Predicting attendance at health screening: Organizational factors and patients' health beliefs
Counselling Psychology QuarterlyPublished 1 April 1991
Paul Norman, Mike Fitter
Citations18
SJR quartileQ2
SJR score0.89
SNIP1.20
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
Discriminant analysis revealed attenders to be more likely to report cutting back on everyday activities when ill and to believe in the seriousness of high blood pressure and weight problems and non-attenders were found to beMore worried about the screening appointment.
Abstract
Abstract The present study firstly considers the effectiveness of two invite methods. Three hundred and twenty-five patients aged between 30 and 50 were invited to attend a general health check either by letter or opportunistically during a routine consultation After six months the two invite methods had similar attendance rates, although the opportunistic method produced fewer patients at screening and was biased in favour of females. The study also examined the health beliefs of attenders (n = 98) and non-attenders (n = 33) who had been sent questionnaires based on the health belief model prior to the commencement of the screening programme. Discriminant analysis revealed attenders to be more likely to report cutting back on everyday activities when ill and to believe in the seriousness of high blood pressure and weight problems. Non-attenders were found to be more worried about the screening appointment. These findings have important implications for those who plan screening services.
Keywords
MedicineHealth Professions
Psychological ReviewSelf-efficacy: Toward a unifying theory of behavioral change.
42,551 Citations1977Albert Bandura
Psychological ReviewSelf-efficacy: Toward a unifying theory of behavioral change.
35,454 Citations1977Albert Bandura
An integrative theoretical framework to explain and to predict psychological changes achieved by different modes of treatment is presented and findings are reported from microanalyses of enactive, vicarious, and emotive mode of treatment that support the hypothesized relationship between perceived self-efficacy and behavioral changes.
Health Education QuarterlyThe Health Belief Model: A Decade Later
8,393 Citations1984Nancy K. Janz, Marshall H. Becker
A critical review of 29 HBM-related investigations published during the period 1974-1984, tabulates the findings from 17 studies conducted prior to 1974, and provides a summary of the total 46 HBM studies.
Health Education MonographsConstruct Validation of the Health Belief Model
977 Citations1978K. Michael Cummings, Alan M. Jette +1 more
Preliminary results provide the basis for developing brief health belief scales that may be administered to samples of consumers and providers to assess educational needs and suggest that subjects' perceptions of barriers and benefits are quite different from their perceptions of susceptibility and severity.
Advances in Nursing ScienceInstrument development for health belief model constructs
691 Citations1984Victoria L. Champion
Research was conducted to develop valid and reliable scales to test the Health Belief Model, and the dependent variable chosen for scale development was frequency of breast self-examination.
PubMedThe exceptional potential in each primary care consultation.
305 Citations1979N.C.H. Stott, Robert H. Davis
A four-point framework is described which has been found to be helpful for general practitioners who try to achieve greater breadth in each consultation and has provided a useful stimulus in undergraduate and postgraduate teaching.
Social Science & MedicineHealth behavior models compared
213 Citations1987Patricia Dolan Mullen, James Hersey +1 more
Social Science & MedicineThe health belief model and participation in programmes for the early detection of breast cancer: A comparative analysis
189 Citations1984Michael Calnan
Analysis of prospective studies examining how far the variables which make up the Health Belief Model predict attendance at a class teaching breast self-examination and a clinic providing mammography shows that different dimensions of the HBM are amongst the best predictors of attendance at each of the different services.
BMJBlood lipid concentrations and other cardiovascular risk factors: distribution, prevalence, and detection in Britain
184 Citations1988J I Mann, Basil S. Lewis +5 more
Plasma lipid concentrations and the prevalences of other risk factors for cardiovascular disease were similar in subjects selected by opportunistic case finding and by random selection, and cholesterol values have changed little during the past 12 years despite dietary recommendations and health education.
Medical CareStructural and Social Psychological Factors in the Decision to Seek Medical Care for Symptoms
162 Citations1981Emil Berkanovic, Carol Telesky +1 more
Despite the amount of variance explained in this analysis, the allocation of the explained variance among the predictor variables raises some disturbing questions regarding the ability to understand the decision to use health services.
BMJPromoting prevention in primary care: controlled trial of low technology, low cost approach.
159 Citations1987E. Fullard, G. Herbert Fowler +1 more
Three general practices were provided with low cost, low technology support from a "facilitator" and were compared with control practices in the ascertainment of major risk factors for cardiovascular disease in middle aged patients and there was a fivefold increase in the recording of weight.
Health Education MonographsScales for Measuring Health Belief Model Dimensions: A Test of Predictive Value, Internal Consistency, and Relationships among Beliefs
153 Citations1977Lois A. Maiman, Marshall H. Becker +3 more
Data are presented from a prospective study of mothers' adherence to a diet regimen prescribed for their obese children, finding the Model components to be correlated with the study's measure of dietary compliance.
PubMedInvitation to attend a health check in a general practice setting: comparison of attenders and non-attenders.
102 Citations1988Roisin Pill, Jillian Claire French +2 more
The results showed that attenders were generally better educated, better motivated to look after their health, had fewer ties and commitments, performed more healthapproved practices, had had more recent contact with their own practice and accepted the legitimacy of a general practitioner's interest in his patients' lifestyle.
