Theories, Practice & ResearchRST- FK-UWKS, 2014

HEALTH BEHAVIOR, HEALTH EDUCATION & HEALTH PROMOTION

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ATTITUDES:

1. Cognitive aspect

2.Affective aspect3.Conative aspect

(Psychomotor).

PRACTICES: Overt behavior

HEALTH BEHAVIOUR THEORIES

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Behavior (B) =

f (K.A.P) K & A: covert behaviour

NOUN to Verb Form

Taksonomi Bloom, sumber Wilson 2006

1956 2001

CHANGES to BLOOM’SA NEW VERSION of the Cognitive Taxonomy

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THE HEALTH BELIEF MODEL (HBM), COMPONENTS & LINKAGES

Individual PERCEPTIONModifying factors Likelihood to action

Age, sex, ethnicity

PersonalitySocioeconomics

KnowledgeAttitude,Culture

(values, Norms)

Perceived threat ofdisease

Cues to action:-Education-Symptoms, illness-Media information

Perceived Susceptibility/

Severity ofdisease

Perceived benefits Minus

Perceived barriersto behavior change

Likelihood ofBehavior change

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KEY CONCEPTS AND DEFINITIONS OF HBM

Perceived susceptibility: one’s opinion of chances of getting a condition

Perceived severity: one’s opinion of how serious a condition and its sequelae are

Perceived barriers: one’s opinion of tangible & psychological costs of advised action

Perceived benefits: one’s opinion of the efficacy of the advised action to reduce risk or seriousness of impact.

Cues to action: Strategies to activate one’s “readiness”

Self-efficacy: One’s confidence in one’s ability to take action

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PRECEDE- PROCEED FRAMEWORK OF HP-PLANNING ( L.W.GREEN & KREUTER, 2000)

Phase 2 Phase 1

Phase 6

HEALTHPROMOTION

HealthEDUCATION

POLICYRegulation

group

PREDISPOSINGfactors

REINFORCINGfactors

ENABLINGfactors

BEHAVIOR&

Lifestyle

ENVIRONMENT

HEALTH

QualityOf

LIFE

Phase 5Phase 4

Phase 3

Phase 7 Phase 8

Phase 9

PRECEDE

PROCEED

PREDISPOSING FACTORS: NORMS, VALUES, KNOWLEDGE, ATTITUDES, SOCIOECONOMICS,

PSYCHOLOGICAL FACTORS

ENABLING FACTORS: COMPETENCY—HARD SKILL , SOFT SKILL, HEALTH

FACILITY ( Availability, Acessability, Acceptability, Affordability).

REINFORCING FACTORS:Health Providers, Community/ spiritual Leaders, Peers, Husband / Wife/ Child – Children).

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HEALTH BEHAVIOR = F (PRE. EN. RE.)( L.W.GREEN).

Motivation factors: adalah faktor pekerjaan yang keberadaannya dapat menimbulkan kepuasan

Hygiene factors: adalah faktor lingkungan kerja yang ketidak-beradaannya dapat menimbulkan ketidakpuasan.

Hygiene-Motivation Factors (F.Herzberg))

(Two-factor theory)

Faktor penentu kepuasan: (Motivation factors)Achievement. (Prestasi)Recognition. (Pengakuan)Work itself. (Sifat Pekerjaan)Responsibility. (Tanggung Jawab) Advancement. (Kemajuan/ Promosi/Pengembangan)

Faktor kepuasan kerja (F.Herzberg))

Penyebab ketidakpuasan: (Hygiene factors)Policy (Kebijakan)Salary (Gaji)Working conditions (Kondisi pekerjaan)

Interpersonal relations (Hubungan antar individu)

Supervision (Pengawasan)

Faktor kepuasan kerja (F.Herzberg)

HIERARCHY OF NEEDS (MASLOW)

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ADOPTION & DIFFUSION OF INOVATION PROCESS IN THE COMMUNITY

FK-UWKS-2014

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ADOPTION PROCESS (ROGERS ET AL, 1971)

•A WARENESS

•I NTEREST

•E VALUATION

•T RIAL

•A DOPTION

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STAGES IN THE INNOVATION-DECISION PROCESS (ROGERS ET

AL, 1983).

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1. K NOWLEDGE2. P ERSUASION3. D ECISION4. I MPLE MENTATION5. C ONFIRMATION

STAGES IN THE INNOVATION-DECISION PROCESS (ROGERS ET AL, 1983).

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Communication Channels

KNOWLEDGE

PERSUASION

DECISION

PRIORCONDITION1.Previous practice2.Felt needs /problems3.Innovativeness4.Norms of the soc.syastem

Charact. Of the Decision making unit:1.Soc—econ,2.Personality3.Communcation behavior

Perceived Charact of the Innovation:1Relative advantage2.Compatibility3.Complexity4.Trialability5.Observability

1.Adoption

2.Rejection

Cont’d

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STAGES in the INNOVATION-DECISION PROCESSCOMMUNICATION CHANNELS

IV. IMPLEMENTATION

V. CONFIRMATIO

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III.DECISIO

N

Continued AdoptionLater Adoption

DiscontinuanceContinued Rejection

Adoption

Rejection

ATTRIBUTES OF INNOVATION & THEIR RATE OF ADOPTION

1. RELATIVE ADVANTAGE2. COMPATIBILITY3. COMPLEXITY4. TRIALABILITY5. OBSERVABILITY

RELATIVE ADVANTAGEEconomic. AspectStatus aspectEffect of Incentive sCOMPATIBILITY: withValues & beliefsNeedsRate of AdoptionPositioning of innovation

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ADOPTER CATEGORIES AS IDEAL TYPES

1. INNOVATORS : Venturesome

2. EARLY ADOPTERS :Respectable

3. EARLY MAJORITY : Deliberate

4. LATE MAJORITY : Skeptical

5. LAGGARDS : Traditional

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1.GLANZ, KAREN, FRANCES MARCUS LEWIS, BARBARA K.RIMER editors,1997. HEALTH BEHAVIOR & HEALTH EDUCATION. Theory, Research, and Practice, 2nd ed. Jossey-Bass Publishers, San franscisco2.Rogers, Everett M,1983. DIFFUSION OF INNOVATIONS, 3rd ed. The Free Press NY& Collier Macmillan Publishers.London.

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DAFTAR PUSTAKA