Chapter 6 & 7 Flashcards
The order on Theories is…
Theory of Reasoned Action to
Theory of Planned Behavior to
Integrated Behavioral Model
intention is the best predictor of behavior for which theories?
-Theory of Reasoned Action (TRA)
-Throery planned Behavior (TPB)
in TRA, The most important determinant of behavior is…..
behavioral intention
In TRA, the Direct determinants of behavioral intentions are…….
- Attitudes
- Subject norms.
___________was added to the TRA to form the TPB
Perceived behavioral control
Perceived behavioral control are determined by……
- Control beliefs —concerning the presence or absence of facilitators and barriers to behavioral performance
- Perceived power—impact of each control factor to facilitate or inhibit behavior
Measurements of Constructs are can calculate …..
Can calculate indirect measures for:
- Subjective norm
- Perceived behavioral control
Can calculate direct measures of each model component
- Should be strongly associated with:
—Intentions and behaviors
—Indirect measures
_____________preferred to cross-sectional designs to establish time order for testing TRA and TPB
Prospective study designs
Most important determinant of behavior for IBM is….
motivation or intention to perform behavior
in the IBM, Components affecting behavior are….(6 of them)
- Motivation
- Socio-cultural factors
- Knowledge and skill to carry out behavior
- Environmental constraints
- Salience or importance
- Habits or past performance
in the IBM, Behavior intention determined by…..
- Attitude toward the behavior
- Perceived normal or social influence
- Personal agency
__________with target population to identify relevant behavioral outcomes, referents, and contributing factors for each behavior and population
Critical to conduct open-ended elicitation interviews
7 steps to the IBM application are….
- Specify behavior
In terms of action, target, context, and time - Conduct qualitative interviews for elicitation phase
- Design a culturally appropriate instrument to measure constructs
- Include pilot testing - Determine which constructs best explain intention and should be focus for intervention
- Analyze and identify specific beliefs that are best targets for communication interventions
- Design communication messages and materials
- Evaluate effectiveness of messages
what are the 6 stages of change?
- precontemplation
- contemplation
- preparation
- action
- maintenance
- termination
that are the other stage models for the TTM?
- Precaution Adoption Process Model
- Health Action Process Approach
3 Principles of Change are?
- Decisional balance: weighing of pros and cons
- Self-efficacy: confidence to cope in high-risk situations without relapse
- Temptation: intensity of urges to engage in a specific behavior in difficult situations
What stage is:
No intention to take action in the near future (~6 mo.)
Precontemplation
What stage is…..
No intention to change in the near future (~6 mo.) Considering pros and the cons of modifying behavior
Contemplation
what stage is…
Intention to take action soon (~1mo.). May have attempted to modify behavior in the past year, has a plan of action.
Preparation
what stage is…
Recent specific overt modifications to change behavior (~6 mo.).
Action
What stage is…
Specific sustained modifications in lifestyle, working to prevent relapse.
Maintenance
what stage is….
Zero temptation and 100% self-efficacy
Termination
Reliance on cognitive, affective, evaluative processes, happens in what stage of change?
Early stage
Reliance on commitments, conditioning, contingencies, environmental controls and support, happens at what stage of change?
Action-oriented Stages
Interventions with diverse health topics:
Smoking cessation
Diet
Exercise
Stress management
Medication adherence
Bullying prevention
Alcohol use
Condom use
Domestic violence
Organ donation
Interventions in diverse settings:
Primary care
Homes
Churches
Schools
Campuses
Communities
Worksites
Strengths of the TTM are…..
- Applied and effective with a large number of health problems
- Can be used in a range of settings
- Supported by both theoretical and applied studies
Limitations of the TTM are…..
- Applicability to children and adolescents is unclear
- Applied more often to risk reduction than to risk prevention
- Difficult to recruit individuals in precontemplation stage
- Poor retention rates