Social Science & MedicineThe impact of patients' perceptions of high blood pressure on attendance at screening
94 Citations1982Jennifer King
The combination of health beliefs and causal attributions that predispose patients to attend a screening for raised blood pressure and a synthesis of two approaches relevant to health-related behaviour-the Health Belief Model and Attribution Theory were tested.
PubMedThe structure and reliability of health belief indices.
88 Citations1981Alan M. Jette, K. Michael Cummings +3 more
This study demonstrates that moderately reliable indices covering a wide spectrum of distinct health beliefs can be constructed and then replicated across independent samples and reveals that condition-specific measures of perception of susceptibility and severity and situation- specific measures of perceived barriers are empirically distinct from general measures of these beliefs.
BMJUsing nurses for preventive activities with computer assisted follow up: a randomised controlled trial.
64 Citations1989John Robson, Kambiz Boomla +5 more
An organised programme, which includes a nurse with specific responsibility for adult prevention, is likely to make an important contribution to recording of risk factors and follow up of those patients with known risks.
Health Education & BehaviorConstruct Validation of the Health Belief Model
56 Citations1978K. Michael Cummings, Alan M. Jette +1 more
Preliminary results provide the basis for developing brief health belief scales that may be administered to samples of consumers and providers to assess educational needs and suggest that subjects' perceptions of barriers and benefits are quite different from their perceptions of susceptibility and severity.
PubMedReliability of health belief indexes: confirmatory factor analysis in sex, race, and age subgroups.
47 Citations1987Joel L. Weissfeld, Bruce M. Brock +2 more
A confirmatory common factor model was developed based on the structure of health belief questionnaire items administered as part of a 1983 Michigan statewide blood pressure survey and foundReliabilities estimated for HBM factor scales formed with these questionnaire items appeared independent of age, race, or sex.
BMJRandomised trial of two strategies offering women mobile screening for breast cancer.
42 Citations1989E. M. Vaughan Williams, M P Vessey
The authors determined whether compliance would improve if a letter of invitation contained a definite appointment for breast cancer screening rather than an open ended request to make an appointment.
PubMedAn evaluation of recorded information about preventive measures in 38 practices.
40 Citations1981D.M. Fleming, Martin Lawrence
The results of a review of practice records for information about various preventive measures and much less cervical cytology has been done for women in their 50s than for those in their 30s and 40s are reported.
PubMedInvitation to attend a health check in a general practice setting: the views of a cohort of non-attenders.
37 Citations1988Roisin Pill, Nigel Stott
There is little that can be done to change non-response rates except by a shift of public opinion to more consumer demand for health checks or by more opportunistic health checks when people attend their doctors for other reasons.
BMJList size, screening methods, and other characteristics of practices in relation to preventive care.
35 Citations1985Douglas Fleming, Martin Lawrence +1 more
Significant favourable factors are a small list size, the setting up of a formal screening programme for cervical cytology and measuring blood pressure, and few registered patients in social classes IV and V.
Counselling Psychology QuarterlyIntention to attend a health screening appointment: Some implications for general practice
32 Citations1989Paul Norman, Mike Fitter
Correlational and regression analyses showed general health beliefs to be poor predictors of intention; instead predicting variables revolved around perceptions of the efficacy of screening, worries and concerns about the actual screening appointment, and perceived susceptibility to common illnesses.
Social Science & Medicine Part A Medical SociologyMotivation to participate in cancer screening programmes
26 Citations1979Dirk R. Schwoon, Hans‐Joachim Schmoll
The answers showed, that attenders and non-attenders are comparatively well-informed on the features of the programme, the hazards of cancer and the necessity of early detection.
Preventive MedicineMultivariate evaluation of health attitudes and behaviors: Development and validation of a method for health promotion research
25 Citations1985John P. Elder, Lynn Artz +7 more
The assumption that organizational and environmental factors can have an important impact on health was supported and the Lack of Social Support and Time and Work Pressure scales had a very limited integration into the overall patterns.
PubMedThe potential and limitations of opportunistic screening: data from a computer simulation of a general practice screening programme.
14 Citations1991Paul Norman, M. Fitter
It is argued that to achieve target levels of screening, practices will need to combine opportunistic methods with more formal methods of invitation, and it is suggested that opportunistic screening methods are unlikely to achieve desired screening rates within acceptable time limits.
PubMedEvaluation of a practice-based programme of health checks: financial cost and success at risk detection.
14 Citations1989Gerald E. Sacks, Richard Marsden
With the help and supervision of a facilitator, a scheme of nurse-run health checks was established in 1983 in a suburban group practice, although uptake of immunizations was low, and recording of risk factors increased greatly between 1983 and 1986.
PubMedThe organization of cervical screening in general practice.
8 Citations1988Christine Havelock, Robert P. Edwards +2 more
A younger age of general practitioner, a more rural practice, a larger practice size, employment of a practice nurse, a belief in the effectiveness of cervical screening and a positive view of the time spent on screening were all strong predictors of an organized approach to cervical screening within a practice.
PubMedHigh blood pressure: public views and knowledge.
4 Citations1979Maureen O’Brien, C. Hodes
There was little difference between responders (both hypertensive and non-hypertensive) andNon-responders in their knowledge of hypertension, and they were well informed about related conditions and illnesses caused by hypertension.