The Health Belief Model: A Decade Later

  title={The Health Belief Model: A Decade Later},
  author={Nancy Janz and Marshall H. Becker},
  journal={Health Education \& Behavior},
  pages={1 - 47}
Since the last comprehensive review in 1974, the Health Belief Model (HBM) has continued to be the focus of considerable theoretical and research attention. This article presents a critical review of 29 HBM-related investigations published during the period 1974-1984, tabulates the findings from 17 studies conducted prior to 1974, and provides a summary of the total 46 HBM studies (18 prospective, 28 retrospective). Twenty-four studies examined preventive-health be haviors (PHB), 19 explored… Expand
The validity of health belief model variables in predicting behavioral change
The results of this scoping review imply the need for a systematic review and meta-analysis of the results of recent studies and more longitudinal studies are needed to ensure the validity of HBM variables by considering any possible moderators. Expand
The Health Belief Model and Predictions of Health Actions
An important role of applied social science in health has been the promulgation of theory designed to account for health behaviors of individuals and groups. Efforts to model various health-relatedExpand
Evaluating the effectiveness of health belief model interventions in improving adherence: a systematic review
A systematic review of interventional studies which use the Health Belief Model as the theoretical basis for intervention design found only six studies used the HBM in its entirety and five different studies measured health beliefs as outcomes. Expand
Towards an Effective Health Interventions Design: An Extension of the Health Belief Model
This paper extended the Health Belief Model by introducing four new variables: Self-identity, Perceived Importance, Consideration of Future Consequences, and Concern for Appearance as possible determinants of healthy behavior, showing the suitability of the extended HBM for use in predicting healthy behavior and in informing health intervention design. Expand
A Meta-Analysis of the Effectiveness of Health Belief Model Variables in Predicting Behavior
A meta-analysis of 18 studies was conducted to determine whether measures of these beliefs could longitudinally predict behavior, and benefits and barriers were consistently the strongest predictors. Expand
Construct Validity Of Test Instruments For Health Belief Model (HBM) In Cervical Cancer Screening Behavior
Health Belief Model (HBM) has been one of the most widely used conceptual frameworks in health behavior research since the early 1950s (Glanz, Rimer & Viswanath, 2008). This concept explains aboutExpand
Health beliefs, optimism, and health‐related decisions: A study with Hong Kong Chinese
T he Health Belief Model (HBM; Rosenstock, 1966) is the most widely used psychological theory of health-related behaviours but its applicability to non-Western, especially Asian, populations has notExpand
Determinants of Condom-Use Behavior from Studies Using the Health Belief Model (A Literature Review)
This is a review of publications addressing aspects of the Health Belief Model (HBM) in predicting condom-use behavior. Five articles were identified as the most relevant and are included in theExpand
Testicular self-examination: a test of the health belief model and the theory of planned behaviour.
Self-efficacy was the most important predictor of TSE behavioural intention across both models, and these findings contribute to the growing literature on the testing of multiple models in the health psychology domain. Expand
Utility of the health belief model in examining medication compliance among psychiatric outpatients.
The study supported the concepts that psychiatric outpatients hold identifiable patterns of health beliefs and attitudes and that the health belief framework functions best when utilized as an integrated model to examine compliance. Expand


The structure and reliability of health belief indices.
This study demonstrates that moderately reliable indices covering a wide spectrum of distinct health beliefs can be constructed and then replicated across independent samples and reveals that condition-specific measures of perception of susceptibility and severity and situation- specific measures of perceived barriers are empirically distinct from general measures of these beliefs. Expand
Scales for Measuring Health Belief Model Dimensions: A Test of Predictive Value, Internal Consistency, and Relationships among Beliefs*
Data are presented from a prospective study of mothers' adherence to a diet regimen prescribed for their obese children, finding the Model components to be correlated with the study's measure of dietary compliance. Expand
The Health Belief Model and prediction of dietary compliance: a field experiment.
In the context of a prospective experimental design, a psychosocial approach to understanding individual health-related actions (the Health Belief Model) was evaluated in terms of its ability toExpand
The impact of patients perceptions of high blood pressure on attendance at screening, An extension of the Health Belief Model.
  • J. B. King
  • Psychology, Medicine
  • Social science & medicine
  • 1982
The combination of health beliefs and causal attributions that predispose patients to attend a screening for raised blood pressure and a synthesis of two approaches relevant to health-related behaviour-the Health Belief Model and Attribution Theory were tested. Expand
Structural and Social Psychological Factors in the Decision to Seek Medical Care for Symptoms
Despite the amount of variance explained in this analysis, the allocation of the explained variance among the predictor variables raises some disturbing questions regarding the ability to understand the decision to use health services. Expand
Historical Origins of the Health Belief Model
I t is always difficult to trace the historical development of a theory that has been the subject of considerable direct study and has directly or indirectly spawned a good deal of additionalExpand
The Relationship of Health Beliefs, Health Locus of Control, and Self Concept to the Practice of Breast Self‐Examination in Adult Women
Analysis revealed that being a practicer of BSE was correlated with higher levels of health beliefs and higher self-concept levels, and Practicers tended to be less inclined to have a health locus of control that depended upon a powerful other. Expand
The health belief model and utilization of ambulatory care services.
  • F. Leavitt
  • Medicine
  • Social science & medicine. Medical psychology & medical sociology
  • 1979
The Health Belief Model and Sick Role Behavior*
Most research directed a t understanding ”activity undertaken by those who consider themselves ill, for the purpose of getting well” has yielded an unsystematic multiplicity of findings which areExpand
The Health Belief Model and Illness Behavior
What do people do until the doctor comes? A major insight into health-related behavior was provided by the recognition that many events occur between states of wellness and sickness; those eventsExpand