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combine bits of information into “chunks” and create decision rules, known as heuristics, to<br />

make choices faster and more easily. According to basic CIP concepts, before people will use<br />

health information, it must be 1) available, 2) seen as useful and new, and 3) processable, or<br />

format-friendly.<br />

For Further Reading<br />

Bettman, J. R. (1979). An information processing theory of consumer choice. Reading, MA:<br />

Addison-Wesley.<br />

Interpersonal Level<br />

Social Cognitive Theory<br />

Social cognitive theory (SCT) explains behavior in terms of triadic reciprocality (“reciprocal<br />

determinism”) in which behavior, cognitive and other interpersonal factors, and environmental<br />

events all operate as interacting determinants of one another. SCT describes behavior as<br />

dynamically determined and fluid, influenced by both personal factors and the environment.<br />

Changes in any of these three factors are hypothesized to render changes in the others.<br />

One of the key concepts in SCT is the environmental variable: observational learning. In<br />

contrast to earlier behavioral theories, SCT views the environment as not just a variable that<br />

reinforces or punishes behaviors, but one that also provides a milieu where an individual can<br />

watch the actions of others and learn the consequences of those behaviors. Processes<br />

governing observational learning include:<br />

• Attention—gaining and maintaining attention<br />

• Retention—being remembered<br />

• Reproduction—reproducing the observed behavior<br />

• Motivation—being stimulated to produce the behavior<br />

Other core components of SCT include:<br />

• Self-efficacy—judgment of one’s capability to accomplish a certain level of performance<br />

• Outcome expectation—judgment of the likely consequence such behavior will produce<br />

• Outcome expectancies—the value placed on the consequences of the behavior<br />

• Emotional coping responses—strategies used to deal with emotional stimuli, including<br />

psychological defenses (denial, repression), cognitive techniques such as problem<br />

restructuring, and stress management<br />

• Enactive learning—learning from the consequences of one’s actions (versus<br />

observational learning)<br />

• Rule learning—generating and regulating behavioral patterns, most often achieved through<br />

vicarious processes and capabilities (versus direct experience)<br />

• Self-regulatory capability—much of behavior is motivated and regulated by internal<br />

standards and people’s self-evaluative reactions to their own actions<br />

223<br />

APPENDIX B

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