社區職能治療專題
Theoretical Framework for
Community-Based Practice
—Health Belief Model
報告者：鄭筱儒
報告日期：09.27.2012
指導老師：毛慧芬老師
Outline
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Background
Develop
Concept
Health-action link
Psychometrics
Applied area
Related articles
Reference
Background
Developer: Hochbaum, Kegeles, Levenyhal,
and Rosenstock
 Theory base:
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◦ Social psychology
◦ Lewin’s aspiration theory
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Underlying premise:
◦ Phenomenological orientation
 Individual’s perceptions determine behavior
◦ Ahistorical perspective
 Current dynamics affecting an individual’s behavior
Develop
Researcher: Cummings, Becker, and
Maile(1980)
 6 factors:
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1.access to health-care services
2.attitudes toward health care
3.perception of threat of illness
4.caracteristics of the social network
5.knowledge about disease
6.demographic characteristics
Concept
Describes the relationship between a
person’s beliefs about health and his or her
health-specific behavior.
 Beliefs:
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Perceived
Perceived
Perceived
Perceived
susceptibility
severity
benefits
barriers
Cues to action
◦ An instigating event that stimulate the initiation
of behavior(internal or external)
Concept
Definition
Application
Perceived
Susceptibility
One's opinion of chances of
getting a condition
Define population(s) at risk, risk
levels; personalize risk based on
a person's features or behavior;
heighten perceived susceptibility
if too low.
Perceived
Severity
One's opinion of how serious
Specify consequences of the risk
a condition and its
and the condition
consequences are
Perceived
Benefits
One's belief in the efficacy of Define action to take; how,
the advised action to reduce where, when; clarify the positive
risk or seriousness of impact effects to be expected.
Perceived
Barriers
One's opinion of the tangible Identify and reduce barriers
and psychological costs of
through reassurance, incentives,
the advised action
assistance.
Cues to Action
Strategies to activate
"readiness"
Self-Efficacy
Confidence in one's ability to Provide training, guidance in
take action
performing action.
Provide how-to information,
promote awareness, reminders.
Health-action link
Psychometric
Predictive validity in question
 Construct validity well defined
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◦ Causal associations between variables and
factors are not addressed
Applied area
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Alcoholism
Compliance with a diabetes regimen
Breast self-examination
Contraceptive behavior
Medication compliance among psychiatric
outpatients
Related articles
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Community sreening:
◦ Stroke
◦ Hepatitis C
◦ Cancer
Reference
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http://www.utwente.nl/cw/theorieenoverz
icht/theory%20clusters/health%20commu
nication/health_belief_model.doc/
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