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. 2013 Jul 24;9(12):2627–2633. doi: 10.4161/hv.25823

Table 2. Application of health belief model (HBM) constructs and social norms to inform the parent survey.

Theoretical constructs Items per construct (True/False)
Perceived Susceptibility (HBM)      - My child is not very likely to get [disease]
     - A healthy 40-y-old is more likely to get the flu than my child
     - Compared with other children your child’s age, your child is more likely to get [flu or meningococcal disease]
Perceived Severity (HBM)      - Flu/Whooping cough/Meningoccocal disease/HPV illness is [a] serious [illness]
Perceived Benefits (HBM)      - Giving the influenza vaccine to children will decrease their parents’ time lost from work
     - Giving the influenza vaccine to children decreases their time out of school
     - Children should be vaccinated against the flu/whooping cough/meningococcal disease/HPV
     - By not getting the Tdap vaccine your child is putting others at risk for disease
     - The MCV4 vaccine is very effective at preventing meningococcal disease
     - The HPV vaccine is very effective in preventing cervical cancer
Perceived Barriers (HBM)      - Pre-teens and teens should only be immunized against serious diseases
     - Your child’s immune system could be weakened by too many immunizations
     - Your child could get sick from the vaccine itself
Social Norms (TRA)      - Most parents I know take their children for the flu/Tdap vaccine
     - Most people important to me think I would give my child the flu/Tdap/MCV4/HPV vaccine