Reciprocal Determinism at the Stages of Behavior Change: An Integration of Community,Personal and Behavioral Perspectives

Abstract

Effective community health education requires theories which combine the perspectives of behavior change at the levels of the individual with those at the levels of the community. Within the framework of reciprocal determinism, a variety of theories and concepts are integrated to understand behavior change at levels of the individual and levels of the community. These concepts are applied at each step in the behavior change process, and categories of intervention are explained within the proposed framework. A variety of specific intervention procedures are generated from the framework for promoting behavior change at each level and stage of change. Such a comprehensive integrated framework holds promise of designing more effective health education programs.

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References

Bettinghaus

E. P.

, Health Promotion and the Knowledge-Attitude-Behavior Continuum, Preventive Medicine, 15, pp. 475–491, 1986.

Watkins

J. D.

Williams

T. F.

Martin

D. A.

Hogan

M. D.

, and Anderson

, A Study of Diabetic Patients at Home, American Journal of Public Health, 57, pp. 452–459, 1967.

Haynes

R. B.

Taylor

D. W.

, and Sackett

D. L.

(eds.), Compliance in Health Care, The Johns Hopkins University Press, Baltimore, 1979.

Gochman

D. S.

(ed.), Health Behavior, Emerging Research Perspectives, Plenum, New York, 1988.

Matarazzo

J. D.

Weiss

S. M.

Herd

J. A.

Miller

N. E.

, and Weiss

S. M.

(eds.), Behavioral Health, A Handbook of Health Enhancement and Disease Prevention, Wiley, New York, 1984.

Bandura

, The Self-System in Reciprocal Determinism, American Psychologist, 33, pp. 344–360, 1978.

Wooley

S. C.

Blackwell

, and Winget

, A Learning Theory Model of Chronic Illness Behavior: Theory, Treatment and Research, Psychosomatic Medicine, 40, pp. 379–401, 1978.

Hall

C. S.

and Lindzey

, Theories of Personality, (2nd edition), Wiley, New York, 1970.

U.S. Department of Health and Human Services, The Health Consequence of Smoking: Cardiovascular Disease, A Report of the Surgeon General, DHHS Publication No. (PHS) 84-50204, U.S. Government Printing Office, Washington, D.C., 1983.

10.

Haskell

W. L.

, Physical Activity and Health: Need to Define the Required Stimulus, American Journal of Cardiology, 44, pp. 4D–9D, 1985.

11.

Benowitz

N. L.

Jacob

III Kozlowski

, Influence of Smoking Fewer Cigarettes on Exposure to Tar, Nicotine, and Carbon Monoxide, New England Journal of Medicine, 315, 1310–1313, 1986.

12.

Cialdini

R. B.

, Influence: Science & Practice, (2nd edition), Scott Foresman, New York, 1987.

13.

Cohen

and Syme

(eds.), Social Support and Health, Academic Press, New York, 1985.

14.

Caplan

R. D.

Robinson

E. A. R.

French

J. R. P.

Jr. Caldwell

J. R.

, and Shinn

, Adhering to Medical Regimes: Pilot Experiments in Patient Education and Social Support, Institute of Social Research, Ann Arbor, Michigan, 1976.

15.

Baranowski

Bee

Rassin

Richardson

J. D.

Brown

Guenther

, and Nader

P. R.

, Social Support, Social Influence, Ethnicity and the Breast-feeding Decision, Social Science and Medicine, 17: 21, pp. 1599–1611, 1983.

16.

Pearce

J. W.

LeBow

M. D.

, and Orchard

, Role of Spouse Involvement in the Behavioral Treatment of Overweight Women, Journal of Consulting and Clinical Psychology, 49, pp. 236–244, 1981.

17.

Petty

R. E.

Ostrom

T. M.

and Brock

T. C.

(eds.), Cognitive Responses in Persuasion, Lawrence Erlbaum, Hillsdale, New Jersey, 1981.

18.

Akamatsu

R. J.

and Thelen

M. H.

, A Review of the Literature on Observer Characteristics and Imitation, Developmental Psychology, 10, pp. 38–47, 1974.

19.

