Validating the revised Health Belief Model for young families: Implications for nurses’ health promotion practice

Abstract

By modifying the Health Belief Model (HBM) nurses can provide health promotion guidance for families through the revised HBM for young families. The constructs 'perceived behavioral control' and 'behavioral intention' from Ajzen's Theory of Planned Behavior were added to the HBM to provide a health orientation. An initial qualitative study informed the second quantitative study through thematic data obtained by interviewing parents about family health. The second comparative study of low and high socioeconomic status families of preschool-aged children living in western Sydney, Australia, measured family health through the Parental Health Behavior Questionnaire (PHBQ). After a small pilot study, the researcher distributed 150 questionnaires to center directors from preschools, kindergartens and long day care, who then handed out questionnaires to interested parents. Data collection occurred in 1998 with consenting parents returning the questionnaires for collection by the researchers. A convenience sample of 103 was obtained with a 69% return rate. Analysis was undertaken through MANCOVA. Justification for validity occurred through logical analysis and hypothesis testing, based on the literature, while reliability was acknowledged by undertaking Cronbach coefficient alphas on small variable clusters. Results support the constructs 'perceived behavioral control' and 'behavioral intention' in the revised model, suggesting that for families of different socioeconomic background, differences emerge in terms of their perceived control over their child's health and the initiation of health behaviors for their child. Recommendations for further research are for refinement of the PHBQ, new research with different families, and further testing of all the model constructs.

Accountants’ Behavioural Intention to Use Forensic Accounting Techniques for Fraud Prevention and Detection in Nigeria

“…Statistical analysis performed in the course of this study confirmed the positive influence of perceived susceptibility on intention to be consistent with previous studies [44,21]. The organisation"s or department"s susceptibility to fraud will increase the intention of using forensic accounting services in fraud prevention.…”

“…Accordingly, the influence of perceived susceptibility to fraud has been confirmed in literature [21,[41][42][43][44][45]. The influence of perceived severity of fraud on behavioural intention has also been confirmed in the literature [44][45][46]. Therefore, the present study also believes that threat perception is a key predictor for the use forensic accounting techniques and two propositions have been proposed.…”

Effectiveness of hands-on education for correct child restraint use by parents

“…Roden (2003) found that parents who were of a higher socioeconomic level believed that they were able to perform child health promoting activities more than those who had lower income. The majority of the participants in this car seat study had high income.…”

Contextualizing motivations and perceived barriers of healthy nutrition and lifestyle behaviours among Malaysian adults with metabolic syndrome

“…Moderator will use an interview protocol written based on responsive interviewing model (15). A protocol which consisted of a list of questions was developed based on Health Belief Model (HBM) domain framework (16) was used to introduce areas for open discussion. Since this study is keen to see how respondent would interact during the focus group, group dynamic and interactions were enhanced by reassuring all respondents that any views expressed in the focus group would remain confidential and that there were no 'right' or 'wrong' answers to the questions and that constructive criticism was a valued part of the process.…”

“…HBM is the earliest theory developed to explain the process of lifestyle adoption and individual's behavioural choice. In the theory, three domains are suggested as the initiator in lifestyle and behaviour choices; motivations, perceived barriers and perceived threat (16). This study adopted HBM as the fundamental framework to understand nutrition and lifestyle behaviour of Malaysian adults with MetS.…”