Department of Medical Humanities and Social Sciences, College of Medicine, Florida State University, Tallahassee, 32306-4300, USA.
Ann Behav Med. 2012 Oct;44(2):171-80. doi: 10.1007/s12160-012-9366-5.
Although theories of health behavior have guided thousands of studies, relatively few studies have compared these theories against one another.
The purpose of the current study was to compare two classic theories of health behavior-the Health Belief Model (HBM) and the Theory of Planned Behavior (TPB)-in their prediction of human papillomavirus (HPV) vaccination.
After watching a gain-framed, loss-framed, or control video, women (N = 739) ages 18-26 completed a survey assessing HBM and TPB constructs. HPV vaccine uptake was assessed 10 months later.
Although the message framing intervention had no effect on vaccine uptake, support was observed for both the TPB and HBM. Nevertheless, the TPB consistently outperformed the HBM. Key predictors of uptake included subjective norms, self-efficacy, and vaccine cost.
Despite the observed advantage of the TPB, findings revealed considerable overlap between the two theories and highlighted the importance of proximal versus distal predictors of health behavior.
尽管健康行为理论已经指导了数千项研究，但相对较少的研究将这些理论相互比较。
本研究旨在比较两种经典的健康行为理论——健康信念模型（HBM）和计划行为理论（TPB）——在预测人乳头瘤病毒（HPV）疫苗接种方面的作用。
在观看了增益框架、损失框架或控制视频后，年龄在 18-26 岁的女性（N=739）完成了一项评估 HBM 和 TPB 结构的调查。10 个月后评估 HPV 疫苗接种率。
尽管信息框架干预对疫苗接种率没有影响，但 TPB 和 HBM 都得到了支持。然而，TPB 始终优于 HBM。接种率的主要预测因素包括主观规范、自我效能和疫苗成本。
尽管 TPB 具有明显优势，但研究结果显示两种理论之间存在很大的重叠，并强调了近端和远端健康行为预测因素的重要性。
