The Health Belief Model is a theoretical model that can be used to guide health promotion and disease prevention programs. It is used to explain and predict individual changes in health behaviors. It is one of the most widely used models for understanding health behaviors.
Key elements of the Health Belief Model focus on individual beliefs about health conditions, which predict individual health-related behaviors. The model defines the key factors that influence health behaviors as an individual's perceived threat to sickness or disease (perceived susceptibility), belief of consequence (perceived severity), potential positive benefits of action (perceived benefits), perceived barriers to action, exposure to factors that prompt action (cues to action), and confidence in ability to succeed (self-efficacy).
Health Belief Model Examples
- The Michigan Model for Health™ is a curriculum designed for implementation in schools. It targets social and emotional health challenges including nutrition, physical activity, alcohol and drug use, safety, and personal health, among other topics. This model adapts components of the Health Belief Model related to knowledge, skills, self-efficacy, and environmental support.
Considerations for Implementation
The Health Belief Model can be used to design short- and long-term interventions. The five key action-related components that determine the ability of the Health Belief Model to identify key decision-making points that influence health behaviors are:
- Gathering information by conducting a health needs assessments and other efforts to determine who is at risk and the population(s) that should be targeted.
- Conveying the consequences of the health issues associated with risk behaviors in a clear and unambiguous fashion to understand perceived severity.
- Communicating to the target population the steps that are involved in taking the recommended action and highlighting the benefits to action.
- Providing assistance in identifying and reducing barriers to action.
- Demonstrating actions through skill development activities and providing support that enhances self-efficacy and the likelihood of successful behavior changes.
These actions represent key elements of the Health Belief Model and can be used to design or adapt health promotion or disease prevention programs. The Health Belief Model is appropriate to be used alone or in combination with other theories or models. To ensure success with this model, it is important to identify "cues to action" that are meaningful and appropriate for the target population.
Resources to Learn More
Health Belief Model: Behavioral Change
Models
Website
Overview of Health Belief Model in health promotion setting and includes examples for each stage and the limitations of using this model in public health.
Organization(s): Boston University School of Public Health
Theory at a Glance: A Guide for Health Promotion Practice
Document
Provides information about useful theories for health behavior change and health education practice.
Organization(s): National Cancer Institute
Date: 2005
Factors Affecting Health Status, Beliefs, and Practices
A. Internal Variables
• Biologic dimension (genetic makeup, gender, age, and developmental level)
• Psychologic dimension (mind-body interactions and self-concept)
• Cognitive dimension (intellectual factors include lifestyle choices and
spiritual and religious beliefs)
• B. External Variables
• Physical environment
• Standards of living
• Family and cultural beliefs
• Social support networks
Factors Affecting Health Care Adherence
• Client motivation
• Degree of lifestyle change necessary
• Perceived severity of problem
• Value placed on reducing the threat of illness
• Difficulty in understanding and performing specific behaviors
• Degree of inconvenience of the illness itself or of the regimens
• Complexity, side effects, and duration of the proposed therapy
• Specific cultural heritage that may make adherence difficult
• Degree of satisfaction and quality and type of relationship with the health
care providers
• Overall cost of prescribed therapy
Illness
• A highly personal state
• Person’s physical, emotional, intellectual, social, developmental, or spiritual
functioning is diminished
• Not synonymous with disease
• May or may not be related to disease
• Only person can say he or she is ill
Disease
• Alteration in body function
• A reduction of capacities or a shortening of the normal life span
Acute Illness