Flexibility Self-Change Project
Introduction of the Project (click)
Schwarzer’s (2008) health action process approach (HAPA), with both a motivational phase and volitional phase, provided a comprehensive framework around which this intervention has been designed (See Figure 1).
The HAPA utilizes Bandura’s (2004) first three characteristics of: (a) intentionality, (b) forethought, (c) self-reactiveness, and can accommodate more explicit use of (d) self-reflectiveness through heightened self-awareness throughout the process.
The intervention outlined here employs the attitudinal and perceived behavioral control determinants of the Theory of Planned Behavior (Fishbein & Ajzen, 2005) in the motivational phase. Both the subjective norm of TPB and the socially embedded nature of the human experience identified in social cognitive theory (Bandura, 2006) have been included in the motivational phase and volitional phase for their anticipated beneficial role contributing to success. Lastly, while the health belief model (Becker, 1979; Eraker, Kirscht, & Becker, 1984) has not been included in this literature review, the approach used in this project has been informed by the social support purported to increase patient action and the cues to action associated with that approach.
Intervention Details and Assignments (To begin on Feb 4, 2010)
Motivational Phase – Assignment 1 – Risk Awareness
Motivational Phase - Assignment 2 – Outcome Expectancies
Motivational Phase - Assignment 3 – Self-Efficacy
Volitional Phase – Action Planning
Volitional Phase – Coping Planning
Volitional Phase – Implementing the Program
Final Program Reflection and Report
References
Bandura, A. (2004). Health promotion by social cognitive means. Health Education and Behavior, 31, 143-163. doi:10.1177/1090198104263660.
Bandura, A. (2006). Toward a Psychology of Human Agency. Perspectives on Psychological Science, 1(2), 164-180. doi:10.1111/j.1745-6916.2006.00011.x.
Becker, M.H. (1979). Understanding patient compliance: The contributions of attitudes and other psychosocial factors. In S. J. Cohen (Ed.), New directions in patient compliance (pp. 1-31). Lexington, MA: Heath.
Eraker, S., Kirscht, J., & Becker, M. (1984). Understanding and Improving Patient Compliance. Annals of Internal Medicine, 100(2), 258. Retrieved January 21, 2010 from Academic Search Complete database.
Fishbein, M., & Ajzen, I. (2005). Theory-based Behavior Change Interventions: Comments on Hobbis and Sutton. Journal of Health Psychology, 10(1), 27-31. doi:10.1177/1359105305048552.
Schwarzer, R. (1992). Self-efficacy in the adoption and maintenance of health behaviors: Theoretical approaches and a new model. In R. Schwarzer (Ed.), Self-efficacy: Thought control of action (pp. 217-243). Washington, DC: Hemisphere.
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