Health belief model and reversal theory

A comparative analysis

Deborah L. Finfgeld, Suporn Wongvatunyu, Vicki S. Conn, Victoria T. Grando, Cynthia L. Russell

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

Background. In recent years, an increasing number of nurses have demonstrated interest in health behaviour change interventions and research. Despite this heightened enthusiasm, there appears to have been less interest in exploring new and emerging health behaviour change theories. Aim. The goal of this work is to assist clinicians and researchers to make more informed choices about the use of the Health Belief Model and Reversal Theory in their practice settings and research projects. Method. Primary sources were analysed using qualitative data analysis methods in order to compare and contrast the two models. Four comparative categories provided the structure for analysis: origins of models, ways of knowing and behaving, role of health care providers in behaviour change, and desired outcomes. Results. Based, in part, on their historical origins, the Health Belief Model and Reversal Theory offer differing tenets regarding how individuals perceive, understand, and behave. According to Reversal Theory, ways of knowing and behaving are dependent upon innate physiological factors and subjectively structured perceptions. In contrast, the Health Belief Model suggests that health-related behaviours are largely attributable to cognitive decision-making processes. As such, health care providers are directed to approach health behaviour change in different ways. Conclusions. Although the Health Belief Model has been widely implemented, Reversal Theory may offer a more comprehensive framework for health behaviour change interventions and research. Clinicians and researchers are urged to learn more about this theory and how it may apply to their areas of practice and research.

Original languageEnglish (US)
Pages (from-to)288-297
Number of pages10
JournalJournal of Advanced Nursing
Volume43
Issue number3
DOIs
StatePublished - Aug 1 2003
Externally publishedYes

Fingerprint

Health Behavior
Health
Research
Health Personnel
Research Personnel
Decision Making
Nurses

Keywords

  • Health behaviour change
  • Health Belief Model
  • Nursing
  • Reversal Theory

ASJC Scopus subject areas

  • Nursing(all)

Cite this

Finfgeld, D. L., Wongvatunyu, S., Conn, V. S., Grando, V. T., & Russell, C. L. (2003). Health belief model and reversal theory: A comparative analysis. Journal of Advanced Nursing, 43(3), 288-297. https://doi.org/10.1046/j.1365-2648.2003.02712.x

Health belief model and reversal theory : A comparative analysis. / Finfgeld, Deborah L.; Wongvatunyu, Suporn; Conn, Vicki S.; Grando, Victoria T.; Russell, Cynthia L.

In: Journal of Advanced Nursing, Vol. 43, No. 3, 01.08.2003, p. 288-297.

Research output: Contribution to journalArticle

Finfgeld, DL, Wongvatunyu, S, Conn, VS, Grando, VT & Russell, CL 2003, 'Health belief model and reversal theory: A comparative analysis', Journal of Advanced Nursing, vol. 43, no. 3, pp. 288-297. https://doi.org/10.1046/j.1365-2648.2003.02712.x
Finfgeld, Deborah L. ; Wongvatunyu, Suporn ; Conn, Vicki S. ; Grando, Victoria T. ; Russell, Cynthia L. / Health belief model and reversal theory : A comparative analysis. In: Journal of Advanced Nursing. 2003 ; Vol. 43, No. 3. pp. 288-297.
@article{6853814b156641d48219e9c832818d5e,
title = "Health belief model and reversal theory: A comparative analysis",
abstract = "Background. In recent years, an increasing number of nurses have demonstrated interest in health behaviour change interventions and research. Despite this heightened enthusiasm, there appears to have been less interest in exploring new and emerging health behaviour change theories. Aim. The goal of this work is to assist clinicians and researchers to make more informed choices about the use of the Health Belief Model and Reversal Theory in their practice settings and research projects. Method. Primary sources were analysed using qualitative data analysis methods in order to compare and contrast the two models. Four comparative categories provided the structure for analysis: origins of models, ways of knowing and behaving, role of health care providers in behaviour change, and desired outcomes. Results. Based, in part, on their historical origins, the Health Belief Model and Reversal Theory offer differing tenets regarding how individuals perceive, understand, and behave. According to Reversal Theory, ways of knowing and behaving are dependent upon innate physiological factors and subjectively structured perceptions. In contrast, the Health Belief Model suggests that health-related behaviours are largely attributable to cognitive decision-making processes. As such, health care providers are directed to approach health behaviour change in different ways. Conclusions. Although the Health Belief Model has been widely implemented, Reversal Theory may offer a more comprehensive framework for health behaviour change interventions and research. Clinicians and researchers are urged to learn more about this theory and how it may apply to their areas of practice and research.",
keywords = "Health behaviour change, Health Belief Model, Nursing, Reversal Theory",
author = "Finfgeld, {Deborah L.} and Suporn Wongvatunyu and Conn, {Vicki S.} and Grando, {Victoria T.} and Russell, {Cynthia L.}",
year = "2003",
month = "8",
day = "1",
doi = "10.1046/j.1365-2648.2003.02712.x",
language = "English (US)",
volume = "43",
pages = "288--297",
journal = "Journal of Advanced Nursing",
issn = "0309-2402",
publisher = "Wiley-Blackwell",
number = "3",

