Damien S E Broekharst, Sjaak Bloem, Edward A G Groenland, Tessa S Folkertsma, Jim Ingebretsen Carlson, Frans Folkvord, Claire Everitt, Aad R Liefveld, Giuseppe Fico, Francisco Lupiáñez-Villanueva
{"title":"Explaining health behavior: a new model centered around health experience and its determinants.","authors":"Damien S E Broekharst, Sjaak Bloem, Edward A G Groenland, Tessa S Folkertsma, Jim Ingebretsen Carlson, Frans Folkvord, Claire Everitt, Aad R Liefveld, Giuseppe Fico, Francisco Lupiáñez-Villanueva","doi":"10.3389/fpsyg.2025.1626812","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Conventional health-related models used to predict health behaviors have limited predictive power, as they fail to accurately capture an individual's health experience, which correlates more closely with health behavior. Therefore, some researchers have aimed to develop a predictive model focused on subjective health experience and its determinants. Although this model may be promising, it is still rudimentary. Hence, this study aimed to explore a new extended subjective health experience model and segment it along the lines of relevant demographic variables to further improve health behavior predictions.</p><p><strong>Method: </strong>An online questionnaire was administered to a panel of 2,550 Dutch citizens, covering sample characteristics and measuring health perceptions, acceptance, control, projected health, experienced health, adjustment, and health behavior. Data were analyzed using descriptive, reliability, validity, and model statistics.</p><p><strong>Result: </strong>The analysis revealed that almost all assumed direct relationships within the overall and segmented models are statistically significant, making them exceptionally robust. It also became clear that health perception indirectly influences health behavior through several pathways. The strongest indirect pathways linking health perception to health behavior involve sequential mediation by acceptance, experienced health, and projected health, with control potentially preceding or replacing acceptance. The most moderate indirect pathways involve acceptance with either experienced or projected health, with control potentially preceding or replacing acceptance. The weaker indirect pathways are those involving adjustment either combined with experienced and projected health or embedded within more extended sequences. It further became evident that the model explained between 39.2 and 50.9% of the variance in health behavior.</p><p><strong>Conclusion: </strong>Healthcare professionals and other stakeholders may benefit from using key concepts such as acceptance, control, experienced health, and projected health to guide the development and implementation of future behavioral interventions.</p>","PeriodicalId":12525,"journal":{"name":"Frontiers in Psychology","volume":"16 ","pages":"1626812"},"PeriodicalIF":2.9000,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12499497/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Frontiers in Psychology","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.3389/fpsyg.2025.1626812","RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"PSYCHOLOGY, MULTIDISCIPLINARY","Score":null,"Total":0}
引用次数: 0
Abstract
Introduction: Conventional health-related models used to predict health behaviors have limited predictive power, as they fail to accurately capture an individual's health experience, which correlates more closely with health behavior. Therefore, some researchers have aimed to develop a predictive model focused on subjective health experience and its determinants. Although this model may be promising, it is still rudimentary. Hence, this study aimed to explore a new extended subjective health experience model and segment it along the lines of relevant demographic variables to further improve health behavior predictions.
Method: An online questionnaire was administered to a panel of 2,550 Dutch citizens, covering sample characteristics and measuring health perceptions, acceptance, control, projected health, experienced health, adjustment, and health behavior. Data were analyzed using descriptive, reliability, validity, and model statistics.
Result: The analysis revealed that almost all assumed direct relationships within the overall and segmented models are statistically significant, making them exceptionally robust. It also became clear that health perception indirectly influences health behavior through several pathways. The strongest indirect pathways linking health perception to health behavior involve sequential mediation by acceptance, experienced health, and projected health, with control potentially preceding or replacing acceptance. The most moderate indirect pathways involve acceptance with either experienced or projected health, with control potentially preceding or replacing acceptance. The weaker indirect pathways are those involving adjustment either combined with experienced and projected health or embedded within more extended sequences. It further became evident that the model explained between 39.2 and 50.9% of the variance in health behavior.
Conclusion: Healthcare professionals and other stakeholders may benefit from using key concepts such as acceptance, control, experienced health, and projected health to guide the development and implementation of future behavioral interventions.
期刊介绍：
Frontiers in Psychology is the largest journal in its field, publishing rigorously peer-reviewed research across the psychological sciences, from clinical research to cognitive science, from perception to consciousness, from imaging studies to human factors, and from animal cognition to social psychology. Field Chief Editor Axel Cleeremans at the Free University of Brussels is supported by an outstanding Editorial Board of international researchers. This multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide. The journal publishes the best research across the entire field of psychology. Today, psychological science is becoming increasingly important at all levels of society, from the treatment of clinical disorders to our basic understanding of how the mind works. It is highly interdisciplinary, borrowing questions from philosophy, methods from neuroscience and insights from clinical practice - all in the goal of furthering our grasp of human nature and society, as well as our ability to develop new intervention methods.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
