Different theories of health behavior
There were several different theories of health behavior described in the textbook. Which of these models appeals to you and why? Use specific examples to support your answer.
Sample Solution
Health Belief Model (HBM): This theory suggests that people's health behaviors are influenced by their beliefs about the severity of a health threat, their perceived susceptibility to the threat, the benefits of taking action to avoid the threat, and the barriers to taking action. For example, someone who believes that they are at high risk of developing heart disease and that taking medication can reduce their risk is more likely to take medication than someone who does not believe they are at risk or does not believe that medication will help.Full Answer Section
- Theory of Planned Behavior (TPB): This theory suggests that people's health behaviors are influenced by their intentions, which are in turn influenced by their attitudes, subjective norms, and perceived behavioral control. Attitudes are people's beliefs about the consequences of a behavior, such as whether they believe the behavior is good or bad for them. Subjective norms are people's beliefs about what others think they should do, such as whether their friends and family think they should exercise. Perceived behavioral control is people's beliefs about their ability to control their behavior, such as whether they believe they have the time and resources to exercise. For example, someone who has a positive attitude towards exercise, believes that their friends and family think they should exercise, and believes that they have the time and resources to exercise is more likely to exercise than someone who does not have a positive attitude towards exercise, does not believe that their friends and family think they should exercise, or does not believe that they have the time and resources to exercise.
- Social Cognitive Theory (SCT): This theory suggests that people's health behaviors are influenced by their observational learning, vicarious reinforcement, and self-efficacy. Observational learning is the process of learning by watching others. Vicarious reinforcement is the process of being influenced by the rewards and punishments that others receive for their behavior. Self-efficacy is people's belief in their ability to successfully perform a behavior. For example, someone who sees their friends exercising and getting fit is more likely to exercise themselves. Someone who is rewarded for exercising is more likely to continue exercising. And someone who believes that they can successfully exercise is more likely to start exercising.
- Transtheoretical Model (TTM): This theory suggests that people change their health behaviors in stages, from precontemplation to contemplation to preparation to action to maintenance. Precontemplation is the stage where people are not thinking about changing their behavior. Contemplation is the stage where people are thinking about changing their behavior but have not yet made a commitment to do so. Preparation is the stage where people are committed to changing their behavior and have taken some steps towards doing so. Action is the stage where people are actively changing their behavior. Maintenance is the stage where people have successfully changed their behavior and are working to prevent relapse. For example, someone who is in the precontemplation stage of quitting smoking may not be thinking about quitting at all. Someone who is in the contemplation stage may be thinking about quitting but has not yet made a decision to do so. Someone who is in the preparation stage may have made a decision to quit smoking and may have started to reduce the amount they smoke. Someone who is in the action stage may have quit smoking altogether. And someone who is in the maintenance stage may have been smoke-free for several months or years.
Of these theories, I find the Social Cognitive Theory (SCT) to be the most appealing. I believe that this theory is the most comprehensive and can be used to explain a wide range of health behaviors. The SCT also takes into account the role of the environment in influencing health behaviors, which I think is important.
Here are some specific examples of how the SCT can be used to explain health behaviors:
- A study found that people who had a higher level of self-efficacy were more likely to exercise regularly.
- A study found that people who saw their friends exercising were more likely to exercise themselves.
- A study found that people who were rewarded for exercising were more likely to continue exercising.
I believe that the SCT is a valuable tool for understanding and changing health behaviors. It can be used to develop interventions that are tailored to the individual's needs and that are more likely to be successful.