social-cognitive theory- How Individuals, Environments, and Health Behaviors Interact

Reciprocal Determinism

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Reciprocal Determinism example:

The effect of a neighborhood built environment on physical activity behaviors

Outcome Expectations

Beliefs about the likelihood and value of the consequences of behavioral choices

Outcome Expectations example:

Losing weight as a result of healthy eating and regular exercise

Self-efficacy

Beliefs about personal ability to perform behaviors that bring desired outcomes

Self-efficacy example:

Belief in the ability to engage in consistent exercise/physical activity in order to lose weight

Collective efficacy

Beliefs about the ability of a group to perform concerted actions that bring desired outcomes

Collective efficacy example:

Petition for better outdoor spaces (e.g., sidewalks) to engage in physical activity

Incentive motivation

The use and misuse of rewards and punishments to modify behavior

Incentive motivation example:

Rewarding a 5 pound weight loss with some Ben & Jerry's

Facilitation

Providing tools, resources, or environmental changes that make new behaviors easier to perform.

Facilitation example:

Using a heart rate monitor or Fitbit to monitor steps and physical activity

Self-regulation

Controlling oneself through self-monitoring, goal-setting, feedback, self-rewards, self-instruction, and enlistment of social support.

Self-regulation example:

Joining Weight Watchers, using the MyFitnessPal phone app, joining a workout weight loss club

Moral disengagement

Ways of thinking about harmful behaviors and the people who are harmed that make infliction of suffering acceptable by disengaging self-regulatory moral standards

Moral disengagement example:

Following orders" mentality in war crimes, etc.

SCT in Health Behavior

Includes cognitive, emotional, behavioristic understandings of behavioral change.
Constructs/process give lots of creative freedom in behavioral research.
Human health is a social matter, not just an individual one.

Psychosocial Risk Factors

Environment, Individual, Behavioral

Behavioral Risk Factors

Diet, Exercise, Smoking

Genetic Risk Factors

Family history

Physiological Risk Factors

High blood pressure, high cholesterol

Morbidity & Mortality

Stroke, Myocardial infarction

What could contribute to a decrease in self-efficacy?

Verbal persuasion, social influences in the environment

Texas Tobacco Prevention Program (T2P2)

An Update of the Minnesota Smoking Prevention Program

SCT Limitations

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SCT fits with both health education and health behavior programs because

it addresses dynamics of individual behavior and gives direction to the design of the intervention

Personal cognitive factors

include the individual's ability to self-determine or self-regulate behavior and to reflect upon and analyze experience.

Socioenvironmental factors

aspects of the perceived and/or physical environment that promote, permit, or discourage engagement in a particular behavior.

Supporting behavioral factors

actions taken by individuals that can be classified as either health-enhancing (leading to improved health) or health-compromising (leading to poorer health).

Main constructs for personal cognitive factors

Self efficacy , collective efficacy, outcome expectancy, and knowledge

primary sources of self efficacy

mastery of previous experience, vicarious experience, social persuasion, emotional arousal

Mastery of previous

person develops behavioral skills, beliefs of expected outcome, mental representation of level of self efficacy for behavior

vicarious experience

watching the success of failure of others performing a task

social persuasion

encouragement or dis-encouragement from a social desirable individual to peform a behavior

emotional arousal

acts as cue to the person about anticipated success of failure of performing behavior .

physical outcome expectancy

relationship between a behavior and a health - physical outcome
ex: pain, pleasure, change in disease symptoms

social outcome expectancy

social response to behavior
ex: approval, disapproval, power, or applause

self evaluative outcome

comparing a person's behavior to his- her internal standards

knowledge

knowing health risk and benefits of different health practices

main constructs of environmental factors

observational learning, normative beliefs, social support, barriers and opportunities

observational learning

based on belief of observing behavior

4 processes of observational learning

attention, retention, production, motivation

Attention

observing and putting value on a behavior

Retention

a person's intellectual capacity , less likely to occur if a person does not remember events - outcomes

production

level of knowledge, skills, self efficacy already possessed
the more knowledge + skills --> easier to form behavior

motivation

determined by expected cost and benefits of observed behavior

normative beliefs

belief of which other people who are important to you will influence if you should/ should not perform a behavior

Social consequences

behaviors that goes against the norm

self evaluative consequences

behavior vs internal standards

what influences normative beliefs

social consequences and self evaluative consequences

what changes normative beliefs

individuals overestimate prevalence of behavior
use perception from peers norms as a standard to their behavior

Social support

important maintain behavior , interpersonal relationships to promote and protect individuals

types of social support

emotional ,esteem , informational , instrumental

barriers and opportunities

prevent or help a person to change their behavior

behavioral capacity

significance of behavior and knowledge to perform skills

behavioral skills

self regulation and excerising control --> develop new skills

to acquire skills and self regulation you need

self motoring ,goal setting, feedback , self reward

intentions

readiness to perform behavior , predict the proximal or distal future to perform behavior

sources of cognitive motivation

capacity of forethought and goal setting

reinforcement

to strengthen behavior

positive reinforcement

stimulus/ reward is given to a person to perform a behavior, behavior will increase

example of positive reinforcement

give a student a dance party for eating a certain amount of healthy foods a month

negative reinforcement

unpleasant stimulus is removed in result of performing a specific behavior , behavior increase

example of negative reinforcement

buzzing car stops when passenger puts on seat belt

punishment

to weaken a behavior

main constructs for supporting behavior factors

observational learning, intention, reinforcement - punishment

Positive punishment

negative consequence after an undesired behavior is exhibited, behavior will decrease .

example of positive punishment

A child wears his favorite hat to church or at dinner, his parents scold him for wearing it and make him remove the hat.

negative punishment

when a certain desired stimulus/item is removed after a particular undesired behavior is exhibited, behavior will decrease

example of negative punishment

Siblings get in a fight over who gets to go first in a game or who gets to play with a new toy, the parent takes the game/toy away.

perceived self efficacy

person level of confidence in their ability to control their behavior

situational self efficacy

confidence to succeed with a specific task

example of situational self efficacy

confidence int the ability to prepare a healthy meal , low confidence to eat fewer calories

Social role model

a person that can persuade the pros or cons of performing a behavior , support social norms that the behavior is desirable or not

perceived collective efficacy

group motivational commitment to its mission and resilience to adversity
ex: student achievement in school

emotional support

showing care, love, companionship

esteem support

validate beliefs, emotions, and actions

information support

providing information or advice

Instrumental support ( facilitation )

providing materials and equipment for behavior

social supports helps with

self efficacy

self monitoring

observing one's behavior

goal setting

identifying long term changes in behavior

feedback

ability to perform and improve behavior

self reward

giving yourself a tangible reward

self instruction- critique

analyze - judge before and after you perform your behavior

self efficacy is measured

subjectively

SCT strengths

appealing , helps with health work and research
broad range of areas to examine --> promote behavior change
widely used for variety of health behavior and populations
individuals playing an active role

Future work for SCT

environmental influence overlooked
short lived / weak
could be enhanced by applying sociological model context

SCT transition ___________ to __________

behaviorism to cognitivism