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Social L earning Theory. Occupational Therapy In Community-Based Practice Settings p.69-70. Rotter An individual’s expectations of the consequences of a particular action determine whether that behavior was performed. Bandura
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Social Learning Theory Occupational Therapy In Community-Based Practice Settings p.69-70
Rotter • An individual’s expectations of the consequences of a particular action determine whether that behavior was performed. • Bandura • Self-efficacy: the individual’s perception that he or she will be able to successfully perform a specific behavior
Expectancy • Thevalue an individual places on a particular outcome • Three types: 1. Efficacy expectations 2. Outcome expectations 3. Environmental expectations
Behavior change • Direct: reinforcement • Indirect: social modeling • Self-management: individual monitor & self-reward
Limitation • Limited number of reliable and valid instruments • Lack of delineation of appropriate source of modeling • Insufficient description of the nature of change
The development of a theory-based intervention to promote appropriate disclosure of a diagnosis of dementia Robbie Foy, Jillian J Francis, Marie Johnston, Martin Eccles, Jan Lecouturier, Claire Bamfordand Jeremy Grimshaw BMC Health Services Research 2007, 7:207 • Purpose: • Develop an intervention to promote appropriate disclosure of a diagnosis of dementia based on theoretical and empirical work • Methods: • Conducted a questionnaire survey of older peoples' mental health teams • based on Planned Behaviour (TPB) and Social Cognitive Theory (SCT)
Questionnaire survey • Finding out what the patient already knows or suspects about their diagnosis • Using the actual words dementiaor Alzheimer's disease when talking to the patient • Exploring what the diagnosis means to the patient
Behavior change techniques • Modeling • Graded task • Action planning
Promoting a healthy diet and physical activity in adults with intellectual disabilities living in community residences: Design and evaluation of a cluster-randomized interventionLiselotteSchäferElinder, Helena Bergström, Jan Hagberg, Ulla Wihlman and Maria HagströmerBMC Public Health 2010, 10:761 • Purpose: • the design and evaluation of a health intervention aiming to improve diet and physical activity in this target group
Methods: • The intervention is based onsocial cognitive theory and takes 12-15 months to complete • Ten health education sessions for residents in their homes • the appointment of a health ambassador among the staff in each residence and formation of a network • a study circle for staff in each residence • Final results from the intervention study are expected in 2013.
Comparing Incarcerated and Community-DwellingOlder Men’s HealthSusan J. Loeb, Darrell Steffensmeier and Frank LawrenceWestern Journal of Nursing Research Volume 30 Number 2 March 2008 • Purpose • to compare incarcerated and community-dwelling older men’s self-efficacy for health management, health-promotion behaviors and health status • Self-efficacy • Perceived barriers(personal & situational) • Anticipated benefits • Health-promotion behaviors • Health status
Methods • 51 older male inmates(age 57) v.s. 33 community-dwellingolder men(age 72) • Older Men’s Health Program and ScreeningInventory(OMHPSI; Loeb, 2003) • Health promotion activities of older adults measure (HPAOAM; Padula, 1997) • Self-efficacy for health management
Results • Inmates reported significantly less participation in health-promotion behaviors (p < .01) and attended fewer programs (p < .05) • Self-rated health & Self-efficacy for health management: no significant difference • Conclusion • Incarcerated men lacked of availability or awareness of programs to build self-care skills and perceptions