scholarly journals Application of the health belief model to explain public perceptions, travel intentions and actions during COVID-19: a sequential transformative design

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Kerstin Bremser ◽  
Lynda Crowley-Cyr ◽  
Villy Abraham ◽  
Maria J. Moreno-Martin ◽  
Mercedes Carreño

PurposeThis paper uses a supplemented health belief model (HBM) to explain the risk perception of COVID-19 coronavirus infection by potential and actual domestic and international travelers (from primarily European countries) in the early pre-vaccine phase of the pandemic and its influence on their travel intentions, decisions, and actions. With a health crisis of this magnitude, it is vital to understand the effect of COVID-19-associated containment measures and safety industry strategies in abating public fear and apprehension associated with non-essential travel.Design/methodology/approachThe authors used a sequential transformative design consisting of a (QUAN + Qual) survey to explore the HBM dimensions. The questions in the quantitative part of the survey were disseminated online examine perceptions of the severity and susceptibility of the disease, travel risks and willingness to travel. The questions in the qualitative face-to-face survey examined, how international/cross-border travelers (from Spain and Germany) perceive the benefits and barriers of personal protective behavior and the potential influence of cues to action.FindingsResults suggest that despite potential fear arousal and confusion associated with this infectious disease, people were willing to travel during periodic on-and-off travel restrictions and perceive the benefits of such travel as outweighing barriers like wearing masks, social distancing and other containment measures.Research limitations/implicationsThe conceptual model enabled the capture of real-time traveler's feelings about the benefits of traveling in the presence of the coronavirus and their perceptions of COVID-19 safety strategies used at destinations. This study adds to the lack of existing knowledge about potential psychological factors influencing travel decisions and behavior, including self-protective behavior. As borders reopen and we progress towards tourism and hospitality recovery, the results of this study can assist organizations, including health officials and governments, by reminding them of the likelihood of residual public fear when planning their COVID-19 safety strategies.Originality/valueGiven the scarcity of COVID-19 research on people's travel intentions and behavior following periods of social isolation due to lockdowns and border closures, this study captures sample public perceptions at two stages early in the pandemic. It is the first to apply all of the HBM dimensions with the addition of travel risk as a construct to investigate people's travel intentions and behaviors without vaccinations or treatments and to include cues to action in the investigation.

2019 ◽  
Vol 2 (1) ◽  
pp. 72-80
Author(s):  
Sardaniah Sardaniah ◽  
Rosita Erawati ◽  
Ririn Zuhriati Oktavia

Kepatuhan pada jadwal pemberian imunisasi dasar merupakan salah satu faktor untuk mencapai UCI (Universal Child Immunization). Selain itu, apabila ibu tidak mematuhi jadwal pemberian imunisasi dasar, maka akan berpengaruh terhadap kekebalan dan kerentanan bayi dari suatu penyakit. Faktor penentu yang mempengaruhi pemberian imunisasi di masyarakat adalah perilaku masyarakat tersebut. Salah satu teori perilaku dalam pelayanan kesehatan adalah HBM (Health Belief Model). HBM terdiri dari 3 kategori utama yaitu persepsi individu, faktor modifikasi (terdiri dari usia, pendidikan, sosial-budaya-agama, dan cues to action), dan kemungkinan tindakan (terdiri dari manfaat dan hambatan). HBM masuk dalam salah satu faktor konseptual pengambilan keputusan orang tua dalam pemberian imunisasi pada anaknya. Tujuannya adalah Untuk mengetahui Gambaran Kepatuhan Ibu Membawa Anak Imunisasi Diwilayah Kerja UPTD Puskesmas Sidumulyo Kota Bengkulu. Desain Penelitian yang digunakan yaitu deskriptif analitik dengan menggunakan rancangan cross sectional. Subjek dalam penelitian yang dilakukan adalah accidental sampling. Populasinya ibu yang mempunyai bayi usia 1-12 bulan di Wilayah Kerja Puskesmas Sidomulyo yang datang untuk imunisasi pada bulan Mei Tahun 2018. sebanyak 20 ibu. Pengambilan sampel dilakukan dengan total sampling yang memenuhi kriteria inklusi sebanyak 20 ibu dan yang tereksklusi adalah 3, sehingga tersisa sampel 17 ibu. Instrumen penelitian menggunakan kuesioner lembar observasi. Hasil penelitian ini, terdapat sebanyak 3 dari 17 (17.6%) ibu tidak patuh dalam pemberian imunisasi dasar pada bayinya. Faktor yang mempengaruhi kepatuhan ibu dalam pemberian imunisasi dasar pada bayi yaitu kondisi bayi karena 1 bayi sakit dan 2 jarak tempat tinggal dan tempat pelayanan imunisasi jauh (lagi ada acara keluarga) sejalan dengan penelitian yang telah dilakukan oleh Rachmawati (2016), tentang Faktor – faktor yang mempengaruhi Kepatuhan ibu dalam pemberian imunisasi Dasar pada Balita di dukuh Pilangbangau Desa sepat masaran Sragen, antara lain pengaruh oleh usia ibu, Pendidikan dan Keputusan orang tua dan jarak ketempat pelayanan Kesehatan. Dari penelitian ini dapat disimpulkan bahwa kepatuhan ibu membawa bayinya untuk imunisasi dipengaruhi oleh Usia ibu, pendidikan orang tua dan Keputusan orang tua untuk itu perlu kerjasam yang baik antara orang tua dan petugas Imunisasi Pusat kesehatan masyarakat (PKM) Sidomulyo Bengkulu. 


