage closer to testing and purchase of radon test kits were assessed. As predicted, the risk treatment was relatively more effective in getting undecided people to decide to test than in getting decided-to-act people to order a test. Also supporting predictions, the low-effort intervention proved relatively more effective in getting decided-to-act people to order tests than in getting undecided people to decide to test.

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This field experiment explored the use of informational brochures to encourage home radon testing. Homeowners (N= 271) received a radon brochure, a questionnaire, and a form for ordering a $20 radon test kit. The brochures differed in their presentations of the magnitude of the threat (varying risk likelihood and severity) and the difficulty of reducing radon levels. Some also included a detailed list of home radon risk factors. Combinations of these three variables yielded a 2 × 2 × 2 factorial design. Although 19.2% of the sample ordered tests, the percentage was constant across brochures. Data from the questionnaire showed that self‐reported risk likelihood, risk seriousness, and concern were strongly correlated with intentions to test and with actual test orders. Calculations revealed that although the threat manipulation had a highly significant effect on these risk perceptions, the effect was too small to produce different rates of test orders. Confirming previous radon studies, perceived mitigation difficulty proved unrelated to interest in radon testing.