Health Belief Model and Reversal Theory: a comparative analysis

Finfgeld, Deborah L.; Wongvatunyu, Suporn; Conn, Vicki S.; Grando, Victoria; Russell, Cynthia L.

doi:10.1046/j.1365-2648.2003.02712.x

Cited by 36 publications

(36 citation statements)

References 21 publications

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“…Participants reviewed their BP self-monitoring technique with the nurse and, after confirmation that a correct technique was used, reported their BP at the beginning and end of the call. The initial assessment tool was based on 2 behavior modification principles: the Health Belief Model 28 and the Transtheoretical Model. 29 The tool consisted of 23 health information questions including knowledge of hypertension risk factors and consequences, personal BP target as determined by the member's physician, healthy lifestyle behaviors, and antihypertensive medication use.…”

Section: Recruitmentmentioning

confidence: 99%

Disease Management to Promote Blood Pressure Control Among African Americans

Brennan

Spettell

Villagra

et al. 2010

Population Health Management

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African Americans have a higher prevalence of hypertension and poorer cardiovascular and renal outcomes than white Americans. The objective of this study was to determine whether a telephonic nurse disease management (DM) program designed for African Americans is more effective than a home monitoring program alone to increase blood pressure (BP) control among African Americans enrolled in a national health plan.A prospective randomized controlled study (March 2006-December 2007 was conducted, with 12 months of follow-up on each subject. A total of 5932 health plan members were randomly selected from the population of self-identified African Americans, age 23 and older, in health maintenance organization plans, with hypertension; 954 accepted, 638 completed initial assessment, and 485 completed follow-up assessment.The intervention consisted of telephonic nurse DM (intervention group) including educational materials, lifestyle and diet counseling, and home BP monitor vs. home BP monitor alone (control group). Measurements included proportion with BP < 120=80, mean systolic BP, mean diastolic BP, and frequency of BP selfmonitoring.Results revealed that systolic BP was lower in the intervention group (adjusted means 123.6 vs. 126.7 mm Hg, P ¼ 0.03); there was no difference for diastolic BP. The intervention group was 50% more likely to have BP in control (odds ratio [OR] ¼ 1.50, 95% confidence interval [CI] 0.997-2.27, P ¼ 0.052) and 46% more likely to monitor BP at least weekly (OR 1.46, 95% CI 1.07-2.00, P ¼ 0.02) than the control group.A nurse DM program tailored for African Americans was effective at decreasing systolic BP and increasing the frequency of self-monitoring of BP to a greater extent than home monitoring alone. Recruitment and program completion rates could be improved for maximal impact. (Population Health Management 2010;13:65-72)

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Section: Recruitmentmentioning

confidence: 99%

Disease Management to Promote Blood Pressure Control Among African Americans

Brennan

Spettell

Villagra

et al. 2010

Population Health Management

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“…There are other theories that emphasize the importance of cognitive processes such as the health belief model and Andersen's health behavior model (Andersen 1968; Andersen 1995; Finfgeld, Wongvatunya et al 2003). The health belief model (Finfgeld, Wongvatunya et al 2003) highlights the importance of cognitive decision making processes and although this model also underscores the importance of beliefs and emotions as well as environmental factors it does not highlight socio-cultural factors to the same extent as the lay illness framework.…”

Section: Conceptual Frameworkmentioning

confidence: 99%

Cancer Perceptions of South African Mothers and Daughters: Implications for Health Promotion Programs

Mosavel

Simon

Ahmed

2010

Health Care for Women International

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Cancer is one of the leading causes of death worldwide. A major reason why women do not obtain cancer screening procedures relates to the high levels of fear associated with cancer. In this study, we explored South African mothers’ and daughters’ reaction to the word “cancer” specifically. The study sample included 157 randomly selected mother and adolescent daughter pairs from an urban community in Cape Town, South Africa. Mothers and their adolescent daughters had very similar responses to the term “cancer.” We found that most South African mothers and daughters had a fear-based attitude towards the illness. When we asked mothers what they immediately thought of upon hearing “cancer”, a majority of women (69%) thought of death and another 43% thought of suffering and the detrimental consequences of the illness. Similarly, 50% of the daughters also thought of death and 42% thought of the detrimental aspects of cancer. Fatalistic attitudes and negative emotional reactions have important implications in cancer prevention and need to be addressed within a public health context.

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“…Individuals attempting to adopt a new health behavior may progress though six stages: Precontemplation, Preparation, Contemplation, Action, Maintenance, and Termination [Prochaska et al, 1993]. Effective health promotion programs cause individuals to move from less active stages towards the permanent adoption of a healthy behavior [Finfgeld et al, 2003]. The TTM has not been used to evaluate pesticide risk behaviors [Goldman et al, 2004].…”

Section: Introductionmentioning

confidence: 99%