The DOI matches its Crossref record; 39 of the 39 references it cites were found in a registry or an index.
The Health Belief Model as an Explanatory Framework in Communication Research: Exploring Parallel, Serial, and Moderated Mediation
Open accessAbstract
The Health Belief Model (HBM) posits that messages will achieve optimal behavior change if they successfully target perceived barriers, benefits, self-efficacy, and threat. While the model seems to be an ideal explanatory framework for communication research, theoretical limitations have limited its use in the field. Notably, variable ordering is currently undefined in the HBM. Thus, it is unclear whether constructs mediate relationships comparably (parallel mediation), in sequence (serial mediation), or in tandem with a moderator (moderated mediation). To investigate variable ordering, adults (N = 1,377) completed a survey in the aftermath of an 8-month flu vaccine campaign grounded in the HBM. Exposure to the campaign was positively related to vaccination behavior. Statistical evaluation supported a model where the indirect effect of exposure on behavior through perceived barriers and threat was moderated by self-efficacy (moderated mediation). Perceived barriers and benefits also formed a serial mediation chain. The results indicate that variable ordering in the Health Belief Model may be complex, may help to explain conflicting results of the past, and may be a good focus for future research.
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Cites
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Social Learning Theory and the Health Belief Model
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“Additionally, HBM scholars later suggested that self-efficacy—the belief that one can successfully complete the behavior of interest despite considered barriers—be added to the model (Rosenstock, Strecher, & Becker, 1988).”
BackgroundPutting the fear back into fear appeals: the extended parallel process model
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Health Belief Model and Personal Health Behavior
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Cited by
Abbas, J., Wang, D., Su, Z., & Ziapour, A. (2021) · Risk Management and Healthcare Policy · doi:10.2147/rmhp.s284313 · Cited by 365
Huang, X., Dai, S., & Xu, H. (2020) · Tourism Management Perspectives · doi:10.1016/j.tmp.2019.100589 · Cited by 303
Degarege, A., Krupp, K., Srinivas, V., Ibrahimou, B., & Madhivanan, P. (2020) · PLOS ONE · doi:10.1371/journal.pone.0240749 · Cited by 8
Sauer, M. A., Fesshaye, B., Miller, E. S., Schue, J. L., Singh, P., Jalang’o, R., Nyiro, J., Karanja-Chege, C., Njogu, R., Were, F., et al. (2025) · PLOS Global Public Health · doi:10.1371/journal.pgph.0004505
Metadata
- Authors
- Jones, C. L., Jensen, J. D., Scherr, C. L., Brown, N. R., Christy, K., & Weaver, J.
- Venue
- Health Communication
- Publisher
- Informa UK Limited
- Published
- 2014-07-10
- Volume
- 30
- Issue
- 6
- Pages
- 566-576
- ISSN
- 1041-0236 (ISSN-L)
- 1532-7027
- OpenAlex
- W2095362277
- Cited by
- 1,046
- References
- 39
- FWCI
- 12.80
- Type
- journal article
- Language
- en
- Open access
- green
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- Jones, C. L., Jensen, J. D., Scherr, C. L., Brown, N. R., Christy, K., & Weaver, J. (2015). The Health Belief Model as an Explanatory Framework in Communication Research: Exploring Parallel, Serial, and Moderated Mediation. Health Communication. https://doi.org/10.1080/10410236.2013.873363
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.