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Kojo Kakra Twum ◽  
Daniel Ofori ◽  
Gloria Kakrabah-Quarshie Agyapong ◽  
Andrews Agya Yalley

Purpose This study examines the factors influencing intention to vaccinate against COVID-19 in a developing country context using the theory of planned behaviour (TPB) and health belief model (HBM). Design/methodology/approach Through a cross-sectional survey design, the study adopted a quantitative approach to data collection and analysis. The study used an online survey to collect data from 478 respondents eligible to take the COVID-19 vaccine in Ghana. Findings Attitude, social norm, perceived behavioural control, perceived susceptibility and cues to action were found to be predictors of COVID-19 vaccination intention. The results also showed that perceived severity, perceived benefits and perceived barriers did not predict COVID-19 vaccination intention. Practical implications To enhance the effectiveness of COVID-19 social marketing campaigns, social marketing theories such as the TPB and HBM can aid in assessing the intention of the target population to take the vaccines. An assessment of vaccination intention will help understand disease threat perception and behavioural evaluation. The consideration of the effect of demography on vaccination intention will aid in developing effective campaigns to satisfy the needs of segments. Originality/value This study adds to the limited research on understanding citizens’ intention to vaccinate against COVID-19 by combining the TPB and HBM to predict vaccination intention. The study contributes towards the use of social marketing practices to enhance the efficacy of vaccination campaigns.


2019 ◽  
Author(s):  
Triana Kesuma Dewi ◽  
Karlijn Massar ◽  
Robert A.C. Ruiter ◽  
Tino Leonardi

Background. Breast cancer has become one of the most prevalent causes of mortality among Indonesian women. Better prognosis of breast cancer will be achieved if it is diagnosed in an earlier stage, thus efforts to detect breast cancer earlier are important. Breast Self-Examination (BSE) is considered as an important first step to encourage women to actively be responsible for their own health, especially for women in developing countries with limited resources and access to other forms of preventive healthcare. The present study aimed to predict BSE behavior among women in Surabaya, Indonesia using the HBM. Methods. This investigation was a cross-sectional survey which was distributed among 1,967 women aged 20-60 years. The Indonesian version of Champion’s Health Belief Model Scale (I-CHBMS) was used to explain self-reported BSE practice. Logistic regression analysis was used to examine the association of HBM variables with BSE practice.Results Almost half of the sample (44.4%) had performed BSE. Further, the results indicated that the HBM variables were significantly associated with BSE practice. Specifically, higher perceived benefits and self-efficacy, lower perceived barriers and less cues to action were unique correlates of BSE behavior. The result also showed that perceived severity and susceptibility were not associated with BSE behavior. Conclusion. This study indicated that several HBM constructs significantly associated with BSE behavior among Indonesian women, suggesting that BSE health education programs should emphasize the perceived benefits of BSE, focus on increasing women’s self-efficacy to address and overcome perceived barriers in performing BSE, and help them in identifying personally relevant cues to action.


