Socio-Cultural and Environmental Theories of Health Behavior Change
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Socio-Cultural and Environmental Theories of Health Behavior Change

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What is a Social/Environmental Context?. The frame that you place your life pictureThe forces that influence the way in which you develop The backdrop for the development of your unique set of beliefs, attitudes and behaviors. An offshoot of behaviorismComponents of SCTIndividual characteristic
Socio-Cultural and Environmental Theories of Health Behavior...

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1. Socio-Cultural and Environmental Theories of Health Behavior Change

2. What is a Social/Environmental Context?

3. An offshoot of behaviorism Components of SCT Individual characteristics Environmental factors Reciprocal determinism Social Cognitive Theory (SCT) Individual A person?s sense of self-efficacy about a new behavior Confidence that he or she can overcome obstacles to doing it A person?s capability or skill A person?s expectations and experiences Environmental The social environment surrounding the individual The physical environment surrounding the individual The behavior of others (modeling) The possible reinforcements available Reciprocal determinism The process of acting to a given number of social and environmental cues Then adjusting the behavior to the consequences of the original action Then adjusting again depending upon the feedback Individual A person?s sense of self-efficacy about a new behavior Confidence that he or she can overcome obstacles to doing it A person?s capability or skill A person?s expectations and experiences Environmental The social environment surrounding the individual The physical environment surrounding the individual The behavior of others (modeling) The possible reinforcements available Reciprocal determinism The process of acting to a given number of social and environmental cues Then adjusting the behavior to the consequences of the original action Then adjusting again depending upon the feedback

4. Examples of SCT A 16 year-old girl Maria A 14 year-old boy Joe A 65 year-old man David

5. The Individual Characteristics of SCT Self-Efficacy Behavioral Capability Expectations Expectancies Self-Control Emotional Coping Self-Efficacy: a person?s confidence that he or she can perform a behavior Behavioral Capability: a person?s level of knowledge and skill in relation to a behavior Expectations: What a person thinks will happen if he or she makes a behavior change Expectancies: Whether a person thinks that expected outocme is good or likely to be rewarded Self-Control: How much control a person has over making a change Emotional Coping: a person?s ability to deal with emotions involved in a behavior change.Self-Efficacy: a person?s confidence that he or she can perform a behavior Behavioral Capability: a person?s level of knowledge and skill in relation to a behavior Expectations: What a person thinks will happen if he or she makes a behavior change Expectancies: Whether a person thinks that expected outocme is good or likely to be rewarded Self-Control: How much control a person has over making a change Emotional Coping: a person?s ability to deal with emotions involved in a behavior change.

6. Environmental Factors of SCT Vicarious Learning Situation Reinforcement Reciprocal Determinism Vicarious Learning: a person learns by observing the behavior of others and the consequences of that behavior Situation: The social/physical environment in which the behavior takes place, and a person?s perception of those factors Reinforcement: Positive or negative respo0nses to a person?s behavior Reciprocal Determinism: The iterative process where a person makes a change based on individual characteristics and social/environmental cues, receives a response, makes adjustments to his or her behavior, and so onVicarious Learning: a person learns by observing the behavior of others and the consequences of that behavior Situation: The social/physical environment in which the behavior takes place, and a person?s perception of those factors Reinforcement: Positive or negative respo0nses to a person?s behavior Reciprocal Determinism: The iterative process where a person makes a change based on individual characteristics and social/environmental cues, receives a response, makes adjustments to his or her behavior, and so on

7. Using SCT Let?s try the theory

8. Critique of SCT Very Complex Theory has gone through a shift from an emphasis on behavioral variants to self-efficacy

9. Social Network Theory (SNT) Individual personal characteristics are not so important to understanding behavior What is important is what occurs between people that is important Friendships Family connections Professional relationships

10. SNT Issues Who is in a person?s network The frequency of interactions between people in the network The types of interactions between people in the network Differences in relational roles Leaders Followers Planners Are there groups or cliques that control the social network?

11. Network Qualities Centrality vs. marginality of individuals in the network Reciprocity of relationships Complexity or intensity of relationships Homogeneity or diversity of the people in the network Communication patterns in the network


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