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Models of health behavior Dr Yusuf Abdu Misau MBBS (ABU), MPH(UM), PhD Student(UM) Department of Social and Preventive Medicine, University of Malaya
Acknowledgement ,[object Object],Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
Learning objectives: ,[object Object],[object Object],[object Object],[object Object],Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
Contents of Presentation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
Case study 1 ,[object Object],[object Object],[object Object],Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
Case study 2 ,[object Object],[object Object],Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
Case study 3 ,[object Object],[object Object],Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
What is a model? Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
Model: literary definition ,[object Object],[object Object],Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
What is behavior ?   Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
BEHAVIOUR The response of an organism to a  stimulus Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
HUMAN BEHAVIOUR  ,[object Object],[object Object],Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
What is Health Behaviour?   ,[object Object],Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
So far…. ,[object Object],[object Object],[object Object],[object Object],[object Object],Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
[object Object],Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
Field Theory (1951) Behaviour is the function of   the psychological field which in turn, is the product of interaction between the person and his/her environment. Kurt Lewin B = f(PE) Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
Multiple Risks Behavioural Model (1982)   Behaviour is the function of   direct,  additive and interaction effects of specific behaviour intentions, social  support, accessibility of information  and services, personal autonomy  and actual situation. S.B.Kar B=f(BI)+(SocSup)+(Acc IS)+(PA)+(AS) Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
THEORY ,[object Object],[object Object],[object Object],[object Object],[object Object],Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
DEFINITION OF A THEORY ,[object Object],Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
Notes: ,[object Object],[object Object],[object Object],[object Object],Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
Why do we need health behaviour theories/ models? ,[object Object],[object Object],[object Object],Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
[object Object],[object Object],[object Object],[object Object],Why do we need health behaviour theories/ models? Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
The Nitti gritty:  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
So far…. ,[object Object],[object Object],[object Object],[object Object],[object Object],Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
HEALTH BELIEF MODEL Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
HEALTH BELIEF MODEL ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
HEALTH BELIEF MODEL ,[object Object],[object Object],[object Object],Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
HEALTH BELIEF MODEL ,[object Object],[object Object],[object Object],[object Object],Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
[object Object],[object Object],[object Object],[object Object],-  Age, sex, ethnicity -  Personality -  SES -  Knowledge Perceived threat of disease X Cue to action ,[object Object],[object Object],Perceived benefits vs. Perceived barriers to behavioral change Likelihood of taking action (beh. change) Self-efficacy  HEALTH BELIEF MODEL Individual Perceptions Modifying Factors Likelihood of Action Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
THEORY OF REASONED ACTION Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
THEORY OF REASONED ACTION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
THEORY OF REASONED ACTION ,[object Object],[object Object],[object Object],[object Object],[object Object],Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
THEORY OF REASONED ACTION Beliefs and  Evaluations of Behavioural Outcomes Normative Beliefs Attitude  toward the Behaviour Behavioural Intention Subjective  Norms   Behaviour Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
SOCIAL LEARNING THEORY   Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
SOCIAL LEARNING THEORY   ,[object Object],[object Object],[object Object],Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
Nigerian culture: 1970 vs 2009 Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
SOCIAL LEARNING THEORY ,[object Object],[object Object],[object Object],[object Object],[object Object],Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
SOCIAL LEARNING THEORY ,[object Object],[object Object],[object Object],[object Object],[object Object],Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
SOCIAL LEARNING THEORY ,[object Object],[object Object],[object Object],[object Object],Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
SOCIAL LEARNING THEORY ,[object Object],[object Object],[object Object],Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
SOCIAL LEARNING THEORY ,[object Object],[object Object],[object Object],[object Object],Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
SOCIAL LEARNING THEORY ,[object Object],[object Object],[object Object],[object Object],[object Object],Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
THE TRANSTHEORETICAL MODEL   Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
THE TRANSTHEORETICAL MODEL   James O. Prochaska and Carlo C. DiClemente “ Habit is habit, and not to be flung out of window but  coaxed downstairs a step at a time.”  Mark Twain
The TTM: ,[object Object],[object Object],[object Object],Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
The TTM Is an Integrative Model of Behavior Change ,[object Object],[object Object],[object Object],[object Object],[object Object],Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
The TTM:  Background ,[object Object],[object Object],[object Object],Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
THE TRANSTHEORETICAL MODEL ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
Precontemplation Contemplation Preparation Action Maintenance Relapse Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
THE TRANSTHEORETICAL MODEL ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
THE TRANSTHEORETICAL MODEL ,[object Object],[object Object],[object Object],[object Object],Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
THE TRANSTHEORETICAL MODEL ,[object Object],[object Object],[object Object],[object Object],[object Object],Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
Pre-contemplation  Contemplation  Preparation  Action  Maintenance   Becoming aware Emotional response Environmental analysis Thinking through the issues Seeing other options Self-efficacy Social support Helping relationship Reinforcement Seeing other options Being in control Social support Processes influencing movement through the stages of change Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
Diffusion of innovation Theory Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
Diffusion of innovation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
Innovators Early Adopters Early Majority Late Majority Laggards Adopter Categories Adopter Categories   2.5% 13.5% 34% 34% 16% Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
Diffusion of tech in weaponry: American drone in the 21 st  century Nigerian warriors in the 18 th  century Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
Diffusion of tech in transport systems: Local Water transport  then Local Water transport  now Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
Diffusion of technology in transport: Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
Transition of cultural diffusions: Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
PRECEDE – PROCEED MODEL Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
PRECEDE – PROCEED MODEL Predisposing Factors Enabling Factors Reinforcing Factors Specific behavior by individuals Environment ( conditions of living) HEALTH Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],PRECEDE – PROCEED MODEL Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
[object Object],[object Object],PRECEDE – PROCEED MODEL Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],PRECEDE – PROCEED MODEL Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
Case study 1 ,[object Object],[object Object],[object Object],Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
Case study 2 ,[object Object],[object Object],Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
Case Study ,[object Object],[object Object],[object Object],Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
Terima kasih Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau                                                                                              

