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An essay on cognitive theory
CONCEPTUAL FRAMEWORK ON health belief model
CONCEPTUAL FRAMEWORK ON health belief model
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The Health Belief Model (HBM) is a psychological model that attempts to explain and predict one’s health behaviors by focusing on their attitudes and beliefs. HBM is derived from both the Stimulus Response and the Cognitive Theory. Stimulus Response Theory refers to the belief that an individual’s behavior is apparent as a result of the relationship between stimulus and response whereas Cognitive Theory suggests that the different processes concerning learning can be explained by analyzing the mental process first. Furthermore, cognitive theories consist of thinking, reasoning, hypothesizing, and expecting (Banafshe, 2015). HBM also relates to Value-Expectancy Theory in that individuals have the desire to avoid or to get better from illnesses (value) and that they can prevent illnesses through specific health actions (expectation) (Banafshe, 2015). Apart from these three theories, the key constructs of HBM must also be evaluated in order to predict one’s health-related …show more content…
The most challenging activity in the Balance and Mobility program was having older adults balance on a Styrofoam noodle. They were asked to place both of their feet on top of the noodle and to shift their weight back and forth on each foot. To evaluate their vision and sensory skills, they were also asked to close their eyes as they perform this “noodle activity.” Some older adults did not participate in this activity because they perceived the activity as dangerous for they may lose their balance on the Styrofoam noodle and thus, fall over. Conversely, others did not participate because they perceived the activity as being difficult and agonizing. Participants explained that shifting their weight back and forth put a strain on their legs and makes made it painful for them to partake in the activity. Hence, these perceived barriers cause the participants to display a negative attitude towards the “noodle
As people age, they face difficulties with seeing and also with mobility, declines in their physiological systems impact balance, range and speed. These physiological problems can result in falls, which tend to be really problematic for the elderly living alone at home. The Hendrich II Fall Risk Model (HFRM) was used on Mr. T.C to assess his fall risk; this tool is used in acute care facilities to estimate the risk for falls in adults (Hendrich, 2013). The client scored a 6, any score exceeding a 5 is considered a high risk for fall. Being a male is one of the predetermined risk points that make one susceptible of falling as well their symptomatic depression, both which the client falls under. The Get-Up-and-Go Test is also a predetermined risk factor of HFRM; it determines the client’s ability to rise from a seated position. It took the client 3 attempts to fully stand up from a seated position.
It indicated that people will carry out a health-related action if they have the perception
From the literature researched, the writer thinks that environmental modifications along with multifactorial interventions can make a difference for falls that an elderly can receive. Still, he thinks that there should be more research done on environmental assessment tools, flooring, and effective behavioral interventions. On his last thoughts, he believes that strategies should be patient focused and environmental modifications should be developed for that individual.
Wolf, S. L., Barnhart, H. X., Kutner, N. G., McNeely, E., Cooler, C., Xu, T. (1996). Reducing fraility and falls in older persons: an investigation of Tai Chi and computerized balance training. Journal of American Geriatrics Society, 44, 489-497.
The Health Belief Model (HBM) comes from the psychological and behavioral theorists. The premise is that there are two parts involved in health related behavior. “People are more inclined to engage in a health behavior when they think doing so can reduce a threat that is likely and would have severe consequences if it occurred.” (Brewer & Rimer, 2008, p. 152). The patient believes that a specific health action will prevent or cure the illness. How the individual responds depends on the perceived benefits and barriers of that health behavior.
Aim of this paper is to examine and present the application of social cognition models in the prediction and alternation of health behavior. Social cognition models are used in health practices in order to prevent illness or even improve the health state of the individuals in interest, and protect their possibly current healthy state. This essay is an evaluation of the social cognition models when used to health behaviors. Unfortunately it is impossible to discuss extensively all the models and for this reason we will analyze three of the most representative cognitive models to present an integrated idea of their application.
The key concept of the health belief model includes threat perception (perceived threat), behavioral evaluation, self-efficacy and other variables. The threat perception has very great relevance in health-related behaviors. This perception are measured by perceived susceptibility (the beliefs about the likelihood of contacting a disease) and perceived severity (the feeling about the seriousness of contacting an illness and leaving it untreated). The behavioral evaluation is assessed by the levels of perceived benefits (the positive effects to be expected), perceived barriers (potential negative aspects of a health behavior), and cues to action (the strategies to activated one’s readiness). The self-efficacy key concept was not originally included in of the health belief model, and it was just added in 1998 to look at a person’s belief in his/her ability to take action in order to make a health related change. The other variables that are also the key concepts of the model include diverse demography, sociopsychology, education, and structure. These factors are variable from one to another and indirectly influence an individual’s health-related behavior because the factors influence the perception...
