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Essay On Health Behavior Theories

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2001 words
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Health Behavior Theories
Victoria Volz
Kaplan University
DNP 715

Health Behavior Theories
Introduction
”Theories tell how and why things work; how and why one variable is related to another. Research findings that are theory based can be place in a framework that advances science further than findings that are unconnected to formal theory.” (O'Connell, 2009, p. 33).
In order to be effective as a health care educator, a basic knowledge and understanding of health behavior theories is crucial to working with patients, students and colleagues alike. Theories help the advanced practice registered nurse (APRN) to assess the basic educational needs of the client and develop interventions to address those needs. The behavioral and social sciences have contributed much to the development of health behavior theories. (O'Connell, p. 33). Several models will be discussed here.
The Health Belief Model
The Health Belief Model (HBM) comes from the psychological and behavioral theorists. The premise is that there are two parts involved in health related behavior. “People are more inclined to engage in a health behavior when they think doing so can reduce a threat that is likely and would have severe consequences if it occurred.” (Brewer & Rimer, 2008, p. 152). The patient believes that a specific health action will prevent or cure the illness. How the individual responds depends on the perceived benefits and barriers of that health behavior.
This model has six constructs. These are:
(1) Perceived susceptibility, or the belief that one is at risk of acquiring the disease.
(2) Perceived severity, or the seriousness and consequences of having the disease.
(3) Perceived benefits, beliefs about the effectiveness of taking action...

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In this essay, the author

  • Explains that the health belief model (hbm) comes from psychological and behavioral theorists. the patient believes that a specific health action will prevent or cure the illness.
  • Explains the perception of susceptibility, or the belief that one is at risk of acquiring the disease.
  • Explains subjective norms-beliefs about whether key people approve or disapprove of the behavior; motivation to behave in a way that gains their approval.
  • Explains that the transtheoretical model (ttm) or stages of change model focuses on the decision-making of the individual as a process and not an event.
  • Explains that pre-contemplation means that the individual has no intention of changing the behavior and is not aware of the health implications.
  • Explains that the person intends to take action soon and they have made some preparation toward this action.
  • Explains that social cognitive theory (sct) explores the reciprocal interactions of people and their environments, and the psychosocial determinants of health behavior.
  • Explains that reciprocal determinism-interaction of the person, behavior and environment utilizes observations as the focal strength that supports the theory.
  • Explains reinforcements-internal and external responses to behavior that influences the likelihood of continuing or discontinuing a behavior. they can be self-initiated or within the environment.
  • Explains expectations-anticipated outcomes of a person’s behavior; may or may not be health related. people anticipate the consequences of their actions before engaging in the behavior.
  • Opines that a basic knowledge and understanding of health behavior theories is crucial to working with patients, students and colleagues alike.
  • Describes perceived benefits, beliefs about the effectiveness of taking action against the illness or altering the severity, and perceived barriers that might prevent one from performing the action.
  • Explains that the health belief model (hbm) can be used to teach clients who are experiencing behaviors that can cause health concerns, such as screening programs for hypertension or smoking cessation.
  • Explains the theory of planned behavior (tpb), an offshoot of the theory of reasoned action (tra), used to explain the relationship between behavior, attitudes and intentions to engage in health behaviors.
  • Explains how a survey could be conducted to determine the beliefs, attitudes, and intentions of young women seeking pap tests.
  • Explains that the model is circular, meaning clients can enter at any point, regress back, and move forward at varying rates. a survey should be conducted to determine the stages of contemplation.
  • Explains that the aprn can utilize social cognitive theory in the educational forum. students need frequent access to the skills, knowledge, and behaviors that they are expected to learn.
  • Cites armitage, c. j., and mhunpiew, n. t. on the transtheoretical model.
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