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Health Educ Monogr. 1977 Fall;5(3):232-43.

The health belief model as a conceptual framework for explaining contraceptive compliance.

Abstract

The problem of compliance in family planning is discussed in relation to the lack of theoretical and conceptual clarity in research, which has produced contradictory, and often inconsistent findings. Current research has contributed little to explaining the phenomenon of compliance and to directing further research. The Health Belief Model, which has been demonstrated to have application in the areas of preventive health behavior and compliance with medical regimens, is offered as a potentially useful conceptual framework for family planning research. The generalization of the Health Belief Model to family planning behavior is seen as an out-growth of the theoretical strength of the Model and the similarities between family planning and other health behavior.

PIP:

The problem of compliance in family planning has been dealt with in the research but on an empirical level; it lacks any theoretical or conceptual framework which could strengthen the generalizability and utility of the findings. The primary concerns of research, however, should not be upon devising better, more refined methodolgies and instruments and upon the discovery of the most useful constellation of "situational factors." Instead focus should be upon the application, testing, and refinement of an appropriate conceptual or theoretical model, with attention devoted to the problem of measurement of the key variables of that model. The Health Belief Model is a model which has been shown to have application in the areas of preventive health behavior and compliance with medical regimens. This Model integrates several aspects of health decision making. The Health Belief Model is suggested as a potentially useful conceptual framework for family planning research for a number of reasons. 1st, the Model is based firmly on social psychological theory and depends heavily on motivational and cognitive factors. 2nd, by taking an expectancy theory approach to health behavior, the Model derives considerable conceptual strength. 3rd, there is also a growing body of research to support the Model's explanatory capability. Although a strong argument can be made for the differences between family planning and preventive and curative health behavior, there are some marked similarities which support the idea that the Health Belief Model could be successfully used to direct future research and thinking in this field.

PMID:
924796
[Indexed for MEDLINE]

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