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Health Belief Structural Equation Model Predicting Sleep Behavior of Employed College Students

Knowlden, Adam P. CHES, MBA, PhD; Sharma, Manoj MBBS, MCHES, PhD

doi: 10.1097/FCH.0000000000000043
Original Articles

Adequate sleep comprising 7 to 8 hours per day is vital for health and effective functioning for all adults. The purpose of this study was to specify a health belief model to measure and predict the sleep behavior of employed college students. A 52-item instrument was developed with acceptable validity and reliability. A cross-sectional, convenience sample of 188 students was recruited for this study. Structural equation modeling was used to build models. The health belief model explained 34% of the variance in sleep behavior, with perceived severity, perceived barriers, cues to action, and self-efficacy identified as significant predictors.

Department of Health Science, University of Alabama, Tuscaloosa, Alabama (Dr Knowlden); and Health Promotion & Education Program, University of Cincinnati, Cincinnati, Ohio (Dr Sharma).

Correspondence: Adam P. Knowlden, CHES, MBA, PhD, Department of Health Science, University of Alabama, Russell Hall 472, PO Box 870311, Tuscaloosa, AL 35487 (

The authors declare no conflict of interest.

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