A Reasoned Action Approach to Health Promotion

Medical Decision Making - Tập 28 Số 6 - Trang 834-844 - 2008
Martin Fishbein1
1Annenberg Public Policy Center, Annenberg School forCommunication & Center of Excellence in Cancer Communication Research,University of Pennsylvania, Philadelphia, PA,

Tóm tắt

This article describes the integrative model of behavioral prediction (IM), the latest formulation of a reasoned action approach. The IM attempts to identify a limited set of variables that can account for a considerable proportion of the variance in any given behavior. More specifically, consistent with the original theory of reasoned action, the IM assumes that intentions are the immediate antecedents of behavior, but in addition, the IM recognizes that environmental factors and skills and abilities can moderate the intention-behavior relationship. Similar to the theory of planned behavior, the IM also assumes that intentions are a function of attitudes, perceived normative pressure and self-efficacy, but it views perceived normative pressure as a function of descriptive as well as of injunctive (i.e., subjective) norms. After describing the theory and addressing some of the criticisms directed at a reasoned action approach, the paper illustrates how the theory can be applied to understanding and changing health related behaviors.

Từ khóa


Tài liệu tham khảo

10.1037/1076-898X.2.3.207

Hornik R., Am J Public Health.

10.1080/09540120050042918

Fishbein M. A theory of reasoned action: some applications and implications. In: Howe H, Page M, eds. Nebraska Symposium on Motivation, 1979. Lincoln: University of Nebraska Press; 1980. p 65-116.

Ajzen I., 1980, Organ Behav Hum Decis Process., 50, 278

10.1037/0033-2909.127.1.142

10.4278/0890-1171-11.2.87

10.1123/jsep.19.1.36

10.1111/j.2044-8309.1998.tb01167.x

10.1001/archinte.161.20.2406

10.1111/j.1529-1006.2006.00026.x

10.1002/(SICI)1099-0992(199906)29:4<419::AID-EJSP933>3.0.CO;2-L

10.1037/0022-3514.74.5.1164

Ingham R., 1994, Adv Med Sociol, 4, 89

Morojele NK, Stephenson GM Addictive behaviors: predictors of abstinence intentions and expectations in the theory of planned behavior. In: Rutter DR, Quine L, eds. Social Psychology and Health: European Perspectives. Aldershot (UK): Avebury/ Ashgate; 1994. p 47-70.

10.1080/08870449808406752

Fishbein M., Triandis HC, Kanfer FH, Becker MH, Middlestadt SE, Eichler A. Factors influencing behavior and behavior change. In: Baum A, Revenson TR, Singer JE, eds. Handbook of Health Psychology . Mahwah (NJ): Lawrence Erlbaum Associates; 2001. p 3-17.

IOM Committee on Communication for Behavior Change in the 21st Century, 2002, Improving the Health of Diverse Populations. Speaking of Health: Assessing Health Communication Strategies for Diverse Populations

NAS Committee on the Youth Population and Military Recruitment., 2002, Attitudes, Aptitudes, and Aspirations of American Youth: Implicatons for Military Recruitment

10.1016/0022-1031(85)90017-4

10.1086/209170

10.1080/14792772143000003

10.1348/014466601164939

10.1093/jpepsy/jsi026

10.1037/0278-6133.24.4.358

10.1037/0022-3514.86.4.517

Ajzen I., 1988, Attitudes, Personality, and Behavior

10.1037/0033-2909.84.5.888

Notani AS, 1998, J Consum Behav, 7, 247

10.1111/j.2044-8309.1994.tb01037.x

Van den Putte B., 1993, On the Theory of Reasoned Action

10.1080/13548500701842933

10.1080/10410230701454189

10.1080/15245004.1999.9961044

Bandura A. Self-efficacy: The Exercise of Control. New York : W. H. Freeman/Times Books /Henry Holt & Co.; 1997. p 604.