The Health Belief Model and Sick Role Behavior

Becker, Marshall H.

doi:10.1177/109019817400200407

Cited by 2,702 publications

(2,315 citation statements)

References 52 publications

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“…These findings support decision-making and behavior change theories that emphasize the importance of expectations of treatment outcomes, external resources, and perceptions of others in health decisions (17)(18)(19)(20)(21)(22). However, there is a need for research investigating the interrelationships among potential explanatory variables, such as outcome expectations, previous experience, and the role of others, among older adults.…”

Section: Introductionsupporting

confidence: 65%

A patient‐centered perspective on surgery avoidance for hip or knee arthritis: Lessons for the future

Ballantyne

Gignac

Hawker

2007

Arthritis & Rheumatism

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Objective. Research indicates that there is a discrepancy between need and patient preference for total joint arthroplasty (TJA), an efficacious and cost-effective treatment for severe hip or knee arthritis. To understand this discrepancy, we conducted qualitative research to assess the illness perceptions and preferred accommodations and coping strategies of patients with advanced osteoarthritis who had expressed a preference to avoid TJA. Methods. In-depth interviews were conducted with a community sample of 29 men and women who were medically assessed as appropriate candidates for TJA but who had expressed a preference to avoid surgery. Inductive content analysis of text data was used to examine how patients' illness perceptions and preferred coping strategies related to surgery preference. Results. Participants frequently rejected the medicalization of arthritis, normalizing the experience of functional decline and defining it as age normative. Participants drew on a broad set of previous experiences with informal and formal care to make decisions about how to manage their condition. Previous negative encounters in medical and surgical care, including those from a distant past or those experienced vicariously, combined with the perception (reinforced by physicians and others) that doing nothing was a viable option deterred arthritis-related help seeking in the health care system. Conclusion. Individuals with arthritis may benefit from additional counseling regarding effective medical and surgical treatments. Physicians may better meet patient needs by gauging patient preferences for a combination of self-management strategies and medical interventions.

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Section: Introductionsupporting

confidence: 65%

A patient‐centered perspective on surgery avoidance for hip or knee arthritis: Lessons for the future

Ballantyne

Gignac

Hawker

2007

Arthritis & Rheumatism

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“…16 The HBM is a primarily cognitive model based on the domains of perceived risk, perceived benefits, perceived barriers, cues to action, and self-efficacy. 17 Given that both emotional and environmental factors can influence behavior, we expanded the model to incorporate the complex interactions among cognition, emotion, environment, and behavior. Emotional factors include desires, aspirations, fears, and worries that may directly motivate action or serve as a powerful lens through which advantages and disadvantages of alternative actions may be considered.…”

Section: Conceptual Frameworkmentioning

confidence: 99%

Barriers Influencing Linkage to Hypertension Care in Kenya: Qualitative Analysis from the LARK Hypertension Study