}

TY - JOUR

T1 - Health belief model and reversal theory

T2 - A comparative analysis

AU - Finfgeld, Deborah L.

AU - Wongvatunyu, Suporn

AU - Conn, Vicki S.

AU - Grando, Victoria T.

AU - Russell, Cynthia L.

PY - 2003/8/1

Y1 - 2003/8/1

N2 - Background. In recent years, an increasing number of nurses have demonstrated interest in health behaviour change interventions and research. Despite this heightened enthusiasm, there appears to have been less interest in exploring new and emerging health behaviour change theories. Aim. The goal of this work is to assist clinicians and researchers to make more informed choices about the use of the Health Belief Model and Reversal Theory in their practice settings and research projects. Method. Primary sources were analysed using qualitative data analysis methods in order to compare and contrast the two models. Four comparative categories provided the structure for analysis: origins of models, ways of knowing and behaving, role of health care providers in behaviour change, and desired outcomes. Results. Based, in part, on their historical origins, the Health Belief Model and Reversal Theory offer differing tenets regarding how individuals perceive, understand, and behave. According to Reversal Theory, ways of knowing and behaving are dependent upon innate physiological factors and subjectively structured perceptions. In contrast, the Health Belief Model suggests that health-related behaviours are largely attributable to cognitive decision-making processes. As such, health care providers are directed to approach health behaviour change in different ways. Conclusions. Although the Health Belief Model has been widely implemented, Reversal Theory may offer a more comprehensive framework for health behaviour change interventions and research. Clinicians and researchers are urged to learn more about this theory and how it may apply to their areas of practice and research.

AB - Background. In recent years, an increasing number of nurses have demonstrated interest in health behaviour change interventions and research. Despite this heightened enthusiasm, there appears to have been less interest in exploring new and emerging health behaviour change theories. Aim. The goal of this work is to assist clinicians and researchers to make more informed choices about the use of the Health Belief Model and Reversal Theory in their practice settings and research projects. Method. Primary sources were analysed using qualitative data analysis methods in order to compare and contrast the two models. Four comparative categories provided the structure for analysis: origins of models, ways of knowing and behaving, role of health care providers in behaviour change, and desired outcomes. Results. Based, in part, on their historical origins, the Health Belief Model and Reversal Theory offer differing tenets regarding how individuals perceive, understand, and behave. According to Reversal Theory, ways of knowing and behaving are dependent upon innate physiological factors and subjectively structured perceptions. In contrast, the Health Belief Model suggests that health-related behaviours are largely attributable to cognitive decision-making processes. As such, health care providers are directed to approach health behaviour change in different ways. Conclusions. Although the Health Belief Model has been widely implemented, Reversal Theory may offer a more comprehensive framework for health behaviour change interventions and research. Clinicians and researchers are urged to learn more about this theory and how it may apply to their areas of practice and research.

KW - Health behaviour change

KW - Health Belief Model

KW - Nursing

KW - Reversal Theory

UR - http://www.scopus.com/inward/record.url?scp=0141994376&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0141994376&partnerID=8YFLogxK

U2 - 10.1046/j.1365-2648.2003.02712.x

DO - 10.1046/j.1365-2648.2003.02712.x

M3 - Article

VL - 43

SP - 288

EP - 297

JO - Journal of Advanced Nursing

JF - Journal of Advanced Nursing

SN - 0309-2402

IS - 3

ER -