Flay

B. R.

Hansen

W. B.

Johnson

C. A.

Collins

L. M.

Dent

C. W.

Dwyer

K. M.

Hockstein

Grossman

Rauch

Sobol

D. F.

Sobel

J. L.

Sussman

, and Ulene

, Implementation Effectiveness Trial of a Social Influences Smoking Prevention Program Using Schools and Television, Health Education Research, 2, pp. 385–400, 1987.

20.

Leventhal

and Cameron

, Behavioral Theories and the Problem of Compliance, Patient Education and Counseling, 1988.

21.

Lau

R. R.

and Hartman

K. A.

, Common Sense Representations of Common Illnesses, Health Psychology, 2, pp. 167–185, 1983.

22.

Ditto

P. H.

Jemmott

J. B.

III , and Darley

J. M.

, Appraising the Threat of Illness: A Mental Representational Approach, Health Psychology, 7, pp. 183–201, 1988.

23.

Snow

L. F.

, Folk Medical Beliefs and Their Implications for Care of Patients: A Review Based on Studies among Black-Americans, Annals of Internal Medicine, 81, pp. 82–96, 1974.

24.

Wylie

R. C.

, The Self Concept, University of Nebraska Press, Lincoln, 1974.

25.

Weiner

, Theories of Motivation, From Mechanism to Cognition, Markham, Chicago, 1972.

26.

Bandura

, Social Learning Theory, Prentice Hall, Englewood Cliffs, New Jersey, 1977.

27.

Baranowski

Bee

Rassin

Richardson

, and Palmer

, Expectancies Toward Infant-feeding Methods among Mothers in Three Ethnic Groups, Psychology and Health (in press).

28.

Mischel

Shoda

, and Peake

P. K.

, The Nature of Adolescent Competencies Predicted by Preschool Delay of Gratification, Journal of Personality and Social Psychology, 54, pp. 687–696, 1988.

29.

Kuhl

and Beckmann

(eds.), Action Control, From Cognition to Behavior, Springer-Verlag, Berlin, 1985.

30.

Looker

and Shannon

, Threat vs Benefits Appeals: Effectiveness in Adult Nutrition Education, Journal of Nutrition Education, 16, pp. 173–176.

31.

Fishbein

and Ajzen

, Belief, Attitude, Intention and Behavior: An Introduction to Theory and Research, Addison-Weseley, Reading, Massachusetts, 1975.

32.

Bandura

, Principles of Behavior Modification, Holt, Rinehart and Winston, New York, 1969.

33.

Bandura

, Self-efficacy: Toward a Unifying Theory of Behavioral Change, Psychological Review, 84, pp. 191–204, 1977.

34.

Weiner

, The Role of Emotions in a Theory of Motivation, in Motivation, Intention and Volition, Halisch

and Kuhl

(eds.), Springer-Verlag, Berlin, pp. 21–30, 1987.

35.

Averill

J. R.

, The Role of Emotion and Psychological Defense in Self-protection Behavior, in Taking Care: Understanding and Encouraging Self-protective Behavior, Weinstein

N. D.

(ed.), Cambridge University Press, Cambridge, pp. 54–78, 1987.

36.

Leventhal

, Findings and Theory in the Study of Fear Communications, in Advances in Experimental Social Psychology, Vol. 5, Berkowitz

(ed.), Academic Press, New York, 1970.

37.

Rogers

R. W.

Decker

C. W.

, and Newborn

C. R.

, An Expectancy-value Theory Approach to the Long-term Modification of Smoking Behavior, Journal of Clinical Psychology, 34, pp. 563–566, 1978.

38.

Kanfer

F. H.

, Self-management Methods, in Helping People Change, Kanfer

F. H.

and Goldstein

A. P.

(eds.), Pergamon, New York, 1983.

39.

Abrams

D. B.

Elder

J. P.

Carleton

R. A.

Lasater

T. M.

, and Artz

L. M.

, Social Learning Principles for Organizational Health Promotion: An Integrated Approach, in Health and Industry, A Behavioral Medicine Perspective, Cataldo

M. F.

and Coates

T. J.

(eds.), Wiley, New York, pp. 28–51, 1986.

40.

