A Meta-Analysis of the Effectiveness of Health Belief Model Variables in Predicting Behavior
A Meta-Analysis of the Effectiveness of Health Belief Model Variables in Predicting Behavior
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DOI：
10.1080/10410236.2010.521906
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发表时间：
2010-01-01
影响因子：
3.9
通讯作者：
Carpenter, Christopher J.
中科院分区：
文献类型：
--
作者：
Carpenter, Christopher J.
健康信念模型（HBM; Rosenstock，1966）的构建是为了解释在传播活动中应该针对哪些信念来引起积极的健康行为。该模型规定，如果个人认为负面的健康结果是严重的，认为自己容易受到影响，认为降低这种结果的可能性的行为的好处很高，并且认为采取这些行为的障碍很低，那么这些行为很可能是这些人。对18项研究（2,702名受试者）进行了荟萃分析，以确定这些信念的测量是否可以纵向预测行为。获益和障碍始终是最强的预测因素。HBM信念和行为测量之间的时间长度，预防与治疗行为，以及药物服用方案与其他行为被确定为HBM变量预测能力的调节因子。基于两个预测因子的弱点，不建议继续使用HBM的直接效应版本。
The Health Belief Model (HBM; Rosenstock, 1966) was constructed to explain which beliefs should be targeted in communication campaigns to cause positive health behaviors. The model specifies that if individuals perceive a negative health outcome to be severe, perceive themselves to be susceptible to it, perceive the benefits to behaviors that reduce the likelihood of that outcome to be high, and perceive the barriers to adopting those behaviors to be low, then the behavior is likely for those individuals. A meta-analysis of 18 studies (2,702 subjects) was conducted to determine whether measures of these beliefs could longitudinally predict behavior. Benefits and barriers were consistently the strongest predictors. The length of time between measurement of the HBM beliefs and behavior, prevention versus treatment behaviors, and drug-taking regimens versus other behaviors were identified as moderators of the HBM variables' predictive power. Based on the weakness of two of the predictors, the continued use of the direct effects version of the HBM is not recommended.