scholarly journals Predicting and Influencing Voice Therapy Adherence Using Social–Cognitive Factors and Mobile Video

2015 ◽  
Vol 24 (2) ◽  
pp. 164-176 ◽  
Author(s):  
Eva van Leer ◽  
Nadine P. Connor

PurposePatient adherence to voice therapy is an established challenge. The purpose of this study was (a) to examine whether adherence to treatment could be predicted from three social–cognitive factors measured at treatment onset: self-efficacy, goal commitment, and the therapeutic alliance, and (b) to test whether the provision of clinician, self-, and peer model mobile treatment videos on MP4 players would influence the same triad of social cognitive factors and the adherence behavior of patients.MethodForty adults with adducted hyperfunction with and without benign lesions were prospectively randomized to either 4 sessions of voice therapy enhanced by MP4 support or without MP4 support. Adherence between sessions was assessed through self-report. Social cognitive factors and voice outcomes were assessed at the beginning and end of therapy. Utility of MP4 support was assessed via interviews.ResultsSelf-efficacy and the therapeutic alliance predicted a significant amount of adherence variance. MP4 support significantly increased generalization, self-efficacy for generalization, and the therapeutic alliance. An interaction effect demonstrated that MP4 support was particularly effective for patients who started therapy with poor self-efficacy for generalization.ConclusionAdherence may be predicted and influenced via social–cognitive means. Mobile technology can extend therapy to extraclinical settings.

2021 ◽  
Vol 42 (01) ◽  
pp. 019-031
Author(s):  
Eva van Leer

AbstractTreatment adherence is a challenge in behavioral voice therapy. Patients commonly encounter difficulties with practicing and implementing target voice techniques outside of the clinic. Several mobile support strategies have been shown to improve adherence. These strategies are driven by social cognitive theory, which provides a theoretical but practical framework for understanding adherence behavior and solving adherence problems. Key features of the theory include (1) its model of triadic asymmetrical reciprocal causation, (2) the concept of human agency, and (3) the constructs of self-efficacy and goal commitment. The purpose of this article is to (1) explain voice therapy adherence within the framework of social cognitive theory, (2) illustrate three broad categories of adherence problems, and (3) provide examples of strategies to address each. With this exemplified knowledge, the clinician can diagnose factors that underlie patients' adherence problems and develop individualized solutions. Given the significant role adherence plays in behavioral interventions, this information holds substantial clinical relevance.


2021 ◽  
Vol 38 (4) ◽  
pp. 1410-1429
Author(s):  
Claire Wilson ◽  
Tommy van Steen ◽  
Christabel Akinyode ◽  
Zara P. Brodie ◽  
Graham G. Scott

Technology has given rise to online behaviors such as sexting. It is important that we examine predictors of such behavior in order to understand who is more likely to sext and thus inform intervention aimed at sexting awareness. We used the Theory of Planned Behavior (TPB) to examine sexting beliefs and behavior. Participants (n = 418; 70.3% women) completed questionnaires assessing attitudes (instrumental and affective), subjective norms (injunctive and descriptive), control perceptions (self-efficacy and controllability) and intentions toward sexting. Specific sexting beliefs (fun/carefree beliefs, perceived risks and relational expectations) were also measured and sexting behavior reported. Relationship status, instrumental attitude, injunctive norm, descriptive norm and self-efficacy were associated with sexting intentions. Relationship status, intentions and self-efficacy related to sexting behavior. Results provide insight into the social-cognitive factors related to individuals’ sexting behavior and bring us closer to understanding what beliefs predict the behavior.


2016 ◽  
Vol 3 (2) ◽  
pp. 171-178
Author(s):  
Syarifah Mustika Sari ◽  
Yuliana Intan Lestari ◽  
Alma Yulianti Yulianti

This research aims to study about relationship between social support, self-efficacy and stress among  housewives who have high education. Daily routine can lead stress on housewives. Social cognitive factors like social support and self-efficacy effect stress experience. Samples are 200 high educated housewives who don’t have a job. This research is having incidental sampling technique and using some scales for collecting data such as social support scale, self-efficacy scale, and stress scale. Data were analyzed using Multiple Regression Analysis. The results showed that there is a significant correlation between social support, self- efficacy and stress among high educated housewives with F = 2.197 and 0.00 significance (p <0.01). It means that the hypothesis proposed by the researchers that there is a correlation between social support, self-efficacy and stress are accepted. 


