Test of the health promotion model as a causal model of construction workers' use of hearing protection

Abstract

The health promotion model (HPM) was tested as a causal model of construction workers' use of hearing protection (N = 359). Theoretical and exploratory models fit well, with the theoretical model accounting for 36.3% of variance and the exploratory model accounting for 50.6% of variance in hearing protection use. Value of use (benefits of using hearing protection), barriers to use, and self-efficacy were significant predictors in both the theoretical and exploratory models, but perceived health status was a predictor only in the theoretical model. In the exploratory model, where modifying factors were allowed direct relationships with use of hearing protection, two modifying factors--noise exposure and interpersonal influences-modeling--were significant predictors. Results of this test of the HPM are consistent with the revised HPM (Pender, 1996). There were significant direct paths from modifying factors to behaviour. Use of hearing protection was best predicted by behavior-specific predictors, such as perceived barriers to use of hearing protection. Results support the use of the HPM to predict use of hearing protection.

Development of a hearing aid self-efficacy questionnaire

“…For example, self-efficacy beliefs concerning one's ability to exercise regularly predicted diet, exercise time, and stress management over a 12-month period (Clark & Dodge, 1999) and were associated with better self-reported health and fewer physician visits (Grembowski et al, 1993). Similar results, with higher self-efficacy predicting better health-related self-care, have also been reported for diabetes (Aalto et al, 1997), use of hearing-protective devices (Lusk et al, 1997), and smoking cessation (Strecher et al, 1986). Self-efficacy for hearing-aid care and use, therefore, should be important for hearing-aid success, especially for continued usage in light of the challenges outlined above.…”

Testing and Developing the Health Promotion Model in Low-Income, Korean Elderly Women

“…In one study with 27l Korean elderly women, only one sociocultural factor (monthly income) was found to be a statistically significant variable in accounting for healthpromoting behaviors (Shin & Kim, 2004). Behavior-specific cognitions and affect (perceived barriers, perceived selfefficacy), have been demonstrated in numerous studies to exert either a direct or an indirect effect on health-promoting behaviors through commitment to a plan of action (Lusk, Ronis, & Hogan, 1997;Park, 1998;Pender, 1996). As a measure of environmental influences, social support was employed and found to directly affect health-promoting behaviors (Lusk et al, 1997;Park et al, 1998).…”

Construction Noise: Exposure, Effects, and the Potential for Remediation; A Review and Analysis

“…In their survey of operating engineers, carpenters, and plumbers/pipefitters, Lusk and her colleagues found that overall, 24% of those surveyed never used HPDs when exposed to high levels of noise, and only 5.3% always wore them when exposed. (32) By contrast, the majority of British Columbia construction workers regularly used HPDs, even in 1988, when hearing conservation efforts were formally initiated in construction. According to Harrison, (33) British Columbia has required the use of HPDs since 1967, and a positive safety culture has existed there since the early 1970s, when hard hats and HPDs were fairly widely accepted.…”