When taking steps to analyze and apply intervention strategies for falls, we must examine the factors that cause these occurrences. There are numerous reasons that falls occur, such as intrinsic and or extrinsic risk factors. Intrinsic risk factors for falls may be due to changes that are part of the normal aging process and acute or chronic conditions. According to Zheng, Pan and Hua et al. (2013), about 35-45 percent of individuals who are usually older than 65 years and other 50 percent of the elderly individuals report cases of fall every year. Extrinsic factors are those related to physical environment such as lack of grab bars, poor condition of floor surfaces, inadequate or improper use of assistive devices (Currie). Patient falls is not an easy thing to eliminate. With many clinical challenges, there’s no easy answer to the challenges posed by patient falls; howe...
Falls are the leading cause of injuries, disabilities, and deaths among community-dwelling older adults (Moyer, 2012). According to the Center for Disease Control and Prevention (CDC, 2016), each year one out of three community-dwelling older adults aged 65 years or above falls at least once. There is a need to identify effective interventions pertinent to the primary-care setting to prevent falls among older adults living in the community. The guideline titled “Prevention of falls in community-dwelling older adults: U.S. Preventive Services Task Force recommendation statement” is focused on determining the effectiveness and harms of different fall-prevention interventions relevant to primary care for adults aged 65 years or above (Moyer,
Behavior is an important keyword when discussing health promotion theories because lifestyle modification requires a change in beliefs and attitude. Many health promotion theories explain how behavior can enhance or deter a patients progress in health related activities. Nola Pender, a nursing theorist and educator, has developed the Health Promotion Model (HPM). The three main parts of the HPM ar...
Lets make it quite clear that change doesn’t happen overnight nor is it ever a process easy. To make a proper and healthy life-style behavior change, you must be dedicated to put in the time and effort that’s necessary for accomplish any goal. When I first began to become engage in exercising and becoming more physically fit I found that the Health Belief Model and the Social Cognitive Theory demonstrated the progression that I have made throughout my change. To begin you do not need to try and follow through the steps provided in any given model or a theory, the reasoning behind that statement is that everyone is different so our stages of change will all differ from one another. For me, once I decided that I wanted to begin attending group-fitness classes I found that through the Health Belief Model I had to understand the perceived benefits of my change, I had to
2. Methods 2.1 Participants Twenty-six active young adults (14 males and 12 females) with no history of neurological or musculoskeletal abnormalities (within the last six months) that could affect balance participated in this study (Table 1). Ninety-six percent of subjects’ dynamic dominant leg was the right leg. All subjects gave informed written consent prior to data collection. This study was approved by the Institutional Review Board and the Ethical Committee of the University of Innsbruck, Austria.
According to the Social Cognitive Theory, changing a behavior is a function of individual characteristics: a person’s sense of self efficacy about the new behavior, their confidence and overcoming barriers. The person’s behavioral capability, expectations and expectancies, their level of self-control and emotional coping ability; environmental factors: the social and physical environment surrounding individuals. The behavior of others (“modeling”) and the consequences of that behavior, which result in vicarious learning. The situation in which the behavior takes place, and perceptions of the situation by individuals. Reinforcements (negative or positive) that are given to individuals in response to the behavior; the interactive process of reciprocal determinism where a person acts based on individual factors and social/environmental cues, receives a response from that environment, adjust behavior, acts again and so on (Edberg, 2015). Ensuring that patients receive social skills training, self-efficacy boost, an educational component and vicarious learning is in alignment with the social cognitive theory. Unfortunately, there are certain regions that suffer from health and socioeconomic disparities that lead to extraordinarily poor health outcomes that would benefit from the implementation of the social cognitive
Health psychology is a relatively new concept rapidly growing and could be defined as the biological and psychological influences affect ones behaviour also bringing in social influences of health and illness (MacDonald, 2013). Biological determinants consider genetic and biological factors of an illness whereas psychological determinants focus on the psychological factors such as why people behave the way they do when dealing with issues such as anxiety and stress. Models such as the Health Belief Model and Locus of Control were developed in attempt to try and explain psychological issues around a chronic illness such as breast cancer (Ogden, 2012). Sociological factors can cause an enormous amount of pressure for one to behave in a certain way for example gender roles in society and religious considerations when dealing with health beliefs. Health Beliefs can be defined as one’s own perception to their own personal health and illness and health behaviours (Ogden, 2012). There are also theories and models used to explain pain and coping with diagnosis such as Moos and Schaefer (1984) Crisis theory and Shontz (1975) cycle of grief people go through when being diagnosed with a serious illness.
Too often, the increased fear of suffering another fall results in loss of confidence, causing the person to impose a self-restriction on everyday physical and social activities. When an older person is less active, however, he or she becomes weaker, paradoxically increasing the risk of falling. Because of this, elderly people who experience a fall are two times more likely to fall again. Although they might seem as a normal part of ageing, falls in the elderly are not inevitable. In order to overcome their fears and reduce the risk of falling, older people can take a number of preventive measures, such as having their eyes checked regularly, reviewing medication that can contribute to dizziness or slower reflex responses, wearing shoes with firm soles and flat heels, adding grab bars in the shower, putting railings on stairs and getting rid of things that could be easily tripped over.