TY - JOUR
T1 - Integration of five health behaviour models
T2 - Common strengths and unique contributions to understanding condom use
AU - Reid, Allecia E.
AU - Aiken, Leona S.
N1 - Funding Information:
This material is based upon work supported by the National Science Foundation Graduate Research Fellowship and the National Institute of Mental Health training grant #T32 MH20031.
PY - 2011/11
Y1 - 2011/11
N2 - The purpose of this research was to select from the health belief model (HBM), theories of reasoned action (TRA) and planned behaviour (TPB), information-motivation-behavioural skills model (IMB) and social cognitive theory (SCT) the strongest longitudinal predictors of women's condom use and to combine these constructs into a single integrated model of condom use. The integrated model was evaluated for prediction of condom use among young women who had steady versus casual partners. At Time 1, all constructs of the five models and condom use were assessed in an initial and a replication sample (n = 193, n = 161). Condom use reassessed 8 weeks later (Time 2) served as the main outcome. Information from IMB, perceived susceptibility, benefits, and barriers from HBM, self-efficacy and self-evaluative expectancies from SCT, and partner norm and attitudes from TPB served as indirect or direct predictors of condom use. All paths replicated across samples. Direct predictors of behaviour varied with relationship status: self-efficacy significantly predicted condom use for women with casual partners, while attitude and partner norm predicted for those with steady partners. Integrated psychosocial models, rich in constructs and relationships drawn from multiple theories of behaviour, may provide a more complete characterisation of health protective behaviour.
AB - The purpose of this research was to select from the health belief model (HBM), theories of reasoned action (TRA) and planned behaviour (TPB), information-motivation-behavioural skills model (IMB) and social cognitive theory (SCT) the strongest longitudinal predictors of women's condom use and to combine these constructs into a single integrated model of condom use. The integrated model was evaluated for prediction of condom use among young women who had steady versus casual partners. At Time 1, all constructs of the five models and condom use were assessed in an initial and a replication sample (n = 193, n = 161). Condom use reassessed 8 weeks later (Time 2) served as the main outcome. Information from IMB, perceived susceptibility, benefits, and barriers from HBM, self-efficacy and self-evaluative expectancies from SCT, and partner norm and attitudes from TPB served as indirect or direct predictors of condom use. All paths replicated across samples. Direct predictors of behaviour varied with relationship status: self-efficacy significantly predicted condom use for women with casual partners, while attitude and partner norm predicted for those with steady partners. Integrated psychosocial models, rich in constructs and relationships drawn from multiple theories of behaviour, may provide a more complete characterisation of health protective behaviour.
KW - health behaviour model integration
KW - health belief model
KW - information-motivation-behavioural skills model
KW - social cognitive theory
KW - theories of reasoned action and planned behaviour
KW - young women's condom use
UR - http://www.scopus.com/inward/record.url?scp=84858757387&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84858757387&partnerID=8YFLogxK
U2 - 10.1080/08870446.2011.572259
DO - 10.1080/08870446.2011.572259
M3 - Article
C2 - 21678166
AN - SCOPUS:84858757387
SN - 0887-0446
VL - 26
SP - 1499
EP - 1520
JO - Psychology and Health
JF - Psychology and Health
IS - 11
ER -