Pederson L L, Wanklin J M, Baskerville J C
Soc Sci Med. 1984;19(5):573-80. doi: 10.1016/0277-9536(84)90052-2.
The Health Belief Model has been proposed to account for patient compliance with therapeutic regimens. The purpose of the present study was to evaluate the utility of this theoretical formulation in accounting for compliance with physician advice to quit smoking among patients with pulmonary disease. Three hypotheses were examined: (1) probability of cessation of smoking is positively related to strength of Health Beliefs; (2) Health Beliefs can be used to explain relationships observed between other variables and compliance; (3) reason for smoking accounts for discrepancies between Health Beliefs and compliance. Results from a prospective study of 308 patients supported hypothesis 3, partially supported hypothesis 1, and did not support hypothesis 2. It was concluded that this conceptual formulation is useful in this context, but that explanations based on arousal level may be more appropriate.
健康信念模型已被提出用于解释患者对治疗方案的依从性。本研究的目的是评估这一理论框架在解释肺病患者遵守医生戒烟建议方面的效用。检验了三个假设：（1）戒烟的可能性与健康信念的强度呈正相关；（2）健康信念可用于解释其他变量与依从性之间观察到的关系；（3）吸烟原因解释了健康信念与依从性之间的差异。对308名患者进行的前瞻性研究结果支持假设3，部分支持假设1，不支持假设2。得出的结论是，这一概念框架在这种情况下是有用的，但基于唤醒水平的解释可能更合适。
