Health Behavior Theory and cumulative knowledge regarding health behaviors: are we moving in the right direction?

Although research on Health Behavior Theory (HBT) is being conducted at a rapid pace, the extent to which the field is truly moving forward in understanding health behavior has been questioned. This issue is examined in the current article. First, we discuss the problems within the HBT literature. Second, we discuss the proliferation of HBT and why theory comparison is essential to this area of research. Finally, we reflect on ways that the field might move forward by suggesting a new agenda for HBT research. It is argued that increased recognition of the similarity of health behavior constructs as well as increased empirical comparisons of theories are essential for true scientific progress in this line of inquiry.

[1]  K. Miner,et al.  Predicting Breast-Feeding Intention among Low-Income Pregnant Women: A Comparison of Two Theoretical Models , 1999, Health education & behavior : the official publication of the Society for Public Health Education.

[2]  S. Noar,et al.  Rethinking positive and negative aspects of alcohol use: suggestions from a comparison of alcohol expectancies and decisional balance. , 2003, Journal of studies on alcohol.

[3]  K. Glanz,et al.  On Judging Models and Theories: Research and Practice, Psychology and Public Health , 2000, Journal of health psychology.

[4]  John C. Norcross,et al.  In Search of How People Change: Applications to Addictive Behaviors , 1993 .

[5]  P. Mullen,et al.  Health behavior models compared. , 1987, Social science & medicine.

[6]  Paul Norman,et al.  Comparing the Health Belief Model and the Theory of Planned Behaviour in health screening. , 1994 .

[7]  R. Warnecke,et al.  Sociopsychological Correlates of Motivation to Quit Smoking Among Low-SES African American Women , 1998, Health education & behavior : the official publication of the Society for Public Health Education.

[8]  Application of the Transtheoretical Model to several problem behaviors. , 2002 .

[9]  M. Fishbein.  The role of theory in HIV prevention , 2000, AIDS care.

[10]  R. Wing.  Maintenance of Behavior Change in Cardiorespiratory Risk Reduction: Introduction to Proceedings From the National Heart, Lung, and Blood Institute Conference , 2000 .

[11]  C. Rosen.  Is the sequencing of change processes by stage consistent across health problems? A meta-analysis. , 2000, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[12]  J. Prochaska,et al.  Stages and processes of self-change of smoking: toward an integrative model of change. , 1983, Journal of consulting and clinical psychology.

[13]  M. R. Fields.  HEALTH EDUCATION MONOGRAPHS , 1960 .

[14]  W. Sittitrai,et al.  Two views of risky sexual practices among northern Thai males: the Health Belief Model and the Theory of Reasoned Action. , 1995, Journal of health and social behavior.

[15]  B. Bushman,et al.  Relation between perceived vulnerability to HIV and precautionary sexual behavior. , 1996, Psychological bulletin.

[16]  Paul Norman,et al.  The role of social cognition models in predicting health behaviours: Future directions. , 1996 .

[17]  I. Ajzen,et al.  A Comparison of the Theory of Planned Behavior and the Theory of Reasoned Action , 1992 .

[18]  W. Rakowski,et al.  Stages of change and decisional balance for 12 problem behaviors. , 1994, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[19]  G. Kok,et al.  The Theory of Planned Behavior: A Review of its Applications to Health-Related Behaviors , 1996, American journal of health promotion : AJHP.

[20]  A. Luchins.  Situational and attitudinal influences on Rorschach responses. , 1947, The American journal of psychiatry.

[21]  D. Seibold,et al.  Psychosocial Determinants of Health Care Intentions: Test of the Triandis and Fishbein Models , 1979 .

[22]  L. Spencer,et al.  Applying the Transtheoretical Model to Tobacco Cessation and Prevention: A Review of Literature , 2002, American journal of health promotion : AJHP.

[23]  N. Weinstein.  Testing four competing theories of health-protective behavior. , 1993, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[24]  Marie Johnston,et al.  Application of the Theory of Planned Behaviour in Behaviour Change Interventions: A Systematic Review , 2002 .

[25]  T. Revenson,et al.  Handbook of Health Psychology , 2001 .

[26]  Neil D. Weinstein,et al.  Testing four competing theories of health-protective behavior. , 1993 .

