Self-Efficacy And Self Management

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29 Terms

1

what is self-efficacy

  • “The extent or strength of one’s belief in the ability to attain goals” (Bandura)

  • A process of taking control of the results of a task-based effort

  • Dynamic process

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2

social congnitive theory

  • personal factors: cognitive? affective? physical?

  • environment: barriers and facilitators

  • behavior

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3

concepts of social cognitive theory

  • Reciprocal determinism

  • Environment and situation

  • Behavioral capacity

  • Observational learning

  • Reinforcements

  • expectations

  • Expectancies

  • Self-regulation

  • Self-efficacy

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4

Self-efficacy

A measure of confidence in success; belief in the ability to achieve a goal

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5

Self-regulation

the use of goals and monitoring to control behavior; the target individual’s social network can be used to improve success

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6

Expectancies

The perceived value of behavioral change

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7

expectations

The expected result

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8

Reinforcements

the impact of a positive or negative response on adoption of a new behavior

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9

Observational learning

The concept that an individual can learn to be successful at a new task or skill through observation and modeling

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10

Behavioral capacity

The potential to be successful in behavior change based upon the skills and knowledge of the target individual

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11

Environment and situation

the setting, physical, and social factors surrounding a given behavior

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12

Reciprocal determinism

Relationship between the individual, environment, and behavior; consider positive and negative impacts that previous experience and habits cause, as well physical barriers and facilitators

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13

how do we measure self-efficiacy?

  • Multiple scales for specific diagnoses or behaviors

  • Generalizable applicability?

  • Self-efficacy for exercise scale (SEE)

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14

people who have less chronic pain

have more self-efficacy

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15

Patient/Family Considerations

  • Self-efficacy of the patient

  • Addition of caregiver self-efficacy for a pediatric patient

  • Addition of proxy self-efficacy in the caregiver of a geriatric patient

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16

carfegiver self-efficacy

caregivers belief of their ability to care for the patien

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17

proxy self-efficacy

belief that the patient has in the caregiver to help them

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18

How Do We Build Self-Efficacy?

• Success and mastery
• Vicarious performance
• Verbal encouragement
• Emotional/psychological state

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19

Success and Mastery

• Achievable goals
• Breaking a long-term objective into short-term tasks

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20

Vicarious Performance

• Modeling a task or activity
• Group approach
• Mentoring or identifying a peer

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21

Verbal Encouragement

• Therapist, teacher, peers, family
• Should be valid praise for success as opposed to encouragement for subpar performance

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22

Emotional or Psychological State

• Concept of positive attitude and affect on belief in one’s own abilities
• Detrimental effect of depression, anxiety, poor self-concept

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23

Self-Management

• Patient- and family-centered care
• Enabling independence with disease management
• Shared decision-making

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24

Patient- and Family-Centered Care

• Appropriate and important goals
• Carryover and long-term benefit
• Plan for transition from the onset of the episode of care

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25

Independence With Disease Management

• Empowering, sense of control
• Modulating and altering plan based on new information
• Psychological benefit and psychosocial impact
• State of health care

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26

Shared Decision-Making

• Informed consent
• Balance the extensive web resources
• Ethical practice
• Discussion between the health care provider and patient with informed decision-making

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27

self-mamangement

the tasks that individuals must undertake to live well with one or more chronic conditions

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28

self-management support

the systematic provision of education and supportive interventions by health care or other providers to strengthen patients’ skills and confidence in managing their health problems; incluses regualar assessement of progress and problems, goal-setting, and problem-solving support

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29

self-management education

interactive educational interventions specifically designed to enhance patient self-management

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