Development and validation of an instrument to measure beliefs in physical activity among (pre)frail older adults: An integration of the Health Belief Model and the Theory of Planned Behavior

Author(s):  
Xiaoxia Qiao ◽  
Lili Ji ◽  
Yaru Jin ◽  
Huaxin Si ◽  
Yanhui Bian ◽  
...  
2016 ◽  
Vol 23 (4) ◽  
pp. 221-225 ◽  
Author(s):  
Krzysztof Sas-Nowosielski ◽  
Andrzej Hadzik ◽  
Joanna Górna ◽  
Małgorzata Grabara

Abstract Introduction. The benefits of physical activity (PA) have been so well documented that there is no doubt about the significance of PA for personal and social health. Several theoretical models have been proposed with a view to understanding the phenomenon of PA and other health behaviours. The purpose of this study was to evaluate if and how the variables suggested in the Health Belief Model (HBM) determine physical activity stages of change in older adults. Material and methods. A total of 172 students of Universities of the Third Age aged 54 to 75 (mean = 62.89 ± 4.83) years agreed to participate in the study, filling out an anonymous survey measuring their stage of exercise change and determinants of health behaviours proposed by the HBM, including: perceived benefits of physical activity, perceived barriers to physical activity, perceived severity of diseases associated with sedentary lifestyle, perceived susceptibility to these diseases, and self-efficacy. Results. The results only partially support the hypothesis that the HBM predicts intentions and behaviours related to the physical activity of older adults. Only two variables were moderately-to-strongly related to stages of exercise change, namely perceived barriers and self-efficacy. Conclusion. Interventions aimed at informing older adults about the benefits of physical activity and the threats associated with sedentary lifestyle can be expected to have rather a weak influence on their readiness for physical activity.


Author(s):  
Karim Zahed ◽  
Kianna Arthur ◽  
Solangia Engler ◽  
Farzan Sasangohar ◽  
Rachel Smallman ◽  
...  

With governments having enforced mask mandates and stressing the importance of wearing masks to avoid contracting COVID-19, still many individuals do not properly adhere to recommended guidelines. To investigate factors influencing why individuals engage in wearing masks, 578 participants at a university in the southern United States completed a survey, answering questions related to various behavioral change theories, including the Health Belief Model, the Theory of Planned Behavior, and the Transtheoretical Model. Intention was rated high and was positively correlated with Subjective Norms and Self Efficacy. However perceived benefits of wearing a mask and perceived susceptibility were rated low indicating that benefits and susceptibility did not influence intention. The SEM model showed that benefits actually had a negative relationship with intention, whereas susceptibility had no significant relationship. Integrating constructs from the Health Belief Model and the Theory of Planned Behavior increased variance predicted of Intention to wear a mask to 56%.


1996 ◽  
Vol 4 (4) ◽  
pp. 307-323 ◽  
Author(s):  
Bert Hayslip ◽  
Daniel Weigand ◽  
Robert Weinberg ◽  
Peggy Richardson ◽  
Allen Jackson

The present investigation reports on the reliability and validity of several scales derived from the Health Belief Model (HBM). Both their internal consistency and their ability to predict self-reported sport and physical activity participation among younger and older adults are examined. As an exploratory endeavor, new, internally consistent scales were developed to assess several HBM factors. Results of age-group comparisons as well as comparisons across levels of diversity in several types of self-reported physical activity suggest that the newly developed measures differentiate between individuals on the basis of age and degrees of diversity in activity.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Liora Shmueli

Abstract Background This study aim to explore the intentions, motivators and barriers of the general public to vaccinate against COVID-19, using both the Health Belief Model (HBM) and the Theory of Planned Behavior (TPB) model. Methods An online survey was conducted among Israeli adults aged 18 years and older from May 24 to June 24, 2020. The survey included socio-demographic and health-related questions, questions related to HBM and TPB dimensions, and intention to receive a COVID-19 vaccine. Associations between questionnaire variables and COVID-19 vaccination intention were assessed by univariate and multivariate analyses. Results Eighty percent of 398 eligible respondents stated their willingness to receive COVID-19 vaccine. A unified model including HBM and TPB predictor variables as well as demographic and health-related factors, proved to be a powerful predictor of intention to receive COVID-19 vaccine, explaining 78% of the variance (adjusted R squared = 0.78). Men (OR = 4.35, 95% CI 1.58–11.93), educated respondents (OR = 3.54, 95% CI 1.44–8.67) and respondents who had received the seasonal influenza vaccine in the previous year (OR = 3.31, 95% CI 1.22–9.00) stated higher intention to receive COVID-19 vaccine. Participants were more likely to be willing to get vaccinated if they reported higher levels of perceived benefits of COVID-19 vaccine (OR = 4.49, 95% CI 2.79–7.22), of perceived severity of COVID-19 infection (OR = 2.36, 95% CI 1.58–3.51) and of cues to action (OR = 1.99, 95% CI 1.38–2.87), according to HBM, and if they reported higher levels of subjective norms (OR = 3.04, 95% CI 2.15–4.30) and self-efficacy (OR = 2.05, 95% CI 1.54–2.72) according to TPB. Although half of the respondents reported they had not received influenza vaccine last year, 40% of them intended to receive influenza vaccine in the coming winter and 66% of them intended to receive COVID-19 vaccine. Conclusions Providing data on the public perspective and predicting intention for COVID-19 vaccination using HBM and TPB is important for health policy makers and healthcare providers and can help better guide compliance as the COVID-19 vaccine becomes available to the public.


Author(s):  
Michael B Berg ◽  
Linda Lin

Abstract Background On December 21, 2020, a study was conducted to investigate a range of psychosocial health constructs and demographic variables potentially associated with intentions toward accepting or forgoing the coronavirus (COVID-19) vaccine. Purpose The goal of the study was to identify predictors of forgoing COVID-19 vaccination at the time of the initial rollout. Methods A cross-sectional, representative online survey of 350 U.S. residents was conducted using the online crowdsourcing site Prolific to assess vaccine intentions, health attitudes, and demographic information. Variables examined included demographic factors and health constructs corresponding to each of the elements of the health belief model (perceived severity, susceptibility, benefits, barriers, and cues to action), the theory of planned behavior (attitudes, subjective norms, and perceived behavioral control), attitudes toward vaccines in general, and trust in the COVID-19 vaccine approval process. Results After using hierarchical linear regression to control for demographics, the health constructs uniquely associated with the likelihood to forgo vaccination were perceived barriers, general attitudes toward the COVID-19 vaccine, subjective norms, and trust in the vaccine approval process. Significant demographic predictors of vaccine reluctance included being female, politically conservative, and more religious. Conclusions The current research identified three demographic factors and four health constructs uniquely associated with vaccine acceptance. These findings reveal that the constructs contained within the health belief model and theory of planned behavior can be used to predict COVID-19 vaccination intentions, and can be supplemented with an assessment of general vaccine attitudes and attitudes toward the vaccine approval process.


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