EAB 3764 Lecture Notes - Lecture 32: Contingency Management, Preventive Healthcare, Environmental Modification Convention

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Traditional fields devoted to relationships between health and behavior: public health, Independent variables: environmental manipulation, alteration of the physical environment, education, contingencies, medical intervention, drugs, surgery. Risk factor: individual or group characteristics that are statistically associated with an increased frequency of disease or mortality: biological risk factors: Gender, body weight, chromosomal characteristics: environmental risk factors: Nuclear waste sites, exposure to sun: behavioral risk factors: Approaches to prevention (risk factor reduction: managerial: environmental modification or restriction of opportunities to engage in risk-prone behavior. Management of physical environment (water purification, auto emissions control) Management of behavior through legislation (safety-belt, gun control, anti- smoking laws: personal: individual behavior change. Iwata & becksfort (1981) behavioral research in preventive dentistry: educational and contingency management approaches to the problem of patient compliance . Natural consequences too delayed and not serious enough. To compare educational and contingency management interventions. To demonstrate the use of outcome measures. 31 adults, referred and selected over 4-month period.

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