Author(s):  
◽  
Eti Poncorini Pamungkasari ◽  
Bhisma Murti ◽  
◽  

ABSTRACT Background: In the field of health-care education, theories and models help us to explain and predict behaviors to conduct effective health-care educational programs for changing behaviors. The Health Belief Model (HBM) contains several primary concepts by which individuals evaluate themselves to take action to change their behaviors, including antenatal care uptake in pregnant women. This study aimed to examine factors affecting the use of antenatal care. Subjects and Method: A cross sectional study was carried out in Semarang, Central Java, from June to August 2020. A sample of 250 pregnant women was selected by simple random sampling. The dependent variable was antenatal care. The independent variables were attitude, knowledge, information, self-efficacy, perceived seriousness, perceived susceptibility, perceived barrier, perceived benefit, cues to action, husband support, and facilities. The data were collected by questionnaire and analyzed by a multiple logistic regression. Results: Complete antenatal care increased with strong support (OR= 38.97; 95% CI= 3.19 to 476.53; p= 0.004), high knowledge (OR= 16.44; 95% CI= 2.54 to 106.60; p= 0.003), positive attitude (OR= 29.88; 95% CI= 2.88 to 309.92; p= 0.004), high information toward antenatal care (OR= 31.42; 95% CI= 4.07 to 242.41; p= 0.001), strong self-efficacy (OR= 7.85; 95% CI= 1.50 40.99; p= 0.015), strong cues to action (OR= 11.97; 95% CI= 2.01 to 71.36; p= 0.006), high perceived seriousness (OR= 32.99; 95% CI= 3.93 to 276.98; p= 0.001), high perceived susceptibility (OR= 24.29; 95% CI= 2.50 to 235.78; p= 0.006), high perceived benefit (OR= 30.43; 95% CI= 2.99 to 308.80; p= 0.004), high perceived barrier (OR= 0.07; 95% CI= 0.01 to 0.57; p= 0.013) and complete facilities (OR= 63.52; 95% CI= 3.62 to 1115.08; p= 0.005). Conclusion: Complete antenatal care increases with strong support, high knowledge, positive attitude, high information toward antenatal care, strong self-efficacy, strong cues to action, high perceived seriousness, high perceived susceptibility, high perceived benefit, high perceived barrier and complete facilities. Keywords: antenatal care, health facility, Health Belief Model Correspondence: Widyawati. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: +6285742919076. DOI: https://doi.org/10.26911/the7thicph.03.117


2021 ◽  
Author(s):  
Saleh Safajou ◽  
Mohsen Rezaeian ◽  
Yaser Salim Abadi ◽  
Mostafa Nasirzadeh

Abstract Background: One of the most important strategies to prevent diabetes as an important health issue in adolescents is education and awareness. The aim of this study was to determine the effect of educational intervention (EI) based on health belief model (HBM) on preventive behaviors of type 2 diabetes.Methods: The educational trial study was conducted in 2019-2020 among 143 high school male students at risk in Khash city (in southwestern Iran), using a random cluster method in two intervention and control groups. Data collection tools were demographic characteristics, knowledge, model constructs and disease prevention behaviors questionnaires. The training program was held in 7 one-hour sessions. Data were collected before, immediately and three months after the intervention and analyzed by SPSS 20 software using Chi-square, Independent t-test and Repeated Measures ANOVA at significant level of 0.05. Results: Immediately after the implementation of the training program in the intervention group, a significant increase was observed in the mean scores of knowledge, model constructs and behavior (P =0.0001). Three months after the EI, there was a significant difference between the mean scores of knowledge, perceived barriers, Cues to action and behavior between the two groups (p <0.05).Conclusion: Considering the effect of EI based on HBM on the promotion of diabetes prevention behaviors in students, the design, implementation and evaluation of theory-based EIs in the control and prevention of diabetes in adolescents is recommended.


