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Week 6

Week 6. Health Promotion by Social Cognitive Means & Social Learning Theory. Social Cognitive Theory. Knowledge of health risks and benefits of different health practices P erceived self-efficacy - that one can exercise control over one’s health habits.

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Week 6

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  1. Week 6 Health Promotion by Social Cognitive Means & Social Learning Theory

  2. Social Cognitive Theory • Knowledgeof health risks and benefits of different health practices • Perceived self-efficacy- that one can exercise control over one’s health habits. • Outcome expectations - expected costs and benefits for different health habits. • Goalspeople set for themselves • Concrete plans and strategies for realizing goals • Perceived facilitators/impediments (social and structural)to change.

  3. BEHAVIOR CHANGE THEORIES:Same principles, different names?Thoughts? Comments?

  4. Health Comm. as a tool for altering health behavior • Impartation of information • Increasing perceived threat • Increasing perceived susceptibility • Increasing sense of self-efficacy • MOST EFFECTIVE?

  5. Answer : Self-efficacy • Does this agree with the constructs of the TTI?

  6. THE THEORY OF TRIADIC INFLUENCE Levels of Causation Ultimate CULTURAL SOCIAL BIOLOGY/ Causes ENVIRONMENT SITUATION PERSONALITY 1 2 3 4 5 6 a f Social/ Personal Nexus c d e b Sense of Information/ Interpersonal Others’ Social Interactions w/ Self/Control Opportunities Bonding Beh & Atts Competence Social Instit’s Distal Influences 7 8 9 10 11 12 g r p i q h k n m l j o Expectancies & Evaluations Self Skills: Motivation Perceived Values/ Knowledge/ Determination Social+General to Comply Norms Evaluations Expectancies 13 14 15 16 17 18 s x ATTITUDES SOCIAL SELF-EFFICACY u w v t Affect and Cognitions TOWARD THE NORMATIVE BEHAVIORAL BEHAVIOR BELIEFS CONTROL Proximal 19 20 21 Predictors Decisions A G B H C I D E F 22 K Experiences 23 Related Behaviors J Intrapersonal Stream Social/Normative Stream Cultural/Attitudinal Stream Biological/Nature Nurture/Cultural DECISIONS/INTENTIONS Trial Behavior 6 EXPERIENCES: Expectancies -- Social Reinforcements -- Psychological/Physiological

  7. Threefold Stepwise Implementation Model

  8. Guidance and social support in the 21st century • Group social support • Interactive media

  9. “Self-management/self-help”: A recurring theme

  10. The concept of self-management and social support in health promotion: Whose behavior are we trying to change? Enabling the individual to seize power/control Vs: Educating those with power to relinquish power/control

  11. The Argument for SCT • Political impediments to legislative initiatives • Lack of collective efficacy to realize policy prescriptions • For many public health issues - time is of essence • Socially oriented approaches seek to raise public awareness, build community capacity and mobilize the collective citizen action needed to override vested political and economic interests that benefit from existing unhealthful practices.

  12. Limitations • ‘Victim blaming’? • Who are safety nets intended for? • Repercussions of failed safety-nets? • Widespread applicability of SCT? • Other thoughts?

  13. Social Learning Theory

  14. Requirements for Social Learning • Attention • Retention • Reproduction • Motivation - external (direct) - vicarious (indirect)

  15. Interactions of the 4 operations necessary for social learning (Salkind, N.J., 2004)

  16. Social learning Theory ‘effects’ • Modeling • Eliciting • Disinhibitory/inhibitory effects • Combine with the 4 Social Learning operations to produce behavior.

  17. Commonality of SCT & SLT • A focus on the individual’s active participation for successful implementation of behavior change

  18. Class Activity: • Topic – Addressing MDGs 3, 4and 5: Ending Girl Child Marriage Using: (A) Three-fold Stepwise Implementation Model of the SCT (B) Social Learning Theory • UNDP Report http://www.unfpa.org/webdav/site/global/shared/documents/publications/2012/MarryingTooYoung.pdf

  19. Any challenges? How else might you go about addressing the peculiar challenges of those in level 3 of the 3-fold stepwise implementation model?

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