Integration of five health behaviour models: Common strengths and unique contributions to understanding condom use

Allecia E. Reid, Leona S. Aiken

Research output: Contribution to journalArticlepeer-review

34 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)1499-1520
Number of pages22
JournalPsychology and Health
Volume26
Issue number11
DOIs
StatePublished - Nov 2011

Keywords

  • health behaviour model integration
  • health belief model
  • information-motivation-behavioural skills model
  • social cognitive theory
  • theories of reasoned action and planned behaviour
  • young women's condom use

ASJC Scopus subject areas

  • Applied Psychology
  • Public Health, Environmental and Occupational Health

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