Predictors of Intention to Reduce Stroke Risk Among People at Risk of Stroke: An Application of an Extended Health Belief Model

Abstract

Purpose: To examine predictors of intention to reduce stroke risk in a sample of at risk individuals through the application of an expanded Health Belief Model. Research Method: Predictors included stroke knowledge, demographic variables, beliefs about stroke, and measures of subjective norm and self-efficacy. The dependent variable was intention to reduce stroke risk. Of the 276 surveys distributed to bowling clubs, senior citizens clubs or retirement villages, 101 surveys were returned. Data from 76 of these respondents were used for analysis. Results: With regard to exercise intention, a pattern of significant correlations between HBM variables, subjective norm, and self-efficacy was observed. Results of multiple hierarchical regression analyses showed that perceived benefits of undertaking exercise and self-efficacy in relation exercise were the two most important determinants of exercise intentions. Conclusions: Findings suggest that health beliefs may play an important role in stroke prevention. Practice Implications: Stroke education and prevention programs that selectively target beliefs about the perceived benefits of, and self-efficacy related to, exercise to reduce stroke risk may prove most efficacious. © 2008 American Psychological Association.