1. Social Learning Theory
Occupational Therapy In Community-Based Practice Settings p.69-70

2. 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

3. Expectancy The value an individual places on a particular outcome
Three types:
1. Efficacy expectations
2. Outcome expectations
3. Environmental expectations

4. Efficacy expectations
An individual believes in his or her ability to perform a given behavior
Successful accomplishment or a behavior enhances one’s expectation future endeavors
Outcome expectations
The individual’s belief that a given will lead to specific outcomes
High level of self-efficacy + internal locus of control → attempt to execute particular behavior
Environmental expectations
How events are related to each other and what one may expect from any environment

5. Behavior change Direct: reinforcement Indirect: social modeling
Self-management: individual monitor & self-reward

6. Limitation Limited number of reliable and valid instruments
Lack of delineation of appropriate source of modeling
Insufficient description of the nature of change

7. 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 Bamford and 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)

8. Questionnaire survey
Finding out what the patient already knows or suspects about their diagnosis
Using the actual words dementia or Alzheimer's disease when talking to the patient
Exploring what the diagnosis means to the patient

10. Behavior change techniques
Modeling
Graded task
Action planning

11. Promoting a healthy diet and physical activity in adults with intellectual disabilities living in community residences: Design and evaluation of a cluster-randomized intervention Liselotte Schäfer Elinder, Helena Bergström, Jan Hagberg, Ulla Wihlman and Maria Hagströmer BMC 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

12. Ten health education sessions for residents in their homes
Methods:
The intervention is based on social cognitive theory and takes 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.

13. Comparing Incarcerated and Community-Dwelling Older Men’s Health Susan J. Loeb, Darrell Steffensmeier and Frank Lawrence Western 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

14. Methods
51 older male inmates(age 57) v.s. 33 community-dwelling older men(age 72)
Older Men’s Health Program and Screening Inventory (OMHPSI; Loeb, 2003)
Health promotion activities of older adults measure (HPAOAM; Padula, 1997)
Self-efficacy for health management

15. 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