4.5 -

Health Belief Model
and Adults


The  School of Health Sciences, Ngee Ann Polytechnic, Singapore

Part 1

The Components of the Health Belief Model applied to adults

Applying the Health Belief Model to Smoking

Modifying Variables - What influence us?

(Ukrich, n.d.)

Individual characteristics, including demographic, psychosocial, and structural variables, can affect perceptions (i.e., perceived seriousness, susceptibility, benefits, and barriers) of health-related behaviors. Demographic variables include age, sex, race, ethnicity, and education, among others. Psychosocial variables include personality, social class, and peer and reference group pressure, among others. Structural variables include knowledge about a given disease and prior contact with the disease, among other factors. The health belief model suggests that modifying variables affect health-related behaviors indirectly by affecting perceived seriousness, susceptibility, benefits, and barriers.

Self-Efficacy - What we feel we can do?


Self efficacy is defined as the conviction that one can successfully execute the behaviour required to produce the outcomes. For behaviour change to succeed, people must feel threatened by their current behavioural pattern ( perceived susceptibility and severity ) and believe that change of a specific kind will result in a valued outcome at an acceptable cost ( perceived benefit ). Then, they also must feel themselves competent (self – efficacious) to overcome perceived barriers to take actions. 

Cues to Action - What are the triggers to make us act?


Various early information of the Health Belief Model included the concept of cues that can trigger actions. Readiness to action could only be potentiated by other factors particularly by cues to instigate action such as bodily events or by environmental events such as media publicity. For example, women would be more likely to engage in preventive behaviour like going for a pap smear if they are reminded by their family members or heath care providers.  

The integral role of nurses in educating patients regarding preventive healthcare, especially the importance of routine cancer screening was stressed in many studies. Nurses are in a position to influence positive health behaviour, so they should inform patients about the purpose and benefits of regular screening, while assessing the patient's personal risk factors for diseases, and their beliefs and perceptions regarding cancer screening

Perceived Severity - How serious do we think our illness is?


The perceived severity of a disease refers to the severity of a health problem as assessed by the individual. This variable refers to feeling about the seriousness of contracting an illness or of leaving it untreated include evaluations of medical/ clinical consequences like death, disability and pain or social consequences such as effects of the conditions on work, family life and social relations. For example, if women think that cervical cancer is a serious and severe disease and believe that getting cervical cancer would have serious medical, social and economical consequences for them, then they would be more likely to go for a cervical cancer screening test (e.g. pap smear). Having personal knowledge regarding the importance of the pap smear has been evidenced as an important factor to take action to prevent the adverse outcome of cervical cancer. The probability that a person will change his/her health behaviours to avoid a consequence depends on how serious he or she considers the consequence to be. 

Perceived Susceptibility - How much do we think we are at risk?


The perceived susceptibility refers to beliefs about the likelihood of getting a disease or condition. Perceived risk of contracting a disease is influenced by an individuals’ subjective perception of their susceptibility to the disease. For example, women who believe there is a high possibility of getting cervical cancer are most likely to be interested in taking the pap smear test. The health belief model predicts that women will be more likely to adhere the cervical cancer screening recommendation if they feel that they are susceptible to cervical cancer. 

Perceived Benefits - How much do we think we will be helped by health advice?


Even if a person perceives personal susceptibility to a serious health condition, whether this perception leads to behaviour change will be influenced by the person 's belief regarding the perceived benefits of the various available actions for reducing the threat of disease. For example, women who believe that a course of preventive behaviours available would be beneficial in reducing the risk of getting cervical cancer. Therefore, individuals exhibiting optimal beliefs in susceptibility and severity are not expected to accept any recommended health action, unless they also perceive the action as potentially beneficial in reducing the treat. 

Perceived Barriers - How much would the actions needed negatively affect me?


Perceived barriers to action refers to the negative aspects of health-oriented actions or which serve as barriers to action and/or that arouse conflicting incentives to avoid action. Perceived barrier refers to the potential negative aspects of particular health action may act as impediments to undertaking recommended behaviours. A kind of subconscious, cost effective analysis occurs wherein individuals weight the expected benefits of behavioural change with perceived barriers such as "could it really help me, but it may be expensive, have negative side effects, and be unpleasant, inconvenient or time consuming". Thus combined with levels of susceptibility and severity provide the motivation to change behaviour and the perception of benefits (minus barrier) provides a preferred course of action.

Next Section

We have come to the end of this week's lesson. We will revisit the main thinking learning points  of this week's learning journey in the next section. 

References

Urich, A. (n.d.). The Health Belief Model. Retrieved February 18, 2020, from https://psu.pb.unizin.org/kines082/chapter/the-health-belief-model/