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. 2011 Nov 1;7(11):1146–1152. doi: 10.4161/hv.7.11.17891

Table 2. Application of Health Belief Model (HBM) Constructs and Social Norms to Inform the Parent Telephone Survey.

Theoretical Constructs Items per construct (True / False)
Perceived Susceptibility (HBM)
- Your child is not very likely to get the flu
- A healthy 40 y old is more likely to get the flu than your child
          - Compared with other children your child’s age, your child is more likely to get the flu
Perceived Severity (HBM)
          - The flu is a serious illness
Perceived Benefits (HBM)
          - Giving the flu vaccine to children decreases their time out of school
          - The flu vaccine is very effective at preventing the flu
          - Giving the flu vaccine to children will decrease their parents’ time lost from work
          - Children should be vaccinated against diseases in general
Perceived Barriers (HBM)
          - Children receive more immunizations than necessary
          - Your child’s immune system could be weakened by too many immunizations
          - Your child could get sick from the flu vaccine itself
          - My child is scared of needles
          - Children should only be immunized against serious diseases
Social Norms (TRA) - Most parents you know take their children for flu vaccine
          - Most people important to you think you should give your child a flu vaccine