Health Beliefs and Behaviours - Part 2 Flashcards Preview

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What are the 3 factors that influence each other to alter behaviour in Social Cognitive Theory?

- Personal Cognitive Factors
* Self-efficacy, Knowledge and ability to see outcomes.
- Behavioural Factors
* Habits, Intentions, Coping skills
- Social/Environment Factors
* Physical, role models, cultural beliefs, social support


Define Self-efficacy:

- “as people’s beliefs about their capabilities to produce a designated levels of performance that exercise influence over the events that affect their lives” (Bandura, 1998)
- involves an evaluation of person’s skill as well as their confidence in a skill


Slide 6 !!!

Look at it yourself.


What are the 4 source of self-efficacy?

1. physiological and affective states
2. vicarious experiences
3. social persuasion, and
4. mastery experiences


● Skill is modelled to “convey the basic rules and strategies”.
● Learners practice the skill in a controlled environment and receive specific feedback.
● Learners apply the skill in work situations that are expected to bring success.
What does this describe?

Observational Learning: Mastery Learning


- aka Stages of Change
- Used in smoking, diabetes, addiction
- Does not assume people are ready to change
- People move or cycle through stages of change.
- Pushing hard -> resistance
What does this describe?

Transtheoretical Model


What are the 5 stages of Transtheoretical Model?

1. Pre-contemplation
2. Contemplation
3. Preparation
4. Action
5. Maintenance


Transtheoretical Model Pre-contemplation stage:

- Cons outweighs pro’s Won’t consider change for awhile
- RPh - Don’t persuade. Listen for barriers, wait, nonjudgmental, empathize


Transtheoretical Model Contemplation stage:

- Lower Self Efficacy, think change in 6 months, Open to info
- RPh - listen reflectively, careful Q’s, discuss strategies to remove barriers, educate if open, empathize


Transtheoretical Model Preparation stage:

- Ready for action within 30 days & made 1 attempt
- Often unsure can do
- RPh address PT concerns, breaks action into small steps & is consultant, empathize
- Begins to discuss products, schedule for quitting, plan


Transtheoretical Model Action stage:

- Makes effort to change
- RPh assesses PT concerns, problem-solves how to avoid triggers for negative behaviour, begin using products, support positive behaviour


Transtheoretical Model Maintenance stage:

- Engaged for 6 months at least
- More able to identify situations cause relapse
- Becoming who person wants to be
- Listen empathically
- Openly assess possible relapse factors
- Support
- Positive reinforcement
- Monitor how products work


Slide 15 !!!

Please look at it!


Processes of Change: Experiential

1. Consciousness Raising [Increasing Awareness]
2. Dramatic Relief [Emotional Arousal]
3. Environmental Reevaluation [Social Reappraisal]
4. Social Liberation [Environmental Opportunities]
5. Self- Reevaluation [Self Reappraisal]


Processes of Change: Behavioral

1. Stimulus Control [Re-Engineering]
2. Helping Relationships [Supporting]
3. Counter Conditioning [Substituting]
4. Reinforcement Management [Rewarding]
5. Self liberation [Committing]


- “Common Sense” Model of Illness
- Patients actively solve problems by seeking info from own experience to form illness representations based on:
1. What is the symptom/illness?
2. What caused it?
3. How long will it last?
4. What will happen as a result?
5. Can this be controlled or cured?
Which theory is this?

Self-Regulation Theory


Slide 20 ???

Look at slide 20!