Crossref journal-article
SAGE Publications
Health Education Quarterly (179)
Abstract

The Health Belief Model, social learning theory (recently relabelled social cognitive theory), self-efficacy, and locus of control have all been applied with varying success to problems of explaining, predicting, and influencing behavior. Yet, there is con ceptual confusion among researchers and practitioners about the interrelationships of these theories and variables. This article attempts to show how these explanatory fac tors may be related, and in so doing, posits a revised explanatory model which incor porates self-efficacy into the Health Belief Model. Specifically, self-efficacy is pro posed as a separate independent variable along with the traditional health belief var iables of perceived susceptibility, severity, benefits, and barriers. Incentive to behave (health motivation) is also a component of the model. Locus of control is not included explicitly because it is believed to be incorporated within other elements of the model. It is predicted that the new formulation will more fully account for health-related behavior than did earlier formulations, and will suggest more effective behavioral interventions than have hitherto been available to health educators.

Bibliography

Rosenstock, I. M., Strecher, V. J., & Becker, M. H. (1988). Social Learning Theory and the Health Belief Model. Health Education Quarterly, 15(2), 175–183.

Authors 3
  1. Irwin M. Rosenstock (first)
  2. Victor J. Strecher (additional)
  3. Marshall H. Becker (additional)
References 29 Referenced 3,357
  1. {'issue': '8', 'key': 'atypb1', 'volume': '2', 'author': 'Thorndike EL', 'year': '1898', 'journal-title': 'Psychological Monographs'} / Psychological Monographs by Thorndike EL (1898)
  2. {'volume-title': 'Behaviorism', 'year': '1925', 'author': 'Watson JB', 'key': 'atypb2'} / Behaviorism by Watson JB (1925)
  3. {'volume-title': 'Principles of Behavior', 'year': '1943', 'author': 'Hall CL', 'key': 'atypb3'} / Principles of Behavior by Hall CL (1943)
  4. {'volume-title': 'The Mentality of Apes', 'year': '1925', 'author': 'Kohler W.', 'key': 'atypb4'} / The Mentality of Apes by Kohler W. (1925)
  5. {'volume-title': 'Purposive Behavior in Animals and Men', 'year': '1932', 'author': 'Tolman EC', 'key': 'atypb5'} / Purposive Behavior in Animals and Men by Tolman EC (1932)
  6. {'volume-title': 'A Dynamic Theory of Personality', 'year': '1935', 'author': 'Lewin K.', 'key': 'atypb6'} / A Dynamic Theory of Personality by Lewin K. (1935)
  7. 10.1037/10019-000
  8. Lewin K., Dembo T., Festinger L., and Sears PS: "Level of aspiration." In J. Hunt (Ed.) Personality and the Behavior Disorders. New York, The Ronald Press, 1944, 333-378.
  9. {'key': 'atypb9', 'series-title': 'Psychological Theory', 'volume-title': 'The nature of field theory', 'author': 'Lewin K.', 'year': '1951'} / The nature of field theory / Psychological Theory by Lewin K. (1951)
  10. {'volume-title': 'Conditional Reflexes', 'year': '1927', 'author': 'Pavlov I.', 'key': 'atypb10'} / Conditional Reflexes by Pavlov I. (1927)
  11. {'volume-title': 'The Behavior of Organisms', 'year': '1938', 'author': 'Skinner BF', 'key': 'atypb11'} / The Behavior of Organisms by Skinner BF (1938)
  12. 10.1037/10788-000
  13. {'volume-title': 'Social Learning Theory', 'year': '1977', 'author': 'Bandura A.', 'key': 'atypb13'} / Social Learning Theory by Bandura A. (1977)
  14. 10.1037/0033-295X.84.2.191
  15. {'volume-title': 'Social Foundations of Thought and Action', 'year': '1986', 'author': 'Bandura A.', 'key': 'atypb15'} / Social Foundations of Thought and Action by Bandura A. (1986)
  16. 10.2307/3348967
  17. 10.1177/109019817400200403
  18. {'first-page': '324', 'year': '1974', 'series-title': 'The health belief model and personal health behavior, Health Education Monographs', 'key': 'atypb18'} / The health belief model and personal health behavior, Health Education Monographs (1974)
  19. 10.1177/109019817400200404
  20. {'key': 'atypb20', 'series-title': 'Patient Compliance to Prescribed Antihypertensive Medication Regimens', 'volume-title': 'The role of theory in the study of compliance to high blood pressure regimens', 'author': 'Leventhal H.', 'year': '1980'} / The role of theory in the study of compliance to high blood pressure regimens / Patient Compliance to Prescribed Antihypertensive Medication Regimens by Leventhal H. (1980)
  21. 10.1177/109019818601300108
  22. 10.1037/h0092976
  23. {'key': 'atypb23', 'series-title': 'Behavioral Health', 'volume-title': 'Self-efficacy models', 'author': 'Schunk DH', 'year': '1984'} / Self-efficacy models / Behavioral Health by Schunk DH (1984)
  24. 10.1177/109019818401100101
  25. {'key': 'atypb25', 'series-title': 'Health Care and Human Behavior', 'volume-title': 'Compliance with medical advice', 'author': 'Becker MH', 'year': '1984'} / Compliance with medical advice / Health Care and Human Behavior by Becker MH (1984)
  26. 10.1097/00005650-198505000-00014
  27. 10.1037/0022-3514.41.3.586
  28. 10.1007/BF01186792
  29. 10.1016/0738-3991(84)90176-9
Dates
Type When
Created 18 years, 6 months ago (Feb. 13, 2007, 6:51 p.m.)
Deposited 6 months ago (March 1, 2025, 8:26 a.m.)
Indexed 25 minutes ago (Sept. 7, 2025, 3:21 p.m.)
Issued 37 years, 3 months ago (June 1, 1988)
Published 37 years, 3 months ago (June 1, 1988)
Published Online 37 years, 3 months ago (June 1, 1988)
Published Print 37 years, 3 months ago (June 1, 1988)
Funders 0

None

@article{Rosenstock_1988, title={Social Learning Theory and the Health Belief Model}, volume={15}, ISSN={0195-8402}, url={http://dx.doi.org/10.1177/109019818801500203}, DOI={10.1177/109019818801500203}, number={2}, journal={Health Education Quarterly}, publisher={SAGE Publications}, author={Rosenstock, Irwin M. and Strecher, Victor J. and Becker, Marshall H.}, year={1988}, month=jun, pages={175–183} }