This study presents a hybrid epidemiological and behavioural framework to simulate the spread of health misinformation on social media. We extend the classical Susceptible–Infected–Recovered (SIR) model to a six-compartment structure (SIRMMM), incorporating Misinformed Susceptible (MS), Misinformed Infected (MI), and Misinformed Recovered (MR) compartments to better reflect the dynamics of the misinformation lifecycle. To account for individual-level behavioural variation, we extend the SIRMMM model by integrating psychological signals from the Elaboration Likelihood Model (ELM), including sentiment polarity, engagement metrics, and cognitive effort, which dynamically modulate the misinformation transmission rate, yielding the ELM-SIRMMM framework. Model parameters were estimated using the FibVID dataset, which captures COVID-19 misinformation on Twitter. Generalisability was tested on two additional datasets: MC-Fake (emotional misinformation) and Monant (general health misinformation). Results show that the ELM-SIRMMM model enhances both predictive accuracy and dynamic realism. On FibVID, it decreases RMSE by 5.5