Precaution Adoption Model

Factors Influencing the Decision to Act

A number of factors influence the progression from intention to action.

  • Certain versus probabilistic outcomes.  The cost of adopting a new behavior is obvious and "certain": it takes time, it costs money, it involves inconvenience.  The benefits, in contrast, may be hypothetical: with screening, there is only a possibility that the hazard (e.g, colorectal cancer) will ever appear.


  • Salience.  The way in which a hazard is “framed” impacts the attention that an individual gives to it.  For example, discussing a procedure in terms of survival, as opposed to mortality, results in different choices.


  • Time dependency of costs and benefits.  Time dependency refers to how quickly a cost or a benefit will manifest.  Research reveals that short-term consequences may weigh more heavily than long-term effects in making decisions.


  • Direct influence on the decision to act.  When the subject matter is particularly complicated, information is difficult to obtain, the experience with the hazard is limited, and/or the cost of acting is relatively small, decisions may be made based on the opinions and behavior of others


  • The role of emotions.  Emotions such as fear and worry are powerful in their ability to focus attention on a given hazard and to personalize the risk of that hazard.  Emotions can affect behavior modifications positively or negatively.
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Module II - Table of Contents
Page 12
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