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Based on general principles of value expectancy |
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Belief of the possibility of acquiring a diseaseor harmful state as a result of a particular behavior |
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Perceived Susceptibility Intervention approaches include: |
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Define population at risk (descriptive epidemiology) Personalize risk (discussion, role play, simulation, case study) |
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Belief regarding the extent of harm that can result from the acquired disease or harmful state as a result of a particular behavior |
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Perceived Susceptibility Perceived Severity Perceived Benefits Perceived Barriers Cues to Action Self Efficacy |
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Perceived Severity Intervention approaches include: |
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Specify consequences of the risk and the condition (personalize with stories, lecture, discussion, self-reflection, case study, case narration, video presentation) |
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Perceived Susceptibility + Perceived Severity |
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Belief regarding the usefulness of the methods suggested for reducing risk or seriousness of the disease or harmful state resulting from a particular behavior |
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Belief regarding actual and imagined costs of performing the new behavior |
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Perceived Barriers Intervention approaches include: |
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Definition
Reassurance (one-on-one counseling, case study,discussion, active listening) Correction of misinformation (lecture, video presentation, role play) Incentives (tangible and intangible aids, verbal encouragement, case accounts) Assistance (providing services, transportation) |
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Perceived Benefits + Perceived Barriers |
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Precipitating force that makes the person feel the need to take action |
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Belief or confidence to perform a behavior |
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The HBM stipulates that action depends on : |
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Definition
1. The existence of sufficient motivation to make health issue salient or relevant 2. The belief one is susceptible (perceived threat) 3. The belief that following a particular recommendation will be beneficial in reducingperceived threat and at a subjectively-acceptable cost |
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Definition
Screening behaviors (TB, breast cancer, colorectal cancer,influenza vaccinations, Tay-Sachs disease, high blood pressure, etc.) Preventive behaviors (seat belt use, smoking cessation, physician visiting, etc.) Health promotion behaviors (exercise, healthy nutrition, etc.) Treatment compliance behaviors (diabetes, end-stage renal disease, bronchial asthma, weight loss, etc.) |
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1ST Construct of The Transtheoretical Model |
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Stages of Behavior Change |
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Precontemplation Contemplation Preparation Action Maintenance Termination |
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No intention to take action ~ 6mos. |
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Intends to take action ~ 6mos. |
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Intends to take action ~ 30days, some behavioral steps taken |
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Changed overt behavior < 6mos. |
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Changed over behavior > 6mos. |
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No temptation to relapse & 100% confidence (some question whether this phase truly exists) |
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Some people question whether this phase truly exist |
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2ND CONSTRUCT of The Transtheoretical Model |
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Consciousness Raising Dramatic Relief Self-reevaluation Environ. Reevaluation Self-liberation Helping Relationships Counterconditioning Reinforcement Mgmt Stimulus Control Social Liberation |
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Finding /learning new things that support healthy behavior change |
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Emotional arousal about behavior & relief from changing it |
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Affective & cognitive components, related to self identity |
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Realizing the – impact (unhealthy) & + impact (healthy behavior) has on proximal social / physical environment |
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Making a firm commitment to change |
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Seeking & using social support for change |
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Substitute healthy alt. behaviors/thoughts for unhealthy ones |
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Increase rewards for + change, decrease for unhealthy behavior |
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Remove reminders/cues to engage in unhealthy behavior, add reminders for healthy behavior |
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Realize social norms are changing in direction of supporting healthy behavior change. |
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3RD CONSTRUCT of The Transtheoretical Model |
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Relative weighing of the pros and cons of changing Pros: benefits of changing Cons: costs of changing |
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4TH CONSTRUCT of The Transtheoretical Model |
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Self Efficacy - Belief that one can engage in healthy behavior across different challenging situations |
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5TH CONSTRUCT of The Transtheoretical Model |
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Temptation to engage in unhealthy behavior across different challenging situations |
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6th construct of The Transtheoretical Model |
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Participation Rate (PR) x Effectiveness Rate (ER) |
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Precaution Adoption Process Model Steps |
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Stage 1 : Unaware Stage 2 : Unengaged Stage 3 : Undecided Stage 4 : Decided not to Act Stage 5 : Decided to Act Stage 6 : Acting Stage 7 : Maintenance |
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Stage 1 : Unaware Stage 2 : Unengaged Stage 3 : Undecided Stage 4 : Decided not to Act |
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Assumes people are rational and that reasoning is the primary determinant of behavioral intent |
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Definition
THEORY OF REASONED ACTION |
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Distinguishes attitude toward an object from attitude toward behavior, |
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THEORY OF REASONED ACTION |
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Usually a single, observable action performed by an individual |
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Behavior should be defined in terms of its |
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target, action, context, and time (TACT) |
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Perceived likelihood of performing the behavior |
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Beliefs that behavioral performance is associated with certain attributes or outcomes |
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Values associated with a behavioral outcome or attribute |
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Evaluation of behavioral outcomes (outcome evaluation) |
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Behavioral belief x Evaluation |
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Beliefs about whether each referent approves or disapproves of the behavior |
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TRA TPB ATTITUDE TOWARD BEHAVIOR includes |
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Behavioral beliefs & Outcome Evaluation |
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Motivation to adhere to what each referent thinks the person should do |
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TRA TPB CONSTRUCT SUBJECTIVE NORM includes |
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Normative beliefs & Motivation to comply |
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TRA TPB PERCEIVED BEHAVIORAL CONTROL includes |
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Control belief & Perceived powe |
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Perceived likelihood of occurrence of facilitating or constraining conditions |
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Perceived effect of conditions in making behavioral performance difficult or easy |
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don’t necessarily explain behavior change |
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National Institute of Mental Health (NIMH) organized a theorists workshop |
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