PSY 605 Lecture 2: Lecture 2 Health Behavior & Adherence

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Increase behaviors(positive reinforcement: rewards, negative reinforcement: decrease symptoms) Based on self efficacy (beliefs in capacity to control functioning & environmental events) Can increase self efficacy through performance, vicarious experience, verbal persuasion, etc. Commonly used to guide treatments in increasing health behaviors. Begins with individual perceptions which lead to modifying factors (ie age, ethnicity, perceived threat, cues to actions) followed by unlikelihood of action (likelihood of behavior, perceived benefits minus perceived barriers) How much persons behavior follows medical advice (usually 50% of people) Measurements: physician report, self report, 3rd party, pill counts, people) Measurements: physician report, self report, 3rd party, pill counts, biochemical or all of above) Predictors: disease characteristics (severity, associated pain), treatment characteristics (side effects, complexity), psychological (social support), personality type, self efficacy, optimistic bias avoidance coping. Behavioral techniques (prompts, tailoring regimens, self monitoring, graduated regiment implementation, contingency contract- reward for adherence)

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