1. Theories of health belief Health Belief Model Becker
2. Locus of Control Rotter
3. Self efficacy Bandura & Adams
Features of adherence to
medical regimes
Reasons for non adherence Bulpit
2. Measuring non adherence Lustman
3. Improving adherence – Watt
Methods of health Promotion
Media Campaigns Cowpe
Fear arousal Janis & Feshbeck
3. Legislation Dannenberg
Health Booklet E – Healthy Living

2. Theories of health belief
Health Belief Model Becker
Locus of Control Rotter
Self efficacy Bandura & Adams

3. Key Terms Bingo Health Belief Model Internal Locus of Control
External Locus of Control
Correlation
Socio demographic variables
Asthma
Review
Self efficacy
Vicarious experiences
Verbal persuasion
Cognitive appraisal
Systematic desensitisation

4. Health Belief Model - Becker
Sociodemographic
variables
Benefits vs. costs
Healthy
Behaviour
Perceived
seriousness
Perceived
threat
Cues to
Action
Perceived
susceptibility

5. Becker Study Method
Aim – use HBM to explain mothers adherence to drug regime for asthmatic children
Pts – 111 mothers (17-54 yrs) responsible for giving asthma medication to children (9 months – 17 yrs)
Method – correlation between beliefs reported during interviews and compliance with self reported administration of medicine (confirmed with blood tests for some pts)

6. Becker Study Results
+ correlation belief about susceptibility to asthma attack and adherence to medicine
+ correlation perception of seriousness of asthma and adherence to medicine
- correlation between costs of adherence and adherence
increased compliance – married mothers and higher level of education
Conclusion – HBM is a useful model to predict compliance with taking medication

7. Locus of Control - Rotter
Locus Latin for place
Where a person thinks the control of his or her health lies influences whether they adopt a health behaviour
Internal Lof C – they control their own health
External L of C – health is seen as being in someone else’s hands

8. Rotter Study Method review article
Sample 6 pieces of research into individual perceptions of ability to control outcome
Findings – Pts who felt they had control over the situation were more likely to show behaviours that would enable them to cope with potential threats

9. Rotter - Conclusions
L of C can be useful in predicting whether people will adopt health behaviours
Those with internal L of C are more likely to adopt health behaviours
Backed up by James et al male smokers who gave up and did not relapse had higher L of C
(not true for women where factors such as weight gain were influential)

10. Self Efficacy – Bandura & Adams
Self efficacy – how successful a person thinks they will be in adopting a health behaviour
Outcome expectancy / efficacy expectation
Vicarious experiences
Verbal persuasion
Emotional arousal

11. Bandura study
Aim – to assess the self efficacy of patients undergoing systematic desensitisation for snake phobia
Method – RMD
Pre test assessment – avoidance bhr, fear (1-10) and efficacy expectations
Systematic desensitisation
Post test assessment

12. Bandura results
Higher levels of post test self efficacy were correlated with higher levels of interacting with snakes
SD enhanced self efficacy which in turn led to a belief that the person was able to cope with the snake