You have a friend who just found a lump in her breast during a self-exam. She does not want to go get a mammogram. How could you use the Health Belief Model in a health coaching session to help your friend take the next steps towards getting a mammogram? Note: make sure to use all constructs of the model in your response.
Health belief model:
It is a model designed to exclusively predict health behaviors based on the constructs of perceived susceptibility, perceived severity, perceived benefits, perceived costs, cues to action, and self- efficacy
# Illness behaviors
Actions taken by a person who feels sick and indulges in the behavior for the purpose of defining the state of his or her health and for discovering suitable remedies
# Perceived barriers
Beliefs concerning the actual and imagined costs of following a new behavior
# Perceived benefits
Beliefs in the advantages of the methods suggested for reducing the risk or seriousness of the disease or harmful state resulting from a particular behavior
# Perceived severity
Subjective belief in the extent of harm that can result from an acquired disease or harmful as a result of a particular disease
# Perceived susceptibility
Subjective belief regarding a person's likelihood of acquiring a disease or reaching a harmful state as a result of indulging in a particular behavior
# Perceived threat
The combination of perceived susceptibility and perceived severity
# Preventive (or health) behaviors
Actions taken by a healthy person for the purpose of preventing disease or detecting disease in an asymptomatic phase
# Self- efficacy
The confidence that a person has in his or her ability to pursue a behavior
You have a friend who just found a lump in her breast during a self-exam. She...
You are seeing a 53-year-old African American female for a lump she found in her right breast two weeks ago in the shower. Her last mammogram was three years ago and she was told it was “benign.” She had two breast biopsies at ages 32 and 34 in her right and left breasts, respectively. At both times she had surgery for removal of fibroadenomas. She does not routinely do breast self-exams. Her mother had a mastectomy for breast cancer at...
W.R., a 32-year-old woman, felt a small, hard, painless lump in her left breast during regular self-examination. The lump did not disappear during the next few days, so she went to her physician for an examination. Tests followed, and a biopsy confirmed the presence of a malignant tumor. The tumor (1.5 cm) was removed, as well as five lymph nodes, two of which contained malignant cells. No other metastases appeared to be present. Courses of radiation and chemotherapy were recommended...
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