Evidence mapPaperPMID 40709034Full record

ArticleFrontiers in public health2025

Influencing factors and mechanisms promoting proactive health behavior intention: an integration of the health belief model and the theory of planned behavior.

Lidong Fang, Qiaoqiao Zhang, Ning Zhou, Jin Chen, Hu Lou

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Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Lidong FangSchool of Sports Science, Nantong University, Nantong, China.
Qiaoqiao ZhangSchool of Sports Science, Nantong University, Nantong, China.
Ning ZhouSchool of Sports Science, Nantong University, Nantong, China.
Jin ChenSchool of Sports Science, Nantong University, Nantong, China.
Hu LouSchool of Sports Science, Nantong University, Nantong, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Promoting proactive health behaviors is an effective strategy for addressing public health challenges and advancing the "Healthy China" initiative. This study aims to explore the driving factors and mechanisms influencing proactive health behavior intention by integrating the theory of planned behavior (TPB) and the health belief model (HBM). Methods: A cross-sectional survey design was employed. A structured questionnaire was developed based on the theory of planned behavior (TPB) and the health belief model (HBM), covering eight dimensions: health behavior attitude, subjective norms, perceived behavioral control, self-efficacy, perceived susceptibility, perceived severity, perceived benefits, and perceived barriers. A total of 462 valid responses were collected using convenience sampling at a hospital health examination center in Jiangsu Province, China. Participants were approached on-site during routine check-ups and voluntarily completed the survey after providing informed consent. Data were analyzed using SPSS 26.0 and AMOS 26.0. Reliability and validity were tested using Confirmatory Factor Analysis (CFA), and hypotheses were examined through Structural Equation Modeling (SEM). Results: The findings revealed that perceived susceptibility, severity, benefits, and barriers significantly influenced individuals' attitudes toward health behaviors. Attitudes, subjective norms, and perceived behavioral control significantly predicted intention, with self-efficacy partially mediating these effects. Perceived barriers had a negative effect, suggesting practical challenges hinder the development of health intentions. Conclusion: Health belief factors, especially perceived benefits, significantly influence health behavior attitude. TPB variables-particularly attitude-are key predictors of proactive health behavior intention. Self-efficacy acts as an important mediator, enhancing the explanatory power of the integrated TPB-HBM model. These findings provide theoretical and practical guidance for designing interventions to promote proactive health behavior in the general population.

Indexed as

Health BehaviorHealth Belief ModelHealth PromotionIntentionAdolescentAdultChinaCross-Sectional StudiesFemaleHealth Knowledge, Attitudes, PracticeHumansMaleMiddle AgedReproducibility of ResultsSelf EfficacySurveys and Questionnairesbehavioral intentionhealth belief modelproactive healthself-efficacytheory of planned behavior (TPB)

Identifiers

PMID40709034
PMCPMC12287080

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.