Theoretical Framework and EBP Blog

Health belief theory 

The Health Belief Model (HBM) is a psychological model that attempts to explain and predict health behaviors. This is done by focusing on the attitudes and beliefs of individuals. The HBM was first developed in the 1950s by social psychologists Hochbaum, Rosenstock and Kegels working in the U.S. Public Health Services.

Case # 1- Mrs. M.K. is 56-year-old white female came to the clinic with hypertension. She has a history of non-compliance related to her medications. She has a family history of heart diseases. On this visit, she mentioned her concern regarding getting heart disease as her husband is asking her to change behavior related to non-compliance, her blood pressure is on the higher side and the patient is asking for help.

According to the Health belief model:

  1. Perceived susceptibility- It is one’s opinion of chances of getting a condition. Mrs. M.K. is on stage where she is thinking she can get heart diseases based on her hypertension and family history.
  2. Perceived severity- One’s opinion of how serious a condition and its consequences are, Mrs. M.K. understand the severity of her hypertension and its effects on the body.
  3. Perceived benefits- One’s belief in the efficacy of the advised action to reduce risk or seriousness of impact. Mrs. M.K. understand the benefits of taking blood pressure medicine.
  4. Perceived barriers- One’s opinion of the tangible and psychological costs of the advised action. She has a blue cross medical insurance that can cover the cost of her medicines.
  5. Motivation: Patient is really motivated to change non- compliance behavior.
  6. Modifying factors: She has some positive modifying factors such as family support, patient satisfaction related to her provider guidance. 

    Reference:

    Health Belief Model. (n.d.). Retrieved May 30, 2016, from http://currentnursing.com/nursing_theory/health_belief_model.html

     

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