[27]  S. Biddle,et al.  A Meta-Analytic Review of the Theories of Reasoned Action and Planned Behavior in Physical Activity: Predictive Validity and the Contribution of Additional Variables , 2002 .

[28]  Stephen Sutton,et al.  Predicting uptake of a routine cervical smear test: A comparison of the health belief model and the theory of planned behaviour , 2000 .

[29]  D. Hill,et al.  Factors Predisposing Women to Take Precautions Against Breast and Cervix Cancer , 1985 .

[30]  Ann Knowles,et al.  Factors Influencing Women Over 40 Years to Take Precautions Against Cervical Cancer , 1990 .

[31]  W A Fisher,et al.  Changing AIDS-risk behavior. , 1992, Psychological bulletin.

[33]  M. Fishbein,et al.  Factors influencing behavior and behavior change. , 2000 .

[34]  R. Levy,et al.  Promoting Women's Urologic Self-Care: Five Single-Case Replications , 1995 .

[35]  T. Guidotti.  Health promotion in perspective. , 1989, Canadian journal of public health.

[36]  Cindy Gallois,et al.  The theory of reasoned action: Its application to AIDS-preventive behaviour , 1993 .

[37]  M. Conner,et al.  The role of social cognition models in predicting attendance at health checks , 1993 .

[38]  C. Gallois,et al.  Extending the theory of reasoned action: The role of health beliefs , 1993 .

[39]  J. Connelly.  The Behavior Change Consortium studies: missed opportunities--individual focus with an inadequate engagement with personhood and socio-economic realities. , 2002, Health education research.

[40]  E. Wulfert,et al.  Gay men's safer sex behavior: An integration of three models , 1996, Journal of Behavioral Medicine.

[41]  K. Glanz,et al.  Health behavior and health education : theory, research, and practice , 1991 .

[42]  J. Allegrante,et al.  Theory-comparison and multiple-behavior research: common themes advancing health behavior research. , 2002, Health education research.

[43]  Thomas J. Coates,et al.  Towards an Understanding of Risk Behavior: An AIDS Risk Reduction Model (ARRM) , 1990, Health education quarterly.

[44]  P D Mullen,et al.  A meta-analysis of studies of the Health Belief Model with adults. , 1992, Health education research.

[45]  Derek R. Rutter,et al.  Comparing the Theory of Planned Behaviour and the Health Belief Model: The Example of Safety Helmet Use among Schoolboy Cyclists , 2000 .

[46]  Jane Ogden,et al.  Some problems with social cognition models: a pragmatic and conceptual analysis. , 2003, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[47]  G. Smedslund.  A Pragmatic Basis for Judging Models and Theories in Health Psychology: The Axiomatic Method , 2000, Journal of health psychology.

[48]  A. Greenwald,et al.  Under what conditions does theory obstruct research progress? , 1986, Psychological review.

[49]  S. Bull,et al.  Response to Connelly. Response from the Behavior Change Consortium Representativeness and Translation Work Group: the issue is one of impact, not of world view or preferred approach , 2002 .

[50]  Robert Friedman,et al.  Effects of a computer-based, telephone-counseling system on physical activity. , 2002, American journal of preventive medicine.

[51]  I. Rosenstock,et al.  The Role of Self-Efficacy in Achieving Health Behavior Change , 1986, Health education quarterly.

[52]  Albert V. Carron,et al.  Application of the Theories of Reasoned Action and Planned Behavior to Exercise Behavior: A Meta-Analysis , 1997 .

[53]  C. Alexander,et al.  Determinants of condom use to prevent HIV infection among youth in Ghana. , 1999, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[54]  Improving the health of the public: a behavior-change perspective , 2002 .

[55]  McAlister Al.  Social-psychological approaches. , 1983 .

[56]  A. Bandura.  Social Foundations of Thought and Action: A Social Cognitive Theory , 1985 .

[57]  I. Ajzen,et al.  Understanding Attitudes and Predicting Social Behavior , 1980 .

[58]  C Abraham,et al.  Psychosocial correlates of heterosexual condom use: a meta-analysis. , 1999, Psychological bulletin.