et al. 2016

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BACKGROUND: Hypertension, the leading global risk factor for mortality, is characterized by low treatment and control rates in low-and middle-income countries. Poor linkage to hypertension care contributes to poor outcomes for patients. However, specific factors influencing linkage to hypertension care are not well known. OBJECTIVE: To evaluate factors influencing linkage to hypertension care in rural western Kenya. DESIGN: Qualitative research study using a modified Health Belief Model that incorporates the impact of emotional and environmental factors on behavior. PARTICIPANTS: Mabaraza (traditional community assembly) participants (n=242) responded to an open invitation to residents in their respective communities. Focus groups, formed by purposive sampling, consisted of hypertensive individuals, at-large community members, and community health workers (n=169). APPROACH: We performed content analysis of the transcripts with NVivo 10 software, using both deductive and inductive codes. We used a two-round Delphi method to rank the barriers identified in the content analysis. We selected factors using triangulation of frequency of codes and themes from the transcripts, in addition to the results of the Delphi exercise. Sociodemographic characteristics of participants were summarized using descriptive statistics. KEY RESULTS: We identified 27 barriers to linkage to hypertension care, grouped into individual (cognitive and emotional) and environmental factors. Cognitive factors included the asymptomatic nature of hypertension and limited information. Emotional factors included fear of being a burden to the family and fear of being screened for stigmatized diseases such as HIV. Environmental factors were divided into physical (e.g. distance), socioeconomic (e.g. poverty), and health system factors (e.g. popularity of alternative therapies). The Delphi results were generally consistent with the findings from the content analysis. CONCLUSIONS: Individual and environmental factors are barriers to linkage to hypertension care in rural western Kenya. Our analysis provides new insights and methodological approaches that may be relevant to other lowresource settings worldwide. INTRODUCTIONCardiovascular disease is the leading cause of mortality worldwide, with 80 % of cardiovascular deaths occurring in lowand middle-income countries (LMICs). 1 Hypertension, a major risk factor for cardiovascular disease, 2 is the leading global risk for mortality. 3 Over the next decade, the global cost of suboptimal blood pressure may approach $1 trillion. 4 Unless it is adequately controlled, hypertension will continue to be responsible for significant morbidity and mortality worldwide. 5 In many LMICs, however, the rates of hypertension treatment and control are low. 6 In Kenya, hypertension treatment and control rates have been reported at 9 % and 3 %, respectively. 7 Poor linkage to hypertension care, manifested as delays in seeking care after screening and referral, has been shown to be associated with increased mortality among pre...

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“…In a large number of cases the design of the intervention has been structured in accordance with explanatory models of health behaviour that are predominantly individualistic and psychological (see, King, Stokols, Talen et al, 2002), such as the health belief model (e.g. Becker, 1974), the theory of planned behaviour (e.g. Ajzen, 1991), and social learning theory (Bandura, 1991).…”

Section: Getting Folks Activementioning

confidence: 99%

Exploring lay views on physical activity and their implications for public health policy. A case study from East Belfast

Prior¹,

Scott²,

Hunter³

et al. 2014

Social Science & Medicine

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It is now recognised that inactive lifestyles underpin much of the disease burden evident in the richer nations of the world. Indeed, the WHO has identified physical inactivity as a 'global public health problem' and has established minimum physical activity (PA) targets for people at different stages of the life-course. Yet, according to WHO, just under 1/3 of working age adults across the globe meet those targets and it is not at all clear how the disjunction between the recommendations of policy makers and the behaviour of ordinary people might be surmounted. Using an opportunity to examine the impact of an urban regeneration project on community residents in East Belfast (Northern Ireland) this paper examines the views of some 113 people on how to increase rates of PA in an area of multiple deprivation. The results of the analysis suggest that lay people rarely consider PA as a discrete issue, or one that centres on individuals and their motivation, but rather as one component in a complex web of concerns, processes and events that include such things as the actions of neighbours and relatives, material and political environments, vandalism, violence, and the weather. We explore and unravel the nature of those concerns using novel methods of content analysis that generate 'issue webs'. Particular attention is paid to the ways in which lay people conceptualize 'activity' and to the manner in which they point to ways of encouraging activity that are rooted in everyday life rather than in the corpocentric, agent-centred, and sport dominated strategies favoured by local policy makers. Our results support those who argue that interventions to increase rates of PA need to move beyond behavioural approaches that focus on individuals and consider the social, political and material contexts in which 'activity' occurs. Research Highlights. Challenges the dominance of behavioural approaches to public health interventions. Supports a social ecology perspective on policy relating to physical activity. Introduces the notion of 'issue webs' as a focus for qualitative research. Explores the complexity of public health problems in a conflict zone.

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The Health Belief Model and Sick Role Behavior

Cited by 2,702 publications

References 52 publications

A patient‐centered perspective on surgery avoidance for hip or knee arthritis: Lessons for the future

A patient‐centered perspective on surgery avoidance for hip or knee arthritis: Lessons for the future

Barriers Influencing Linkage to Hypertension Care in Kenya: Qualitative Analysis from the LARK Hypertension Study

Exploring lay views on physical activity and their implications for public health policy. A case study from East Belfast

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