Evaluating the effectiveness of health belief model interventions in improving adherence: a systematic review

“The same could be said of the latter edition of self-efficacy to the HBM, which again can be found in Bandura’s Social Cognitive Theory, and is similar to the construct perceived behavioural control from the Theory of Planned Behaviour (Ajzen, 1991).”

“To assess the methodological quality of the studies, the Cochrane Collaboration’s tool for assessing risk of bias was used (Higgins & Green, 2008).”

“…clearly stated in the Medical Research Council’s framework for the development of complex interventions, which recommends that measures of theoretical determinants of behaviour be included to allow for mediation analyses and testing hypotheses of causal pathways (Craig et al., 2008; Sutton, 2011).”

“The HBM’s effectiveness in predicting and explaining behaviour has been well documented in four meta-analyses over the last three decades (Carpenter, 2010; Harrison, Mullen, & Green, 1992; Janz & Becker, 1984; Zimmerman & Vernberg, 1994).”

“…developments have produced an extensive taxonomy of behaviour change techniques in order to specify, evaluate and implement complex behavioural change interventions which will strengthen the scientific basis of this type of theoretical intervention (Michie & Johnston, 2012; Michie et al., 2013).”

“efficacy which was added in 1988 to the original HBM (Rosenstock et al., 1988).”

“A study by the World Health Organisation found that only 50% of patients in developed countries adhere to their treatment guidelines (Sabaté, 2003).”

“One of the first SCMs to be developed was the Health Belief Model (HBM) (Rosenstock, 1966).”

“The HBM’s effectiveness in predicting and explaining behaviour has been well documented in four meta-analyses over the last three decades (Carpenter, 2010; Harrison, Mullen, & Green, 1992; Janz & Becker, 1984; Zimmerman & Vernberg, 1994).”

“(2012) used the Functional Outcomes of Sleep Questionnaire (FOSQ; Weaver et al., 1997) to measure the perceived severity construct.”

“Finally, Olsen et al. (2012) used the Functional Outcomes of Sleep Questionnaire (FOSQ; Weaver et al., 1997) to measure the perceived severity construct.”

“…developments have produced an extensive taxonomy of behaviour change techniques in order to specify, evaluate and implement complex behavioural change interventions which will strengthen the scientific basis of this type of theoretical intervention (Michie & Johnston, 2012; Michie et al., 2013).”

“Behavioural intentions are reported to be a key ingredient in many of these models (Abraham & Sheeran, 2000) but is not found within the HBM.”

“the Self-Efficacy in Sleep Apnea questionnaire (Weaver et al., 2003), where one of the”

“’s (1994) path analysis provides evidence for previous predictions (Ronis, 1992) that perceived susceptibility”

“This last point is important given the fact that HBM’s authors did not specify how the constructs should be operationalized, and this remains one of the most common criticisms of the model (Castle, Skinner, & Hampson, 1999; Henshaw & Freedman-Doan, 2009).”

“Two of the three studies reporting large, significant effects used objective measures of attendance reported by contacting the relevant health care provider (Jones et al., 1991; Szilagyi et al., 1992), and the third was dependent on self-reported measures of adherence (Larson et al., 1982)”

“attitudes as proximal determinants of behaviour (Sutton, 2001).”

“Aiken et al. (1994) developed a 17-item HBM scale based on psychometric examination and revision of a questionnaire used by Reynolds, West, and Aiken (1990).”

“Olsen et al. (2012) similarly reported change in health beliefs for each construct between groups and over the three time points using ANOVA.”

“(Valenstein et al., 2011; Olsen et al., 2012), but for the earlier 16 studies, the effect”

“…a power calculation, however, five of the 10 studies not reporting power calculations had relatively large (n 200) sample sizes (Aiken, West, Woodward, Reno, & Reynolds, 1994; Anderson, Camacho, Iaconi, Tegeler, & Balkrishnan, 2011; Janz et al., 1997; Larson et al., 1982; Saywell et al., 1999).”

“Only six of the studies addressed all constructs found within the HBM (Hawe, McKenzie, & Scurry, 1998; Jones et al., 1991; Larson et al., 1982; Saywell et al., 1999; Speer et al., 2008; Szilagyi, Rodewald, Savageau, Yoos, & Doane, 1992).”

“Rees (1986) used an assessment recommended by Matthews and Hingson (1977), which involves a single, unconditional item to measure perceived susceptibility and six items to measure perceived severity.”

“…to measure HBM constructs, which can be adapted to a specific disease and/or relevant behaviour, is Health Psychology Review 265 needed to ensure that the psychometric properties relating to the constructs remain true to the model (Sutton, 2001) and that comparisons can be drawn across studies.”

“Rees (1986) used an assessment recommended by Matthews and Hingson (1977), which involves a single, unconditional item to measure perceived susceptibility and six items to measure perceived severity.”

“Four studies (Anderson et al., 2011; Janda et al., 2011; Olsen, Smith, Oei, & Douglas, 2012; Speer et al., 2008) included self- efficacy which was added in 1988 to the original HBM (Rosenstock et al., 1988).”

“In the remaining 12 studies, justification as to why certain HBM constructs were the target for intervention was provided in only three (Janda et al., 2011; Olsen et al., 2012; Rees, 1986).”

“Health Psychology Review 261 Carmel et al. (1996) adapted a previously used questionnaire (Jenkins & Zyzanski, 1968), translated into Hebrew (Antonovsky, 1972) which consisted of a single, unconditional item for perceived severity and the same for perceived susceptibility.”

“Aiken et al. (1994) developed a 17-item HBM scale based on psychometric examination and revision of a questionnaire used by Reynolds, West, and Aiken (1990).”

“(1996) adapted a previously used questionnaire (Jenkins & Zyzanski, 1968), translated into Hebrew (Antonovsky, 1972) which consisted of a single, unconditional item for perceived severity and the same for perceived susceptibility.”

“Two of the three studies reporting large, significant effects used objective measures of attendance reported by contacting the relevant health care provider (Jones et al., 1991; Szilagyi et al., 1992), and the third was dependent on self-reported measures of adherence (Larson et al., 1982)”

“…clearly stated in the Medical Research Council’s framework for the development of complex interventions, which recommends that measures of theoretical determinants of behaviour be included to allow for mediation analyses and testing hypotheses of causal pathways (Craig et al., 2008; Sutton, 2011).”

“Health Psychology Review 261 Carmel et al. (1996) adapted a previously used questionnaire (Jenkins & Zyzanski, 1968), translated into Hebrew (Antonovsky, 1972) which consisted of a single, unconditional item for perceived severity and the same for perceived susceptibility.”

“BCTTv1 has also been used by systematic reviewers to identify BCTs within intervention papers, in order to facilitate intervention comparison and evaluate technique efficacy (e.g. [42 – 47]).”

“The health behavior model helps understand the useful strategies to improve people’s health behavior, like adherence to medical treatment against the disease.(108) The HBM explains that people start to be involved in health-related behavior when people perceive susceptibility to a contagious disease, which has severe…”