2021 ◽  
Vol 12 ◽  
Author(s):  
Zhong Han

Although learners’ success in learning has generally been attributed to cognitive factors, non-cognitive issues in education should be taken into consideration in the process of learning which affects learners’ achievement. One of these issues, which become popular among researchers in the previous decade is grit, that is, posited as passion and perseverance thanks to its enduring quality and the other is self-efficacy. Another factor is goal commitment that talks about the way to reach a goal or insistent determinations to achieve a goal. The proposed review attempts to focus on these three factors in regulating students’ learning achievement. Accordingly, some educational suggestions are offered for teachers, students, and syllabus designers.


2020 ◽  
pp. 135910532091394
Author(s):  
Robin Rinn ◽  
Yiqun Gan ◽  
Amanda Whittal ◽  
Sonia Lippke

Health psychology sheds light on the process of returning to work after sick leave and subsequent medical rehabilitation. A 15-month longitudinal study with N = 201 orthopedic rehabilitation patients is reported. It examined whether and how both physiological health (e.g. body mass index and oxygen reabsorption) and psychological/social-cognitive factors (e.g. self-efficacy and social support) are related to returning to work. It was found that social-cognitive and physiological variables, such as oxygen consumption at anaerobic threshold, are important for returning to work. While physical activity was significantly correlated with social-cognitive variables, it was not significantly correlated directly with returning to work. Results suggest that self-efficacy and oxygen consumption at anaerobic threshold should be improved during medical rehabilitation.


2017 ◽  
Vol 33 (3) ◽  
pp. 606-613 ◽  
Author(s):  
Lee Shepherd ◽  
Cherokee Walbey ◽  
Brian Lovell

Background: Previous research has suggested that exclusive breastfeeding is likely to be predicted by social-cognitive variables and fear. However, there is little research assessing the role of regret and self-conscious emotions (e.g., pride and guilt) in promoting exclusive breastfeeding. Research aim: The primary aim of this research was to determine whether social-cognitive variables, fear, regret, and self-conscious emotions predict exclusive breastfeeding duration. The secondary aim of this research was to assess whether these factors predict infant-feeding choice (i.e., exclusively breastfed, combination fed, or generally formula fed). Methods: In this nonexperimental one-group self-report survey, 375 mothers rated social-cognitive variables toward breastfeeding (attitude, subjective norm, perceived control, and self-efficacy), their fear toward inadequate nutrition from breastfeeding and breastfeeding damaging their physical appearance, and the extent to which mothers may feel pride toward breastfeeding and negative self-conscious emotions (guilt and shame) and regret for not breastfeeding their infant. Results: Exclusive breastfeeding duration was positively predicted by self-efficacy, pride, and regret but negatively predicted by the fear toward inadequate nutrition. We also found that in contrast with exclusive breastfeeding, generally formula feeding an infant was associated with lower self-efficacy, pride, and regret but higher subjective norm and fear toward inadequate nutrition through breastfeeding. Conclusion: The authors argue that it is important to consider the role of self-conscious emotions and regret on exclusive breastfeeding.


2014 ◽  
Vol 48 (3/4) ◽  
pp. 496-521 ◽  
Author(s):  
Lan Snell ◽  
Lesley White ◽  
Tracey Dagger

