Testing the Health Belief Model: LISREL Analysis of Alternative Models of Causal Relationships Between Health Beliefs and Preventive Dental Behavior

Chen, Meei-Shia; Land, Kenneth C.

doi:10.2307/2786856

Cited by 65 publications

(42 citation statements)

References 52 publications

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“…A variety of models designed to explain HPBs has included some indicator of health motivation. For example, the Health Belief Model (HBM) proposes that perceived susceptibility to some condition, the perceived severity of the condition, and the perceived benefits and barriers of taking action to prevent the condition combine to explain the likelihood of engaging in health behavior (Rosenstock, 1974;Chen and Land, 1986;Chen and Land, 1990). With some inconsistency of results, the HBM has been found to be a useful explanatory device in predicting adherence to a variety of positive health behaviors.…”

Section: Hypothesesmentioning

confidence: 99%

The development of health protective behaviors among college students

1996

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This study uses structural equation modeling and a panel design to explain participation in health protective behavior (HPB) among college students. The direct, indirect, and total effects of gender, social influences (parental and peer behavior), social attachments (activity involvement, social support, and romantic involvement), social triggers (personal health, acute illnesses, and personal or family health crisis), health value, and effort to improve health behavior on HPB are examined. A path model with a high goodness of fit and an R2 of .418 shows that gender; health value, and effort to change health behaviors are the most powerful predictors of HPB participation, while parents and peers influence HPB indirectly through influence on health value and effort to change. Neither the social attachment nor social trigger items influenced HPB in this sample. Implications of these findings are discussed.

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Section: Hypothesesmentioning

confidence: 99%

The development of health protective behaviors among college students

1996

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“…'Cause of condition', which has been linked to locus of control (Chen & Land, 1986), was included as part of the subcomponent of 'feeling of control over the problem'.…”

Section: Measuring Instrumentsmentioning

confidence: 99%

Health Belief Model Interpretation of Compliance Factors in a Weight Loss and Cardiac Rehabilitation Programme

Frewen

Schomer

Dunne

1994

South African Journal of Psychology

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The aim of the research was to establish the common and/or different factors associated with compliance or noncompliance in either a weight loss or a cardiac rehabilitation programme. A questionnaire was designed from a revised formulation of the original Health Belief Model and a pilot study was run on 22 weight loss and 13 cardiac subjects. The modified questionnaire was then completed by 37 compliers and 19 noncompliers with a weight loss programme and 11 compliers and 19 noncompliers with a cardiac rehabilitation programme. Compliance was associated with exercise enjoyment, self-motivation, and the need to stay on the programme. The major reasons for noncompliance were the complexity of the required behaviour changes, inconvenience, time constraints, and the ability to cope independently of the programmes. Particularly regarding the weight loss programme, noncompliance arising from the required simultaneous changes to eating and exercise patterns could be reduced by teaching alternative coping skills and realistic goal setting. Cardiac patients are faced with the life-threatening nature of their disease, but there is a lack of overt disease symptoms among weight loss subjects. This results in a need to inform obese subjects, preferably using a multi-disciplinary approach, about the health risks resulting from noncompliance.Die doel van die navorsing was om gemeenskaplike of onderskeidingsfaktore te bepaal wat die nakoming of nie-nakoming van 'n gewigverminderings-of 'n hart rehabilitasieprogram beinvloed. 'n Vraelys is ontwerp wat gegrond was op 'n hersiene formulering van die oorspronklike sogenaamde 'Health Belief Model'. 'n Loodsstudie is aanvanklik op 22 deelnemers aan 'n gewigvermindering-en 13 van 'n hart rehabilitasieprogram gedoen. Hierna is 'n aangepaste vraelys ingevul deur 37 proefpersone wat 'n gewigverminderingsprogram voltooi het en 19 wat uitgesak het. Eweneens is aangepaste vraelyste ook ingevul deur 11 proefpersone wat met 'n hart rehabilitasieprogram volgehou het en 19 wat uitgesak het. Bevindinge was soos volgs. Volharding is gekoppel aan selfmotivering, die genot van oefening, en die behoefte om by 'n program te hou. Die vernaamste redes waarom deelnemers in beide groepe nie volhard het nie, was weens die kompleksiteit van die gedragsverandering wat vereis is, die ongerief, tydbeperkings, en die vermes om die program onafhanklik te volg. By die gewigverminderingsprogram was dit veral die tweeledige vereiste van meer oefening en 'n verandering in eetgewoontes wat sukses beperk het. Volharding kan verhoog word deur realistiese doelwitstelling en alternatiewe hanteringmetodes aan te leer. Waar hartpasisnte 'n onbetwiste lewensgevaarlike kwaal in die gesig staar, is daar 'n gebrek aan soortgelyke duidelike simptome by diegene met gewigprobleme. Met laasgenoemde moet 'n rnultidissiplinere benadering gevolg word, ten einde hulle oor die gesondheidrisikos wat nie-volharding inhou, in te lig.

