Adaptive Health Behavior Inventory (AHBI)

The Adaptive Health Behavior Inventory (AHBI) is a psychometric assessment of adult intrinsically motivated adaptive health behaviors, health-related goal-directed actions, health habits and health-related beliefs in response to different but common health-related contexts. These intrinsically motivated behaviors represent the interaction of individual affective preferences and the physical and psycho-social aspects of their environment. 

• The Adaptive Health Behavior Inventory (AHBI) is a 20 item assessment
• Likert-item response scale
• Average time to complete the AHBI is four minutes. ​
• The AHBI is the only assessment that can identify the Patterns of Adapting to Health (PATH) through PATH Analysis. ​

Adaptive Health behavior inventory (AHBI): Predictive validity examples

AHBI Measures: Care Seeking in Response to Perceived Illness and Medical Expenditures

Medical claims levels across AHBI measures of "care seeking in response to perceived illness" support their relationship to actual behavior. Responses indicating delay of health care seeking have been associated with reduced medical expenditures associated with physician visits and use of prescription medications.

AHBI Measures: Vigorous Physical Activity and Medical Expenditures

Pharmacy claims levels associated with response patterns to AHBI measures of vigorous physical activity support their association with both the need and freedom from prescription medications. Those adults who describe themselves as regularly engaging in active vigorous exercise generate lower demand for prescription medications compared to adults who don't. 

AHBI Measures: Responsibility for Family Health and Dependent Claims

Dependent medical claims levels across response patterns to AHBI measures of "responsibility for family health" support their association with both higher (strong disagreement) and lower (strong agreement) seeking of medical care for dependents. 

AHBI Measures: Health-Related Behavior Gender Differences​

Fifteen of the 20 AHBI measures discriminate between women and men and identify gender-based differences in health-related behaviors, particularly in relation to seeking information about nutrition (AHBI-11) and internal locus of control around health-care decision-making (AHBI-20). 

Adaptive health behavior inventory (AHBI) Content

AHBI is a language-based psychometric assessment designed to assess multiple health-related dimensions of behavior in relation to different health contexts. The health dimensions confirmed by factor analytic studies include:

• Reactive vs. proactive health focus linked to health motivation
• Seeking vs. avoiding health care influencing preventive health care demand
• Level of health information seeking affecting health literacy
• Attention to healthy vs. unhealthy diet
• Active vs. sedentary lifestyle impacting physical activity prescriptions
• Low vs. high involvement in family health
• Belief in the competence or incompetence of health care providers shaping compliance, persistence, perceptions of care quality
• High vs. low concern about health care costs affecting preventive care seeking, prescription adherence, taking medications as directed
• Health decision internal vs. external locus of control capacity to take personal responsibility for self-care

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Applying the AHBI
The AHBI is appropriate for any adult population within the U.S.  The AHBI has also been successfully used in the United Kingdom and China.  The AHBI can be applied as a stand-alone assessment or integrated into a larger assessment or questionnaire. ​