“The Precaution Adoption Process Model and Its Application” (Neil D. Weinstein and
Peter M. Sandman), in Ralph J. DiClemente, Richard A. Crosby, and Michelle C. Kegler
(eds.), Emerging Theories in Health Promotion Practice and Research (San Francisco:
Jossey-Bass), pp. 16–39.
I don’t have an uploadable copy of this book chapter. You would need to get the book
itself through an interlibrary loan program.
Note however that two relevant research articles and a different book chapter are
available on my website. They are described and linked at
Here is an excerpt from that index:
Experimental Evidence for Stages of Health Behavior Change: The Precaution
Adoption Process Model Applied to Home Radon Testing
by Neil D. Weinstein, Judith E. Lyon, Peter M. Sandman, and Cara L. Cuite
Health Psychology, 1998, Vol 17. No. 5, pp. 445–453
This is one of two articles I have posted dealing with the Precaution Adoption Process
Model, developed mostly by Neil Weinstein and tested by Neil and me (and colleagues)
using radon as the test case. The other article, A Model of the Precaution Adoption
Process: Evidence From Home Radon Testing, is statistically heavier going and
methodologically less rigorous, but covers more ground: It says more about how people
decide to test their homes for radon, and contains a more detailed description of the
model itself. This one has more convincing evidence that people decide to take
precautions – in this case to test for radon – in stages, and that different interventions
work best at different stages. See also The Precaution Adoption Process Model,” a
2008 book chapter that overviews the PAPM more generally.
A Model of the Precaution Adoption Process: Evidence From Home Radon Testing
by Neil D. Weinstein and Peter M. Sandman
Health Psychology, 1992, 11(3), pp. 170–180
For about a decade, Neil Weinstein and I (with colleagues) did research on radon – a
high-hazard low-outrage risk that first became important in the mid-1980s. This article
uses several of our radon data sets to illustrate Neil’s Precaution Adoption Process Model
(PAPM). The PAPM is one of several contending models of how people actually decide
whether or not to protect themselves from risks. Different models lead to different
interventions, so the competition over which model best explains people’s behavior is
important for those trying to persuade publics to take precautions about serious hazards.
(I've also posted another article, Experimental Evidence for Stages of Health Behavior
Change: The Precaution Adoption Process Model Applied to Home Radon Testing, on
the PAPM and radon, this one reporting a later experiment demonstrating that the
decision to test does happen in separate stages. See also The Precaution Adoption Process
Model,” a 2008 book chapter that overviews the PAPM more generally.)
I hope this is helpful.
Peter M. Sandman
9 Prospect Park W Apt 15A
Brooklyn, NY 11215-1741
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