Prediction and intervention in health-related behavior: A meta-analytic review of protection motivation theory
Prediction and intervention in health-related behavior: A meta-analytic review of protection motivation theory
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DOI：
10.1111/j.1559-1816.2000.tb02308.x
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发表时间：
2000-01-01
影响因子：
2.5
通讯作者：
Orbell, S
中科院分区：
文献类型：
--
作者：
Milne, S;Sheeran, P;Orbell, S
罗杰斯（Rogers）于1975年引入了保护动机理论（PMT），此后被广泛采用作为预测和干预与健康相关行为的框架。但是，PMT仍然是行为的唯一主要认知模型，而不是荟萃分析综述的主题。对PMT的定量综述对于评估其作为预测模型的整体效用很重要，并确定其哪些变量对于解决健康教育干预措施最有用。本文对PMT及其对健康相关行为的应用进行了全面介绍，并对PMT在与健康相关的意图和行为中的应用进行了定量审查。通过荟萃分析和投票计算程序评估了威胁和应对范围内的变量和意图之间的关联以及模型和行为的所有组成部分。发现PMT的威胁和应对范围内部成分在与健康相关意图的预测中很有用。该模型是在预测并发行为的情况下进行有用的，但在预测未来行为方面的效用较小。发现该模型的应对范围成分的预测有效性要比威胁广告分量更大。关于社会认知模型的理论和研究，讨论了主要发现。还讨论了主要发现对健康教育的重要性，并提出了未来的研究方向。
Protection motivation theory (PMT) was introduced by Rogers in 1975 and has since been widely adopted as a framework for the prediction of and intervention in health-related behavior. However, PMT remains the only major cognitive model of behavior not to have been the subject of a meta-analytic review. A quantitative review of PMT is important to assess its overall utility as a predictive model and to establish which of its variables would be most useful to address health-education interventions. The present paper provides a comprehensive introduction to PMT and its application to health-related behavior, together with a quantitative review of the applications of PMT to health-related intentions and behavior. The associations between threat- and coping-appraisal variables and intentions, and all components of the model and behavior were assessed both by meta-analysis and by vote-count procedures. Threat- and coping-appraisal components of PMT were found to be useful in the prediction of health-related intentions. The model was round to be useful in predicting concurrent behavior, but of less utility in predicting future behavior. The coping-appraisal component of the model was found to have greater predictive validity than was the threat-appraisal component. The main findings are discussed in relation to theory and research on social cognition models. The importance of the main findings to health education is also discussed, and future research directions are suggested.