A METAANALYSIS OF STUDIES OF THE HEALTH BELIEF MODEL WITH ADULTS
A METAANALYSIS OF STUDIES OF THE HEALTH BELIEF MODEL WITH ADULTS
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DOI：
10.1093/her/7.1.107
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发表时间：
1992-03-01
影响因子：
2.4
通讯作者：
GREEN, LW
中科院分区：
文献类型：
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作者：
HARRISON, JA;MULLEN, PD;GREEN, LW
健康信念模型（HBM）将决策的社会心理学理论与个人健康相关行为联系起来。 我们对16项研究进行了HBM四个维度（易感性，严重性，收益和成本）与健康行为之间关系的荟萃分析，这些研究测量了所有四个维度，测量了行为因变量，并包括一些可靠性措施，建立维度有效性的最低标准。 计算所有研究的平均效应量，亚组代表筛选、风险降低和药物治疗方案依从性研究，以及前瞻性和回顾性研究设计。 在24个平均效应量中，22个被发现是积极的，具有统计学意义。 实际差异的解释范围为0.001至0.09。 然而，22个样本中有15个样本的同质性被拒绝，这表明没有测量相同的基础结构。 与前瞻性研究相比，回顾性研究的获益和成本效应量显著较大，严重程度效应量较小。 弱效应量和缺乏同质性表明，在这些研究中对HBM的预测有效性得出结论还为时过早。 我们发现只有16项研究符合HBM维度有效代表性的最低标准，这表明未来的研究应该更多地关注这些问题。
The Health Belief Model (HBM) relates a socio-psychologic theory of decision making to individual health-related behaviors. We conducted a meta-analysis of the relationships between four HBM dimensions (Susceptibility, Severity, Benefits and Costs) and health behavior on 16 studies that measured all four of the dimensions, measured a behavioral dependent variable and included some measures of reliability, minimal criteria for establishing the validity of the dimensions. Mean effect sizes were computed for all the studies, subgroupings representing studies of screening, risk reduction and adherence to medical regimen, and prospective and retrospective study designs. Of 24 mean effect sizes, 22 were found to be positive and statistically significant. The actual variance accounted for ranged from 0.001 to 0.09. Homogeneity was rejected for 15 of the 22, however, suggesting that the same underlying construct was not measured. Retrospective studies were found to have significantly large effect sizes for benefits and costs and smaller effect sizes for severity when compared to prospective studies. The weak effect sizes and lack of homogeneity indicate that it is premature to draw conclusions about the predictive validity of the HBM as operationalized in these studies. Our finding of only 16 studies meeting minimal criteria for valid representation of the HBM dimensions indicates that future studies should focus more on such issues.