解題
### Introduction
* Define health-related behaviour (actions taken by individuals that affect their physical health, such as smoking, exercise, or dietary choices).
* Introduce cognitive/social cognitive models, which argue that individuals make conscious, rational decisions about their health based on beliefs, attitudes, and social perceptions.
* State the models to be evaluated: The Health Belief Model (HBM) and/or The Theory of Planned Behaviour (TPB).
* State the thesis: While these models provide structured frameworks for predicting health actions and designing campaigns, they often overemphasize rational decision-making and underestimate emotional, biological, and environmental barriers.
### Body Paragraph 1: Explaining and Researching the Health Belief Model (HBM)
* Theoretical Framework: The HBM (Rosenstock, 1974) posits that health behaviour is determined by a person's perception of a threat (perceived susceptibility and severity) and their evaluation of the behaviors to counteract it (perceived benefits vs. perceived barriers), alongside cues to action and self-efficacy.
* Key Study: Quist-Paulsen et al. (2003).
* Aim: To investigate the effectiveness of a smoking cessation intervention based on fear arousal (perceived threat/severity).
* Method: Coronary heart disease patients who smoked were randomly assigned to a control group or an intervention group that received personalized advice and fear-inducing information about the risks of continued smoking (manipulating perceived susceptibility and severity).
* Findings: 57% of the intervention group stopped smoking compared to 37% of the control group.
* Interpretation: Increasing the cognitive perception of susceptibility and severity (threat) directly influenced positive health-related behavior change, supporting the HBM.
* Evaluation: High practical application, but raises ethical concerns regarding fear-induction and assumes individuals act purely on rational assessments of risk.
### Body Paragraph 2: Explaining and Researching the Theory of Planned Behaviour (TPB)
* Theoretical Framework: The TPB (Ajzen, 1991) suggests that behavioural intention is the direct precursor to behaviour. Intention is determined by three factors: attitude toward the behaviour, subjective norms (social pressure), and perceived behavioural control (self-efficacy).
* Key Study: Guo et al. (2007).
* Aim: To test the efficacy of the TPB in predicting physical activity among adolescents.
* Method: Correlational design assessing adolescents' attitudes, subjective norms, perceived behavioral control, intentions, and self-reported exercise levels.
* Findings: Perceived behavioural control and positive attitudes were the strongest predictors of the intention to exercise, which in turn predicted actual exercise levels.
* Interpretation: Demonstrates that cognitive intentions and beliefs about control are strong predictors of health behavior, supporting the TPB.
### Synthesis and Critical Evaluation
* Strengths:
* Highly useful for designing public health promotion campaigns (e.g., structuring anti-smoking or exercise advertisements to target attitudes or cues to action).
* High predictive validity for structured, deliberate health choices (e.g., getting vaccinated).
* Limitations:
* The Intention-Behaviour Gap: Both models struggle to explain why people often intend to engage in a health behaviour but fail to do so (the "action gap").
* Assumption of Rationality: Humans are often irrational and influenced by immediate cognitive biases, emotions (e.g., stress, denial), and social pressures not captured by these models.
* Neglect of Biological and Environmental Constraints: Addiction (e.g., nicotine), genetics, and socio-economic barriers (e.g., lack of access to healthy food or safe exercise spaces) are largely omitted.
* Methodological Issues: Much of the research relies on self-report questionnaires, which are prone to social desirability bias.
### Conclusion
* Summarize the core benefits of cognitive models (systematic, testable) and their primary limitations (over-rationalization, intention-behaviour gap).
* Conclude that cognitive models are most effective when integrated with biological, emotional, and systemic environmental factors (a biopsychosocial approach).
評分準則
### Mark Breakdown (Total: 22 Marks)
* Criterion A: Focus on the prompt (1–6 marks)
* 1–2 marks: The essay is mostly descriptive and fails to evaluate the model(s) effectively.
* 3–4 marks: The essay describes the model(s) and provides some relevant but limited evaluation.
* 5–6 marks: The essay is clearly focused on evaluating the cognitive/social cognitive model(s), with a balanced focus on both explanations and critiques.
* Criterion B: Knowledge and understanding (1–6 marks)
* 1–2 marks: Simple or superficial knowledge of the chosen model(s) is shown.
* 3–4 marks: The components of the model(s) (e.g., HBM components, TPB components) are explained accurately with minor gaps.
* 5–6 marks: Detailed, comprehensive, and accurate knowledge of the model's components and underlying cognitive theories is demonstrated.
* Criterion C: Use of research (1–4 marks)
* 1–2 marks: Relevant studies are mentioned but are poorly explained or fail to link to the model.
* 3–4 marks: Relevant studies (e.g., Quist-Paulsen et al., 2003; Guo et al., 2007) are clearly outlined, explained, and explicitly connected to the components of the model.
* Criterion D: Critical thinking (1–6 marks)
* 1–2 marks: The response lacks evaluation or relies on generic statements.
* 3–4 marks: There is some evaluation of the models (e.g., noting the intention-behaviour gap or reliance on self-reporting).
* 5–6 marks: Excellent evaluation. The response critically analyzes the assumptions of rationality, the intention-behaviour gap, methodological limitations of supporting research, and contrasts these cognitive models with alternative perspectives (e.g., biological or environmental models).