The Paradox of Legally Mandated Addictions Treatment: The Feasibility of Preferred Behavioral Change Strategies

2012 ◽  
Author(s):  
Rebecca Weiss ◽  
Muench Fred
Author(s):  
James E. Maddux

The basic premise of self-efficacy theory is that “people's beliefs in their capabilities to produce desired effects by their own actions” (Bandura, 1997, p. vii) are the most important determinants of the behaviors people choose to engage in and how much they persevere in their efforts in the face of obstacles and challenges. Self-efficacy theory also maintains that these efficacy beliefs play a crucial role in psychological adjustment, psychological problems, physical health, as well as professionally guided and self-guided behavioral change strategies. This chapter provides an overview of self-efficacy theory and research by addressing three basic questions: (a) What is self-efficacy? (b) Where do self-efficacy beliefs come from? (c) Why is self-efficacy important? The chapter also discusses “collective efficacy”—group members' beliefs in their ability to collectively accomplish shared goals.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 963-963
Author(s):  
Rebekah Harris ◽  
Jonathan Bean ◽  
Elisa Ogawa ◽  
Addie Middleton ◽  
Catherine Kelly

Abstract To evaluate the feasibility of delivering the Live Long Walk Strong (LLWS) rehabilitation program among community dwelling, mobility limited older Veterans in the VA Boston Healthcare System. Community dwelling Veterans 50 years and older identified as being at high risk for mobility decline based on self-report task modification and AM-PAC mobility questions. All Veterans received 10 sessions over 8 weeks of LLWS Physical Therapy care focusing on novel impairments related to mobility decline and behavioral change strategies. Sessions were delivered 1:1 with a Physical Therapist over 45 minutes. To assess feasibility, we tracked recruitment and retention metrics. We assessed length of each session, number of sessions attended, and any reason for withdrawal. To examine technological feasibility, we recorded number and type of issue along with resolution of the issue. A total of 178 Veterans were contacted to participate. Twenty Veterans were enrolled into the LLWS virtual pilot between October 2020 – May 2021. Among our 20 enrolled, 5 did not complete the program. Reasons for not completing included: being enrolled in another exercise study simultaneously and non-related medical complications. Among those completing, an average of 9.7 out of 10 intervention sessions were completed. An average of 1.8 technology difficulties per Veteran was experienced within the intervention. The most frequent technology issues experienced were related to camera positioning and Wi-Fi bandwidth resulting in delayed video and audio. LLWS is feasible to deliver as a virtual mode of care in middle and older aged Veterans at high risk for mobility decline.


2020 ◽  
Vol 6 (4) ◽  
pp. 112
Author(s):  
Anamaria Vrabie ◽  
Rodica Ianole-Călin

This paper aims to investigate innovation capacity mechanisms at a municipal level, through a comparative case study of public sector innovation labs from Boston (US) and Cluj-Napoca (Romania). We employed a qualitative approach, using as a primary tool the OECD framework for assessing the capacity of cities to innovate, and secondarily, a taxonomy of behavioral change strategies. We showed that, despite differences rooted in culture and institutions, innovation labs support the determinants of urban innovation capacity. However, the intensity of their support varies significantly, depending on organizational arrangements and the chosen methodological approach. Accepting this limitation may be an important step in re-configurating innovation labs and in moving towards a clearer agenda on sustainable urban innovation.


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