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“…3 Adolescents' compliance with medical and dental regimens may be related to factors such as self-esteem and health locus of control. 17,20 According to the Health Belief Model, adolescent compliance with health care advice is more likely among those who feel susceptible to a health problem that they perceive as serious, and also among those who feel that their adherence to medical or dental recommendations is likely to have beneficial effects. 17,20,21 Several interventional studies in large pediatric practices, generally among lower SES populations, have demonstrated the effectiveness of both telephone and mailed reminders in reducing the number of broken appointments.…”

Section: Commentmentioning

confidence: 99%

“…17,20 According to the Health Belief Model, adolescent compliance with health care advice is more likely among those who feel susceptible to a health problem that they perceive as serious, and also among those who feel that their adherence to medical or dental recommendations is likely to have beneficial effects. 17,20,21 Several interventional studies in large pediatric practices, generally among lower SES populations, have demonstrated the effectiveness of both telephone and mailed reminders in reducing the number of broken appointments. 9 -12 In a large study of children with patient demographics and practice techniques similar to those in many private practices, Quattlebaum and colleagues 13 achieved an ϳ48% improvement in both well-child and sick visits by means of computer-generated postcard reminders.…”

Section: Commentmentioning

confidence: 99%

Telephone Call Reminders and Attendance in an Adolescent Clinic

O'Brien

Lazebnik

1998

Pediatrics

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ABSTRACT. Objective. To determine the effect of a single telephone call reminder on appointment compliance among adolescents in an inner city, hospital-based clinic.Methods. A randomized clinical trial was conducted at the Adolescent Clinic, a part of the Ambulatory Pediatric Practice Clinic in Cleveland, Ohio, from December 1995 to November 1996. A total of 703 routine adolescent ambulatory appointments were randomized to receive either a single telephone call reminder 1 day before the appointment or to receive no reminder. A single telephone call attempt was directed primarily to the parent or guardian of the patient in the assignment group. If not available, the reminder message was left with the patient or other family member, or on the answering machine. The study variables selected included age, gender, appointment time, distance from clinic, and payment source, and for the intervention group, the recipient of the reminder telephone call. The outcome measure was the attendance rate.Results. The intervention group (n ‫؍‬ 347) and control group (n ‫؍‬ 356) were well balanced for all study variables. The overall attendance rate was 49.8%. Only 204 (58.8%) of the 347 attempted intervention appointments were contacted successfully by telephone. In the attempted intervention analysis, the attendance rate of 55.6% in the intervention group (n ‫؍‬ 347), regardless of whether subjects were successfully contacted by telephone, was 26.1% greater than the 44.1% attendance rate in the control group. In the completed intervention analysis, the attendance rate of 65.2% in the successfully contacted individuals within the intervention group (n ‫؍‬ 204) was increased by 47.8% over that in the control group. In the univariate analysis, attendance for selfpaying patients (25.4%) was worse than that for any group. In the logistic regression analysis, both the reminder telephone call intervention and the payment source were independent predictors of attendance. In the group that was called successfully (n ‫؍‬ 204), there was no association between attendance and the recipient of the telephone call.Conclusions. Telephone reminders are a very effective method of increasing attendance in a hospital-based adolescent clinic. The reminder is a consistently effective intervention whether the message is delivered to the patient, to the parent or other family member, or to a telephone answering machine. Adolescent patients whose visits are not covered by Medicaid or commercial insurance are least likely to attend their clinic appointments, and a telephone call reminder has no effect on this pattern. Pediatrics 1998;101(6). URL: http://www. pediatrics.org/cgi/content/full/101/6/e6; adolescents, appointment compliance, telephone reminder.ABBREVIATIONS. CI, confidence interval; OR, odds ratio; RR, rate ratio; SES, socioeconomic status.A major limitation in health care delivery to adolescents is their poor attendance at ambulatory clinics. The failed appointment rate in this age group can be as high as 60%.1-6 A recent large national surve...

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Testing the Health Belief Model: LISREL Analysis of Alternative Models of Causal Relationships Between Health Beliefs and Preventive Dental Behavior

Cited by 65 publications

References 52 publications

The development of health protective behaviors among college students

The development of health protective behaviors among college students

Health Belief Model Interpretation of Compliance Factors in a Weight Loss and Cardiac Rehabilitation Programme

Telephone Call Reminders and Attendance in an Adolescent Clinic

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