TY - JOUR
T1 - Predicting human papillomavirus vaccine uptake in young adult women
T2 - Comparing the health belief model and theory of planned behavior
AU - Gerend, Mary A.
AU - Shepherd, Janet E.
N1 - Funding Information:
Acknowledgments We thank members of the Women’s Health research team (Khadija Andrews, Kristina Banda, Kathleen Burns, Michelle DiMarco, Sophia Harvey, Elizabeth Howe, Jessica Kraich, Lisa Langenderfer, Meghan McLeod, Mallory McRoberts, Kristina Martinez, Shella Mesa, Samantha O’Hara, Virginia Parker, Victoria Patronis, Michelle Poole, Alana Resmini, and Jennifer Rice, Stephanie Urena, and Becky Wiesenfeld) for their assistance with this project. This research was supported in part by a grant from the National Cancer Institute of the National Institutes of Health (R03-CA138069).
PY - 2012/10
Y1 - 2012/10
N2 - Background Although theories of health behavior have guided thousands of studies, relatively few studies have compared these theories against one another. Purpose The purpose of the current studywas 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. Methods After watching a gain-framed, loss-framed, or control video, women (N0739) ages 18-26 completed a survey assessing HBM and TPB constructs. HPV vaccine uptake was assessed 10 months later. Results 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. Conclusions 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.
AB - Background Although theories of health behavior have guided thousands of studies, relatively few studies have compared these theories against one another. Purpose The purpose of the current studywas 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. Methods After watching a gain-framed, loss-framed, or control video, women (N0739) ages 18-26 completed a survey assessing HBM and TPB constructs. HPV vaccine uptake was assessed 10 months later. Results 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. Conclusions 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.
KW - Cervical cancer prevention
KW - Health behavior theory
KW - Theory testing
KW - Vaccination
UR - http://www.scopus.com/inward/record.url?scp=84866742864&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84866742864&partnerID=8YFLogxK
U2 - 10.1007/s12160-012-9366-5
DO - 10.1007/s12160-012-9366-5
M3 - Article
C2 - 22547155
AN - SCOPUS:84866742864
SN - 0883-6612
VL - 44
SP - 171
EP - 180
JO - Annals of Behavioral Medicine
JF - Annals of Behavioral Medicine
IS - 2
ER -