Preston

M. A.

Baranowski

, and Higginbotham

J. C.

, Orchestrating the Points of Community Intervention: Enhancing the Diffusion Process, International Quarterly of Community Health Education, 9, pp. 11–34, 1988–89.

41.

Jenkins

C. D.

, Health for All by the Year 2000: A Challenge to the Behavioral and Social Sciences, International Journal of Health Education, 1990 (in press).

42.

McLeroy

K. R.

Bibeau

Steckler

, and Glanz

, An Ecological Perspective on Health Promotion Programs, Health Education Quarterly, 15, pp. 351–377, 1988.

43.

Glanz

and Mullis

R. M.

, Environmental Interventions to Promote Healthy Eating: A Review of Models, Programs and Evidence, Health Education Quarterly, 15, pp. 395–415, 1988.

44.

Rogers

, Diffusion of Innovation, Free Press, New York, 1962.

45.

Rogers

and Storey

, Communication Campaigns, in Handbook of Communication Science, Chaffee

and Berger

(eds.), Sage, Beverly Hills, California, 1987.

46.

Rogers

and Kincaid

, Communication Networks: Toward a New Paradigm for Research, Free Press, New York, 1981.

47.

Flora

J. A.

Maibach

E. W.

, and MacCoby

, The Role of Media Across Four Levels of Health Promotion Intervention, Annual Review of Public Health, 10, pp. 181–201, 1989.

48.

Baranowski

, Agency Coalitions for Targeted Service Delivery: Foiled Designs, Failed Environment, but Final Delight, International Quarterly of Community Health Education, 3, pp. 67–77, 1982–83.

49.

Horn

, A Model for the Study of Personal Choice Health Behavior, International Journal of Health Education, 19, pp. 88–97, 1976.

50.

Parcel

G. S.

and Baranowski

, Social Learning Theory and Health Education, Health Education, pp. 14–18, 1981.

51.

Prochaska

J. O.

and DiClemente

C. C.

, Common Processes of Self-change in Smoking, Weight Control, and Psychological Distress, in Coping and Substance Abuse, Schiffman

and Wills

(eds.), Academic Press, New York, pp. 345–363, 1985.

52.

Prochaska

J. O.

DiClemente

C. C.

Velicer

W. F.

Ginpil

, and Norcross

J. C.

, Predicting Change in Smoking Status for Self-Changers, Addictive Behaviors, 10, pp. 395–406, 1985.

53.

Prochaska

J. O.

and DiClemente

C. C.

, Toward a Comprehensive Model of Change, in Treating Addictive Behaviors, Miller

W. R.

and Heather

(eds.), Plenum, New York, pp. 3–27, 1986.

54.

Prochaska

J. O.

Velicer

W. F.

DiClemente

C. C.

, and Fava

, Measuring Processes of Change: Applications to the Cessation of Smoking, Journal of Consulting and Clinical Psychology, 56, pp. 520–528, 1988.

55.

Prochaska

J. O.

Velicer

W. F.

DiClemente

C. C.

Guadagnoli

, and Rossi

J. S.

, Patterns of Change: Dynamic Typology Applied to Smoking Cessation, Multivariate Behavioral Research, in press.

56.

Rossi

J. S.

Prochaska

J. O.

, and DiClemente

C. C.

, Processes of Change in Heavy and Light Smokers, Journal of Substance Abuse, 1, pp. 1–9, 1988.

57.

Wilcox

N. C.

Prochaska

J. O.

Velicer

W. F.

, and DiClemente

C. C.

, Subject Characteristics as Predictors of Self Change in Smoking, Addictive Behaviors, 10, pp. 407–412, 1985.

58.

Becker

M. H.

(ed.), The Health Belief Model and Personal Health Behavior, Health Education Monographs, 2, pp. 324–508, 1974.

59.

Weinstein

N. D.

, The Precaution Adoption Process, Health Psychology, 7, pp. 355–386, 1988.

60.

Block

J. H.

(ed.), Mastery Learning, Theory and Practice, Holt, Rinehart, and Winston, New York, 1971.

61.

DeRisi

W. J.

and Butz

, Writing Behavioral Contracts, A Case Simulation Practice Manual, Research Press, Champaign, Illinois, 1975.