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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