health behavior and health education: theory, research and practice
Chapter 5 The Health Belief Model 75
Celette Sugg Skinner, Jasmin Tiro, and Victoria L. Champion
Chapter 1 The Scope of Health Behavior 3
For the Fourth Edition of the book, we put together a comprehensive set of companion materials.
Theory-driven health behavior change interventions and programs require an understanding of the components of health behavior theory, as well as the operational or practical forms of the theory. The first edition of Health Behavior and Health Education: Theory, Research, and Practice, published in 1990, was the first text to provide an in-depth analysis of a variety of theories of health behavior relevant to health education in a single volume. It brought together dominant health behavior theories, research based on those theories, and examples of health education practice derived from theory that had been tested through evaluation and research. The second (1996) and third (2002) editions of Health Behavior and Health Education updated and improved upon the earlier volume. People around the world are using this book and it has been translated into multiple languages, including recent Japanese and Korean editions.
Barbara K. Rimer is dean and Alumni Distinguished Professor of Health Behavior and Health Education in the School of Public Health at the University of North Carolina at Chapel Hill.
Resources for teaching and learning are posted at tinyurl.com/Glanz4e and www.med.upenn.edu/hbhe4.
Within the study of health behavior, theories have been proposed at a variety of levels, including the individual, interpersonal, group, organizational and community levels. Further, theories vary in their focus on individual as compared to environmental determinants of behavior and cognitive as compared to affective determinants ( Glanz et al., 1997b; Crosby et al., 2002). The primary focus of HBT has been at the individual level [see ( Crosby et al., 2002)] and thus this article focuses on individual-level HBTs.
Theory development is a dynamic process…as theories become less useful…they are modified or even discarded… As new theories are synthesized and embraced, they too are subject to empirical validation, and if they are found lacking, they are similarly discarded.
Purpose. This article highlights the importance of health behavior change (HBC) theory, and its relevance to rehabilitation research and practice.
Results. Three propositions are put forward: (1) HBC variables should regularly be used as outcome measures in evidence-based rehabilitation research; (2) there should be a better understanding of the role of the rehabilitation provider as a facilitator in eliciting healthy behaviors; and (3) there is a need to expand the HBC concept into a more comprehensive view encompassing a person’s functioning within the environmental context.