2018 ◽  
Vol 13 (2) ◽  
pp. 114
Author(s):  
Liyasda Amalis Sahr ◽  
Tanjung Anitasari Indah Kusumaningrum

Latar Belakang: Kabupaten Sukoharjo menempati sebagai salah satu kabupaten tertinggi positif IVA di Jawa Tengah dengan presentase sebesar 19.35%. Jumlah tersebut melampaui ambang batas yang ditetapkan oleh Kementerian Kesehatan RI yaitu sebesar 3%. Kunjungan tes IVA terendah terdapat di Puskesmas Kecamatan Sukoharjo yaitu hanya 47 (0,19%) wanita usia subur (WUS) yang telah tes IVA. Penelitian ini bertujuan untuk memahami perilaku WUS yang telah bersedia dan tidak bersedia melakukan tes IVA berdasarkan teori Health Belief Model. Metode: Jenis penelitian ini merupakan penelitian kualitatif dengan pendekatan studi kasus WUS yang bersedia dan tidak bersedia melakukan tes. Sebanyak 14 WUS terlibat dalam penelitian ini dan disertai dengan 14 suami WUS yang bersedia dilakukan wawancara mendalam sebagai teknik pengumpulan data.  Satu orang bidan sebagai pelaksana program IVA tes juga di wawancara mendalam sebagai informan triangulasi. Hasil: Hasil penelitian menunjukkan bahwa sebagian besar WUS belum melakukan tes IVA. Persepsi hambatan yang dirasakan oleh WUS merupakan persepsi yang paling melatarbelakangi WUS tidak melakukan tes IVA. Alasan WUS enggan melakukan tes IVA karena kurangnya informasi tentang tes IVA sehingga WUS merasa tidak faham tentang IVA, selain kesibukan, perasaan takut, dan malu. Persepsi yang paling berkaitan dengan WUS melakukan tes IVA adalah cues to action. Alasan WUS melakukan tes IVA adalah karena mendapat sosialisasi lengkap sehingga faham manfaatnya, selain juga dukungan dari suami serta adanya contoh dari teman yang telah melakukan tes IVA.Kata Kunci: Kanker Serviks, Wanita Usia Subur, IVA, persepsi, Health Belief Model 


1999 ◽  
Vol 16 (4) ◽  
pp. 237-245 ◽  
Author(s):  
Gary A. Munley ◽  
Angus McLoughlin ◽  
Jeremy J. Foster

AbstractHealth-check attendance intention and behaviour in young men and women was compared, and the data used to determine whether health belief model constructs were able to predict such intentions and behaviour. Sixty male and sixty female respondents completed questionnaires asking about past health-check attendance behaviour, future attendance intention, and health beliefs. More females than males had previously attended a general health check, and females had stronger intentions to do so in the future. Regression analyses indicated that health-check attendance intention was predicted for both males and females by responses to cues to action. For females, previous health-check attendance was related to responses to cues to action and perceptions of barriers to attendance. None of the health belief model constructs was found to account for previous attendance behaviour of males. The results of the study support recent calls for health promotion initiatives aimed at men, but suggest that they should target cognitions other than those included within the health belief model.


2021 ◽  
Vol 10 (2) ◽  
pp. 77-83
Author(s):  
Hajar Habibi ◽  
Behnaz Sedighi ◽  
Yunes Jahani ◽  
Marzieh Hasani ◽  
Abedin Iranpour

Abstract Introduction: Self-care programs can raise health in patients with Multiple Sclerosis (MS). This study aimed to identify the self-care behaviors and determinants in patients with MS according to the Health Belief Model (HBM). Methods: In this cross-sectional study, we included 280 MS patients through convenience sampling method. The collection tool was a self-administered questionnaire based on HBM. The participants were the members of MS society in Kerman, Iran. The data were analyzed using descriptive statistics, path analysis, and multivariable linear regression in SPSS software Version 22. Results: The mean (SD) score for self-care practices was 2.86 (0.64), and medication adherence was the most conducted practice. The perceived benefits and cues to action exerted positive influence on self-care practices. The most frequent symptoms experienced by the participants were fatigue (82.5%), visual impairment (76.4%), headaches (72.1%), and muscle weakness (71.4%). The most important cues to action for self-care behavior were the physician (77%), media (52%), and other MS patients (32%). Conclusion: The quality of life (QOL) of MS patients is heavily influenced by self-care behaviors. In this study, only about half of the patients accomplished self-care behaviors, which seems to be insufficient. Since the perceived benefits and cues to action are the main predictors of self-care practices, intervention based on these two constructs can be utilized to promote self-care programs and QOL in MS patients. Health-care providers should pay more attention to these factors for promoting self-care behaviors.


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