D E L

B E LI E F MO
LT H
HEA , RN
A C RUZ
. D EL
REMAS
Health Belief Model (HBM)
  A tool formulated by the social psychologists in
the U.S. Public Health last 1950’s to improve
their health education programs
  HBM was conceptualized after they
noticed that few people
participated in the TB Screening
Program

  Even though the health services

during that time is publicly
financed, they observed that few
people are getting involved in
those services
  HBM was consolidated when Becker et.al
(1977b) published an accord statement from the
Carnegie Grant Subcommittee on Modification of
Patient Behavior for Health Maintenance and
Disease Control
PURPOSE OF THE THEORY

  explain and predict individual

behaviors that affect their health

  focuses on disease prevention,

adherence to medical
recommendations, and usage of
health services – through
assessment of perceptions
(beliefs) thus improving health
outcomes in every population.
6 Constructs of the HBM

3
1
4
2
5   Cues to Action – external events that prompt a
desire to make a change.

Examples: health education campaigns, family

member dying due to a certain illness, and other
social influences
6   Self Efficacy - one of the defining
characteristics of an individual to have
confidence in his own ability to take action thru
the provider’s training guidance and positive
reinforcements.
Impact and Application
  HBM was primarily used
for preventive behaviors
but later applied in
regards with availing
health services and
compliance to medical
advice (Becker et.al,
1977b).
Rosenstock (1974) was the first to implement the
HBM with Hochbaum’s (1958) research study on
significance of TB x-ray screening

Hochbaum discovered that perceived

susceptibility to TB and the belief that a person
can be asymptomatic made a distinction
between those who had and had not undergone
for chest x-rays
  HBM has been applied in various studies
throughout the years

  Smoking, hypertension and anti-hypertensive

regimens, alcohol,vaccinations, breast self
exmainations, contraceptive use, diet &
exercise, dental visit etc
 Age, gender,
Demographics

Get the

Perceived Susceptibility
Ask him Health Listen as The patient

Perceived Severity

Nurse’s Role

Perceived Benefits

Perceived Barriers
weight, patient’s how Education the patient might share
socio- opinion on serious DM regarding shares his as well the
economic
status, the chance might be in Diabetes thoughts on things or
past medical
of him his case Mellitus’ how the habits that
history, acquiring risk factors, advised he needs to
family history, DM complicatio recommend give up
lifestyle ns, and ations
practical might
preventive benefit him
measures

Cues to
Inaction Action
Action
INFLUENCE IN THE NURSING PRACTICE,
EDUCATION AND RESEARCH

  The Effect of an Educational

Intervention Program on the
Adoption of Low Back Pain
Preventive Behaviors in
Nurses: An Application of
the Health Belief Model

  Study conducted in Iran by

Sharfakhani et.al (2015)
  Health Belief Model as
Based Educational
Intervention on Hand
Hygiene Performance
of Intensive Care
Unit’s Nurses
  Conducted by
Elmelegy et.al (2018)
in Egypt
References:
  Abraham, C. & Sheeran, P. (2015). The Health Belief Model. Retrieved from
https://www.researchgate.net/publication/290193215_The_Health_Belief_Model

Boskey, E. (2019). Health Belief Model: Use of a condom may hinge on your perceived risk
of STDs. Retrieved from https://www.verywellmind.com/health-belief-model-3132721

Elmelegy et.al (2018). Application of the Health Belief Model- Based Educational
Intervention on Hand Hygiene Performance of Intensive Care Units' Nurses. Retrieved
from https://pdfs.semanticscholar.org/efa0/14a1760c09d82f01185f4f2789d91452e9f7.pdf

Sharafkhani et.al (2015, June 26). The Effect of an Educational Intervention Program on
the Adoption of Low Back Pain Preventive Behaviors in Nurses: An Application of the
Health Belief Model. Retrieved from
https://journals.sagepub.com/doi/full/10.1055/s-0035-1555658