Theory 3: AIDS Risk Reduction Model

Number of Constructs: 22
Number of Triples: 31

Theory triples

• Labelling transitions to Commitment
• Commitment transitions to Enactment
• Transmission knowledge influences Labelling
• Social networks and norms influences Labelling
• Perceived susceptibility influences Labelling
• Self-efficacy influences Commitment
• Drug consumption influences Aversive emotional states
• Aversive emotional states influences the 'Labelling' to 'Commitment' Transitions to relationship
• Aversive emotional states influences the 'Commitment' to 'Enactment' Transitions to relationship
• Environmental cues influences the 'Commitment' to 'Enactment' Transitions to relationship
• Enactment transitions to Labelling
• Partner engagement influences the 'Labelling' to 'Commitment' Transitions to relationship
• Partner engagement influences the 'Commitment' to 'Enactment' Transitions to relationship
• Reference group norms influences Self-efficacy
• Perceived costs and benefits of changing behaviour influences Commitment
• Knowledge influences Perceived costs and benefits of changing behaviour
• Beliefs about the undesirability of AIDS influences Labelling
• Information-seeking transitions to Obtaining remedies
• Obtaining remedies transitions to Enacting solutions
• Partner engagement influences the 'Enactment' to 'Labelling' Transitions to relationship
• Aversive emotional states influences the 'Enactment' to 'Labelling' Transitions to relationship
• Environmental cues influences the 'Enactment' to 'Labelling' Transitions to relationship
• Environmental cues influences the 'Labelling' to 'Commitment' Transitions to relationship
• Social support influences Perceived costs and benefits of changing behaviour
• Reference group norms type of Social factors
• Social support type of Social factors
• Enjoyment influences (*) Perceived costs and benefits of changing behaviour
• Response efficacy influences (*) Perceived costs and benefits of changing behaviour
• Obtaining remedies part of Enactment
• Information-seeking part of Enactment
• Enacting solutions part of Enactment

Theory constructs and annotations

• Labelling
• Commitment Stage at which one reaches a firm decision to reduce high risk behaviour and increase low risk behaviour [ BCIO:050683 (Intention to enact a behaviour) 3 44 82 ]
• Enactment The stage at which one commits to behaviour change and begins taking action to achieve a goal [ BCIO:006016 (Behavioural intention) 3 1 66 14 59 73 72 23 77 69 52 81 74 79 80 24 18 ]
• Transmission knowledge [ BCIO:006052 (Knowledge) 3 52 60 9 64 14 ]
• Social networks and norms [ BCIO:006001 (social environment system) 3 62 13 68 10 14 69 72 33 60 28 80 41 64 4 65 77 57 ]
• Perceived susceptibility Perceptions of one's personal risk of HIV [ BCIO:006305 (Belief about susceptibility to a threat) 3 24 64 16 ]
• Self-efficacy Perceptions of one's ability to carry out health-protective behaviours [ BCIO:006154 (Self-efficacy belief for a behaviour) 3 49 31 32 29 35 30 34 25 ]
• Drug consumption [ BCIO:036061 (consumption behaviour) 3 ]
• Aversive emotional states Distress and other negative emotional states associated with behaviours that are perceived to be problematic [ MFOEM:000212 (Negative emotion) 3 51 ]
• Environmental cues [ ENVO:01000254 (Environmental system) 3 2 56 47 76 49 72 60 58 67 63 46 4 17 5 66 9 10 14 ]
• Partner engagement A sexual partner's willingness to change his or her sex-risk-related behaviours [ BCIO:006059 (Willingness to comply) 3 1 66 80 79 72 ]
• Reference group norms [ BCIO:006042 (Normative belief) 3 79 73 35 81 1 14 ]
• Perceived costs and benefits of changing behaviour [ BCIO:006032 (Belief about the desirability of consequences of behaviour) 3 , BCIO:006117 (Judging consequences of behaviour) 3 14 ]
• Knowledge Knowledge of the behavioural risk factors associated with the disease or health risk [ BCIO:006055 (Knowledge regarding a threat) 3 30 ]
• Beliefs about the undesirability of AIDS Perceptions about the extent to which AIDS is undesirable [ BCIO:050596 (belief about severity of AIDS) 3 ]
• Information-seeking The process of gathering ideas and others' opinions about ways to change risky health behaviours [ BCIO:050824 (Knowledge acquisition about reducing harmful behaviours) 3 ]
• Obtaining remedies [ BCIO:006096 (Goal pursuit process) 3 1 17 53 10 ]
• Enacting solutions The process of carrying out solutions directed towards reducing high-risk behaviours [ BCIO:050819 (Harm preventing behaviour) 3 30 16 27 ]
• Social support [ BCIO:006090 (Social opportunity) 3 32 69 8 82 60 83 39 34 10 ]
• Social factors [ BCIO:006090 (Social opportunity) 3 32 69 8 82 60 83 39 34 10 ]
• Enjoyment Beliefs about whether health-protective behaviours (e.g. condom use) are more or less enjoyable than high-risk behaviours (e.g. unprotected sex) [ BCIO:006032 (Belief about the desirability of consequences of behaviour) 3 14 ]
• Response efficacy Perceptions of whether reducing risky behaviours and increasing low-risk behaviours will be effective in reducing one's risk of the disease or health risk [ BCIO:050648 (Evaluative belief about the positive consequences of a behaviour) 3 28 57 32 60 73 78 16 ]

Theory illustration

Theory References

• Catania, J.A., Kegeles, S.M., & Coates, T.J. (1990). Toward an Understanding of Risk Behaviour: An AIDS Risk Reduction Model (ARRM). Health Education & Behaviour, 17, 53-72.
• De Vries, H., Dijkstra, M. & Kuhlman, P. (1988). Self-efficacy: the third factor besides attitude and subjective norm as a predictor of behavioural intentions. Health Education Research: Theory & Practice, 3(3), 273-282.
• De Vries, H., Mudde, A.N. and Dijkstra, A. (2000). The attitude-social influence-efficacy model applied to the prediction of motivational transitions in the process of smoking cessation. In Norman, P., Abraham, C. and Conner, M. (eds), Understanding and Changing Health Behaviour: From Health Beliefs to Self-regulation. Harwood Academic, Amsterdam, pp. 165–187.