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The health belief model and adherence with a community center-based, supervised coronary heart disease exercise program

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Abstract

Some investigators have concluded that health beliefs do not influence the maintenance of coronary heart disease (CHD) exercise adherence. However, the beliefs tested have not been specific to CHD nor exercise. In addition, much of the research has been atheoretical. We conducted a retrospective study to explore the possibile utility of the Health Belief Model (HBM) for explaining attendance at a supervised CHD exercise program, based in a community center. Two dimensions of the model, general health motivation and perceived severity of CHD, were associated with attendance in the theoretically predicted direction, while a third dimension, perceived benefits of exercise, was associated in a direction opposite that predicted by the model. The model as a whole accounted for 29% (adjustedR 2) of the variance. This study provides some initial evidence that health beliefs are associated with CHD exercise adherence.

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Authors and Affiliations

  1. Department of Obstetrics/Gynecology and Pediatrics, Maimonides Medical Center, Brooklyn, USA

    Leah Feldman MA (Resident Program Coordinator)

  2. Department of Medicine, The State University of New York Health Science Center at Brooklyn, Brooklyn, USA

    Richard Stein MD (Professor and Chief of Cardiology)

  3. Department of Health and Nutrition Sciences, Brooklyn College, CUNY, 2900 Bedford Avenue, 11210, Brooklyn, New York

    Jerrold Mirotznik PhD, MPH (Associate Professor of Health and Nutrition Sciences)

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  1. Jerrold Mirotznik PhD, MPH
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  2. Leah Feldman MA
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  3. Richard Stein MD
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Mirotznik, J., Feldman, L. & Stein, R. The health belief model and adherence with a community center-based, supervised coronary heart disease exercise program. J Community Health 20, 233–247 (1995). https://doi.org/10.1007/BF02260407

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