Integrating the HBM and the PEN-3 model to explain the health behavior of persons with DLD

Authors

  • Ibraheem Abiodun Salako Institute of Child Health, College of Medicine, University of Ibadan
  • Mofeyisara Oluwatoyin Omobowale Institute of Child Health, College of Medicine, University of Ibadan
  • Olukemi K. Amodu Institute of Child Health, College of Medicine, University of Ibadan

DOI:

https://doi.org/10.1558/jircd.25592

Keywords:

developmental language disorders, intervention seeking, health behavior

Abstract

Background: Investigating factors that dictate the health-seeking process in persons with developmental language disorders (DLDs) is critical for enhancing early intervention and effective utilization of treatment services among persons with DLDs. This study sought to understand factors that determine health seeking in persons with DLDs using the Health Belief Model (HBM) and the PEN-3 model.

Methods: A qualitative study of 36 semi-structured interviews explored health-seeking behavior among stakeholders involved in the management of children with DLDs. Interviews were conducted with parents, teachers, and speech-language therapists on health behaviors and factors that dictate health behavior during intervention seeking. Data coding was done inductively, and analysis was carried out using qualitative content analysis.

Results: Findings revealed that both the HBM and the PEN-3 model were well represented in the dataset, and that integration of both models contributes to a systematic understanding of health behavior in persons with DLDs.

Conclusion: The study details how demographic, psychological, and sociocultural variables interact to shape the health-seeking process among persons with DLDs and the resulting impact of these interactions on the effective management of DLDs.

Author Biographies

  • Ibraheem Abiodun Salako, Institute of Child Health, College of Medicine, University of Ibadan

    Ibraheem Abiodun Salako is a doctoral candidate at the University of Ibadan, with a background in audiology and speech-language pathology. His research focuses on the intersection of public health and communication disorders, with a particular emphasis on enhancing service delivery for under-served populations in low- and middle-income countries. He aims to bridge the gap between these fields, and to develop effective and sustainable interventions that can improve the lives of individuals affected by communication disorders.

  • Mofeyisara Oluwatoyin Omobowale, Institute of Child Health, College of Medicine, University of Ibadan

    Mofeyisara Oluwatoyin Omobowale is a senior research fellow/lecturer at the Institute of Child Health, College of Medicine, University of Ibadan. Her PhD in anthropology from the University of Ibadan focused on medical/social anthropology, public health anthropology, child and adolescent studies, and medical history. Mofeyisara is a recipient of several fellowships, including the ACLS-AHP doctoral fellowship and post-doctoral fellowship, the Cadbury fellowship, and a fellowship from the Brown International Advanced Research Institute. She was an investigator/inventor on the Bill and Melinda Gates Foundation sponsored project, SheVaccs.

  • Olukemi K. Amodu, Institute of Child Health, College of Medicine, University of Ibadan

    Olukemi K. Amodu is a professor of genetics/molecular biology and public health at the Institute of Child Health, College of Medicine, University of Ibadan. She earned her bachelor’s, master’s, and PhD degrees in genetics/molecular biology at the University of Ibadan. Olukemi’s research focuses on childhood infections, in particular malaria. She has collaborated with national and international malaria research experts, including MalariaGEN and BioMalPar networks. Recently, she developed the curriculum for a novel academic master’s program in public health biotechnology, with a focus on diseases of public health importance.

References

Adegbiji, W. A., Olajide, G. T., Olubi, O. O., Ali, A., and Adeniyi, A. M. (2019). Communication disorders among children in a developing country, Nigeria. International Journal of Biomedical Science, 12(4), 1–6. https://doi.org/10.59566/IJBS.2019.15098

Airhihenbuwa, C. O. (1989). Perspectives on AIDS in Africa: Strategies for prevention and control. AIDS Education and Prevention, 1(1), 57–69.

Airhihenbuwa, C. O. (1995). Culture, health education, and critical consciousness. Journal of Health Education, 26(5), 317–319. https://doi.org/10.1080/10556699.1995.10603125

Airhihenbuwa, C. O., Ford, C. L., and Iwelunmor, J. I. (2014). Why culture matters in health interventions: Lessons from HIV/AIDS stigma and NCDs. Health Education & Behavior, 41(1), 78–84. https://doi.org/10.1177/1090198113487199

Chukwuneke, F., Ezeonu, C. T., Onyire, B. N., Ezeonu, P. O., Ifebunandu, N., and Umeora, M. C. (2012). Health seeking behavior and access to health care facilities at the primary level in Nigeria: Our experience. Ebonyi Medical Journal, 11(1–2).