[59]  Abraham Wandersman,et al.  Predicting Undergraduate Condom Use with the Fishbein and Ajzen and the Triandis Attitude‐Behavior Models: Implications for Public Health Interventions1 , 1991 .

[60]  A. Bandura.  Health promotion from the perspective of social cognitive theory , 1998 .

[61]  Zdenek Kotásek,et al.  I-path analysis , 1993, Proceedings ETC 93 Third European Test Conference.

[62]  M. Becker.  The Health Belief Model and Sick Role Behavior* , 1974 .

[63]  D. Dzewaltowski.  Emerging theories in health promotion practice and research: strategies for improving public health , 2003 .

[64]  Marie Johnston,et al.  Health Psychology: Potential in Diversity , 1993 .

[65]  B T Jones,et al.  A review of expectancy theory and alcohol consumption. , 2001, Addiction.

[66]  E. Wulfert,et al.  Safer Sex Intentions and Condom Use Viewed from a Health Belief, Reasoned Action, and Social Cognitive Perspective , 1995 .

[67]  Erwin R. Seydel,et al.  Risk-appraisal, outcome and self-efficacy expectancies: Cognitive factors in preventive behaviour related to cancer , 1990 .

[68]  Traci Mann,et al.  From ‘I Wish’ to ‘I Will’: Social-Cognitive Predictors of Behavioral Intentions , 2003, Journal of health psychology.

[69]  L. Ried,et al.  A psychosocial perspective in the explanation of patients' drug-taking behavior. , 1988, Social science & medicine.

[70]  Patricia J. Jordan,et al.  Does the transtheoretical model need an attitude adjustment , 2002 .

[71]  Deborah Riebe,et al.  Promoting exercise and behavior change in older adults : interventions with the transtheoretical model , 2002 .

[72]  G. Wingood,et al.  Health behavior and health education: Theory, research, and practice, 2nd edition , 1997 .

[73]  S. Biddle,et al.  Theories of exercise behavior. , 2000 .

[74]  R. Crosby,et al.  Emerging theories in health promotion practice and research , 2002 .

[75]  I. Ajzen.  The theory of planned behavior , 1991 .

[76]  S. Sutton,et al.  Social-psychological approaches to understanding addictive behaviours: attitude-behaviour and decision-making models. , 1987, British journal of addiction.

[77]  M. Figueroa,et al.  Using Health Education Theories to Explain Behavior Change: A Cross-Country Analysis , 2001 .

[78]  I. Ajzen,et al.  Prediction of goal directed behaviour: Attitudes, intentions and perceived behavioural control , 1986 .

[79]  K. Glanz,et al.  Health Behavior and Health Education , 1990 .

[80]  Philip K. Berger,et al.  A Path Analysis of Preventive Health Care Decision Models , 1979 .

[81]  Eric M. Anderman,et al.  Fostering Achievement Motivation in Health Education , 2005 .

[82]  S. Gannon.  I wish.... , 1999, Nursing Times.

[83]  M. Becker,et al.  Health Belief Model and Personal Health Behavior , 1976 .

[84]  James Butler,et al.  Speaking of Health: Assessing Health Communication, Strategies for Diverse Populations , 2005 .

[85]  William A. Fisher,et al.  Theoretical Approaches to Individual-Level Change in HIV Risk Behavior , 2000 .

[86]  Mark W. Lipsey,et al.  Practical Meta-Analysis , 2000 .

[87]  M. Fishbein,et al.  Theories of reasoned action and planned behavior as models of condom use: a meta-analysis. , 2001, Psychological bulletin.

[88]  I. Rosenstock,et al.  Social Learning Theory and the Health Belief Model , 1988, Health education quarterly.

[89]  M. Becker,et al.  The Health Belief Model: A Decade Later , 1984, Health education quarterly.

[90]  Social Psychological Approaches to Understanding and Preventing Terrorism , 2006 .

[91]  D. M. Pappas,et al.  Evaluation of a Brief Alcohol Prevention Program for Urban School Youth. , 2000 .

[92]  M. Becker,et al.  Bringing the models together: An empirical approach to combining variables used to explain health actions , 1980, Journal of Behavioral Medicine.

[93]  Derek R. Rutter,et al.  Social Psychology and Health: European Perspectives , 1994 .