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Models Of Health Behaviors By Yusuf Abdu Misau

  • 1. Models of health behavior Dr Yusuf Abdu Misau MBBS (ABU), MPH(UM), PhD Student(UM) Department of Social and Preventive Medicine, University of Malaya
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  • 8. What is a model? Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
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  • 10. What is behavior ? Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
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  • 12. BEHAVIOUR The response of an organism to a stimulus Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
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  • 17. Field Theory (1951) Behaviour is the function of the psychological field which in turn, is the product of interaction between the person and his/her environment. Kurt Lewin B = f(PE) Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
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  • 19. Multiple Risks Behavioural Model (1982) Behaviour is the function of direct, additive and interaction effects of specific behaviour intentions, social support, accessibility of information and services, personal autonomy and actual situation. S.B.Kar B=f(BI)+(SocSup)+(Acc IS)+(PA)+(AS) Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
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  • 27. HEALTH BELIEF MODEL Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
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  • 32. THEORY OF REASONED ACTION Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
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  • 35. THEORY OF REASONED ACTION Beliefs and Evaluations of Behavioural Outcomes Normative Beliefs Attitude toward the Behaviour Behavioural Intention Subjective Norms Behaviour Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
  • 36. SOCIAL LEARNING THEORY Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
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  • 38. Nigerian culture: 1970 vs 2009 Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
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  • 45. THE TRANSTHEORETICAL MODEL Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
  • 46. THE TRANSTHEORETICAL MODEL James O. Prochaska and Carlo C. DiClemente “ Habit is habit, and not to be flung out of window but coaxed downstairs a step at a time.” Mark Twain
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  • 51. Precontemplation Contemplation Preparation Action Maintenance Relapse Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
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  • 63. Pre-contemplation Contemplation Preparation Action Maintenance Becoming aware Emotional response Environmental analysis Thinking through the issues Seeing other options Self-efficacy Social support Helping relationship Reinforcement Seeing other options Being in control Social support Processes influencing movement through the stages of change Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
  • 64. Diffusion of innovation Theory Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
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  • 66. Innovators Early Adopters Early Majority Late Majority Laggards Adopter Categories Adopter Categories 2.5% 13.5% 34% 34% 16% Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
  • 67. Diffusion of tech in weaponry: American drone in the 21 st century Nigerian warriors in the 18 th century Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
  • 68. Diffusion of tech in transport systems: Local Water transport then Local Water transport now Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
  • 69. Diffusion of technology in transport: Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
  • 70. Transition of cultural diffusions: Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
  • 71. PRECEDE – PROCEED MODEL Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
  • 72.
  • 73. PRECEDE – PROCEED MODEL Predisposing Factors Enabling Factors Reinforcing Factors Specific behavior by individuals Environment ( conditions of living) HEALTH Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau
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  • 80. Terima kasih Tuesday, January 5, 2010 Models of Health Behavior_Yusuf Misau                                                                                             

Editor's Notes

  1. HP1-2004