Clegg, J., Hollis, C., Mawhood, L., and Rutter, M. (2005). Developmental language disorders – a follow-up in later adult life: Cognitive, language and psychosocial outcomes. Journal of Child Psychology and Psychiatry, 46(2), 128–149. https://doi.org/10.1111/j.1469-7610.2004.00342.x

Conti-Ramsden, G., St. Clair, M. C., Pickles, A., and Durkin, K. (2012). Developmental trajectories of verbal and nonverbal skills in individuals with a history of specific language impairment: From childhood to adolescence. Journal of Speech Language and Hearing Research, 55(6), 1716–1735. https://doi.org/10.1044/1092-4388(2012/10-0182)

Federal Ministry of Health, Nigeria (2018). National strategic plan on ear and hearing care. Policy documents available at Health.gov.ng

Haileamlak, A. (2018). What factors affect health seeking behavior? Ethiopian Journal of Health Sciences, 28(2), 110. https://doi.org/10.4314/ejhs.v28i2.1

Hall, K. S. (2012). The Health Belief Model can guide modern contraceptive behavior research and practice. Journal of Midwifery & Women’s Health, 57(1), 74–81. https://doi.org/10.1111/j.1542-2011.2011.00110.x

Herrmann, A., Hall, A., and Proietto, A. (2018). Using the Health Belief Model to explore why women decide for or against the removal of their ovaries to reduce their risk of developing cancer. BMC Women’s Health, 18(1), 1–14. https://doi.org/10.1186/s12905-018-0673-2

Janz, N. K., and Becker, M. H. (1984). The Health Belief Model: A decade later. Health Education Quarterly, 11(1), 1–47. https://doi.org/10.1177/109019818401100101

Jiang, L., Liu, S., Li, H., Xie, L., and Jiang, Y. (2021). The role of health beliefs in affecting patients’ chronic diabetic complication screening: A path analysis based on the Health Belief Model. Journal of Clinical Nursing, 30(19–20), 2948–2959. https://doi.org/10.1111/jocn.15802

Keshani, P., Hossein Kaveh, M., Faghih, S., and Salehi, M. (2019). Improving diet quality among adolescents, using Health Belief Model in a collaborative learning context: A randomized field trial study. Health Education Research, 34(3), 279–288. https://doi.org/10.1093/her/cyz009

Law, J., Boyle, J., Harris, F., Harkness, A., and Nye, C. (2000). Prevalence and natural history of primary speech and language delay: Findings from a systematic review of the literature. International Journal of Language and Communication Disorders, 35, 165–188. https://doi.org/10.1111/j.1460-6984.2000.tb00001.x

Maiman, L. A., and Becker, M. H. (1974). The Health Belief Model: Origins and correlates in psychological theory. Health Education Monographs, 2(4), 336–353. https://doi.org/10.1177/109019817400200404

Norbury, C. F., Gooch, D., Wray, C., Baird, G., Charman, T., Simonoff, E., et al. (2016). The impact of nonverbal ability on prevalence and clinical presentation of language disorder: Evidence from a population study. Journal of Child Psychology and Psychiatry, 57(11), 1247–1257. https://doi.org/10.1111/jcpp.12573

Rosenstock, I. M. (1974). Historical origins of the Health Belief Model. Health Education Monographs, 2(4), 328–335. https://doi.org/10.1177/109019817400200403

Shitu, K., Adugna, A., Kassie, A., and Handebo, S. (2022) Application of Health Belief Model for the assessment of COVID-19 preventive behavior and its determinants among students: A structural equation modeling analysis. PLoS ONE, 17(3), e0263568. https://doi.org/10.1371/journal.pone.0263568

Trauner, D. A., and Nass, R. D. (2017). 53 – Developmental language disorders. In K. F. Swaiman, S. Ashwal, D. M. Ferriero, N. F. Schor,R. S. Finkel, et al. (Eds.), Swaiman’s pediatric neurology: Principles and practice (6th ed., pp. 431–436). Edinburgh: Elsevier. https://doi.org/10.1016/B978-0-323-37101-8.00053-9

Upadhyay, S., Lord, J., and Gakh, M. (2019). Health-information seeking and intention to quit smoking: Do health beliefs have a mediating role? Tobacco Use Insights, 12, 1179173X19871310. https://doi.org/10.1177/1179173X19871310

Van den Bedem, N. P., Dockrell, J. E., van Alphen, P. M., de Rooij, M., Samson, A. C., Harjunen, E. L., et al. (2018). Depressive symptoms and emotion regulation strategies in children with and without developmental language disorder: A longitudinal study. International Journal of Language and Communication Disorders, 53, 1110–1123. https://doi.org/10.1111/1460-6984.12423

Westgard, C. M., Rogers, A., Bello, G., and Rivadeneyra, N. (2019). Health service utilization, perspectives, and health-seeking behavior for maternal and child health services in the Amazon of Peru: A mixed-methods study. International Journal for Equity in Health, 18(1), 1–12. https://doi.org/10.1186/s12939-019-1056-5

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Published

2024-01-31

Issue

Vol. 15 No. 1 (2024)

Section

Articles

License

© Equinox Publishing Ltd.

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How to Cite

Salako, I. A., Omobowale, M. O., & Amodu, O. K. (2024). Integrating the HBM and the PEN-3 model to explain the health behavior of persons with DLD. Journal of Interactional Research in Communication Disorders, 15(1), 15-35. https://doi.org/10.1558/jircd.25592