The Information-Motivation-Behavioral Skills (IMB) model is a theoretical framework developed by Jeffrey D. Fisher and William A. Fisher in 1992.[1] Initially designed to understand and promote HIV-preventive behaviors, the IMB model has since been applied to various health-related behaviors and interventions.[2]
Model components
editThe IMB model comprises three core components:[2]
- Information: This refers to the accurate and relevant knowledge about a specific behavior and its implications. For example, in the context of HIV prevention, this includes understanding the virus, its transmission, and prevention strategies.
- Motivation: This element is divided into personal and social motivation. Personal motivation reflects an individual's attitudes and beliefs regarding the behavior, while social motivation pertains to the perceived social support and norms influencing the individual's behavior.
- Behavioral skills: This component encompasses both the objective skills needed to perform a behavior and the individual's self-efficacy, or belief in their ability to execute the behavior successfully.
These three components interact to influence behavioral change. For instance, having adequate information can enhance motivation and develop behavioral skills, leading to the adoption of healthier behaviors[3][4][5]
Applications
editThe IMB model has been widely utilized in public health interventions, particularly in areas like HIV prevention, chronic disease management, and adherence to treatment regimens. For example, it has been effectively applied in educational programs aimed at increasing HIV testing and safe sex practices among high-risk populations, such as through the MTV series "Shuga," which uses narrative storytelling to convey relevant health information and motivate behavior change[6]
Recent studies have expanded the application of the IMB model to other health contexts, including diabetes self-management and adherence to antiretroviral therapy (ART) among HIV-positive individuals. Research indicates that the model's constructs significantly predict adherence behaviors, suggesting its robustness as a framework for designing interventions aimed at improving health outcomes[7][8]
The IMB model has been applied to the COVID-19 pandemic to promote preventive behaviors such as mask-wearing, social distancing, and vaccination.[9] By focusing on accurate information, personal and social motivation, and practical behavioral skills, the model addresses factors like employment type, living arrangements, socioeconomic status, and health literacy that influence individuals' ability to adhere to preventive measures. The model also highlights the importance of a feedback loop where successful preventive behaviors reinforce positive health outcomes and adherence, while misinformation and lack of motivation can undermine efforts.[9]
Limitations and future directions
editDespite its widespread application, the IMB model has some limitations. Critics argue that it can be overly broad and may require adaptation to specific populations to address their unique informational and motivational needs effectively. Additionally, the model assumes a baseline equivalence in information, motivation, and skills across individuals, which may not always hold true.[6]
References
edit- ^ Fisher, J. D.; Fisher, W. A. (1992). "Changing AIDS-risk behavior". Psychological Bulletin. 111 (3): 455–474. doi:10.1037/0033-2909.111.3.455. ISSN 0033-2909. PMID 1594721.
- ^ a b Fisher, William A.; Fisher, Jeffrey D.; Harman, Jennifer (2003), Suls, Jerry; Wallston, Kenneth A. (eds.), "The Information-Motivation-Behavioral Skills Model: A General Social Psychological Approach to Understanding and Promoting Health Behavior", Social Psychological Foundations of Health and Illness (1 ed.), Wiley, pp. 82–106, doi:10.1002/9780470753552.ch4, ISBN 978-0-631-22515-7
- ^ Tsamlag, Lhakpa; Wang, Huwen; Shen, Qiuming; Shi, Yue; Zhang, Shuxian; Chang, Ruijie; Liu, Xiyu; Shen, Tian; Cai, Yong (2020-02-06). "Applying the information–motivation–behavioral model to explore the influencing factors of self-management behavior among osteoporosis patients". BMC Public Health. 20 (1): 198. doi:10.1186/s12889-020-8292-x. ISSN 1471-2458. PMC 7006415. PMID 32028930.
- ^ "Digication ePortfolio :: GH 720 Encyclopedia of Public Health Theories :: Information-Motivation-Behavioral Skills Model". bu.digication.com. Retrieved 2024-07-28.
- ^ Prakot, Sirinan; Fink, Anne M.; Culbert, Gabriel; Visudtibhan, Poolsuk Janepanish (2024). "An Analysis and Evaluation of the Information-Motivation-Behavioral Skills (IMB) Model for Antiretroviral Therapy". Advances in Nursing Science. 47 (1): 73. doi:10.1097/ANS.0000000000000469. ISSN 0161-9268. PMC 10833178.
- ^ a b Chang, Sun Ju; Choi, Suyoung; Kim, Se-An; Song, Misoon (2014). "Intervention Strategies Based on Information-Motivation-Behavioral Skills Model for Health Behavior Change: A Systematic Review". Asian Nursing Research. 8 (3): 172–181. doi:10.1016/j.anr.2014.08.002. ISSN 1976-1317.
- ^ Prakot, Sirinan; Fink, Anne M.; Culbert, Gabriel; Visudtibhan, Poolsuk Janepanish (2024). "An Analysis and Evaluation of the Information-Motivation-Behavioral Skills (IMB) Model for Antiretroviral Therapy". Advances in Nursing Science. 47: 73–88. doi:10.1097/ANS.0000000000000469. PMC 10833178. PMID 36477381.
- ^ John, Steven A.; Walsh, Jennifer L.; Weinhardt, Lance S. (2017-07-28). "The Information–Motivation–Behavioral Skills Model Revisited: A Network-Perspective Structural Equation Model Within a Public Sexually Transmitted Infection Clinic Sample of Hazardous Alcohol Users". AIDS and Behavior. 21 (4): 1208–1218. doi:10.1007/s10461-016-1446-2. PMC 5136346. PMID 27260181.
- ^ a b Fisher, J. D.; Fisher, W. A. (2023-06-10). "An Information-Motivation-Behavioral Skills (IMB) model of pandemic risk and prevention". Advances.in/Psychology. 1: 1–26. doi:10.56296/aip00004. ISSN 2976-937X.