Purpose – Adherence is a critical factor for success, for both the health of the customer and the financial outcomes of the firm. Central to the success of adherence behavior is the co-productive role of the customer which is determined by service perceptions as well as individual attributes. Based on social cognition theory, the aim of this paper is to examine the factors that influence past adherence behavior, and whether past adherence behavior predicts future intentions. Design/methodology/approach – The model was tested using structured equation modeling on a sample of 771 weight-loss customers. Findings – The authors show how service quality influences role clarity, which leads to increases in self-efficacy. The study also demonstrates the role of emotional intelligence (EI) in increasing efficacious beliefs. Past adherence behavior was found to predict future intentions. Research limitations/implications – This study was undertaken with a single service industry, and based on data which was collected at a single point in time. Limitations associated with common method bias inherent in cross-sectional designs, as well as limitations related to the use of self-report measures are acknowledged. Practical implications – The findings suggest that interventions to promote health outcomes should target customer skills in service consumption. By providing quality interactions, providers can increase customer role clarity which produces efficacious beliefs. Interventions should also address EI training in customers given its role in influencing self-efficacy. Originality/value – The simultaneous examination of traditional service factors and socio-cognitive factors contributes to theory by considering the individual health and organizational outcomes of these factors. The finding of a direct path between past adherence behavior and future intentions provides a unique insight into the prediction and control of behavior in a number of domains.


2018 ◽  
Author(s):  
M Hu ◽  
N Muhlert ◽  
N Robertson ◽  
M Winter

AbstractBackgroundFatigue is a common and disabling symptom in Multiple Sclerosis (MS) with a variety of direct and indirect influences, but remains poorly understood. Performance-based and self-report measures of fatigue are only weakly correlated and may have independent predictors. We adopted a multifactorial approach, utilising a measure of concurrent cognitive performance change in order to examine the clinical, psychological, and cognitive factors influencing subjective and objective fatigue in MS.MethodsSixty-one people with MS were assessed. Subjective fatigue was measured using the Modified Fatigue Impact Scale, Fatigue Assessment Instrument, and a Visual Analogue Scale (VAS). The Conners Continuous Performance Test 3 (CCPT3) and VAS were administered before and after two hours of cognitive testing, representing a period of cognitive effort. The differences in scores formed measures of objective performance fatigue and subjective fatigue change, respectively. We examined differences across baseline fatigue, fatigue change and performance change classifications, using regression analysis to uncover predictors of subjective fatigue and performance change.Table 1.Demographic and clinical features of the sampleResultsDepression, sleep, and emotion-focused coping each predicted baseline fatigue and together explained 53.5% of variance. Increased subjective fatigue was linked with anxiety, lower self-efficacy and gender. Cognitive performance change on the CCPT3 was however predicted by estimated general cognitive ability, self-efficacy and post-intervention fatigue.ConclusionSubjective fatigue in MS is a multifactorial construct, with subjective and objective cognitive performance fatigue largely influenced by indirect psychological and cognitive factors. The varying factors driving subjective and objective fatigue suggest that future studies need to take into account these disparate aspects when developing fatigue assessment tools. Targeting influential fatigue drivers such as psychological variables, and even using gender specific interventions may have the potential to improve the burden of fatigue and quality of life of people with MS.


1997 ◽  
Vol 23 (4) ◽  
pp. 541-559 ◽  
Author(s):  
Thomas W. Lee ◽  
Edwin A. Locke ◽  
Soo H. Phan

This study was designed to replicate conceptually and to explain the goal-level vs. incentive-type interaction reported by Mowen, Middlemist, and Luther (1981) based on goal setting and social cognitive theories. Mowen et al. found that subjects performed more poorly with hard goals than medium goals under a bonus pay system, the opposite of what was found for a piece-rate system. In the present study, an hourly pay condition was added. Mowen et al.‘s interaction was replicated using a two-trial design in which subjects could obtain feedback about their ability to attain the incentive bonuses between trials. The experimental effects were completely mediated by personal goals and self-efficacy. Goal commitment was related to performance, but did not mediate the experimental conditions. The implications for the design of incentive systems are discussed.


2018 ◽  
Vol 26 (1) ◽  
pp. 14-24 ◽  
Author(s):  
Maria-Christina Kosteli ◽  
Jennifer Cumming ◽  
Sarah E. Williams

Limited research has investigated exercise imagery use in middle-aged and older adults and its relationship with affective and behavioral correlates. The study examined the association between self-regulatory imagery and physical activity (PA) through key social cognitive variables. Middle-aged and older adults (N = 299; M age = 59.73 years, SD = 7.73, range = 50 to 80) completed self-report measures assessing self-regulatory imagery use, self-efficacy, outcome expectations, perceived barriers, self-regulatory behavior, enjoyment, and PA levels. Path analysis supported a model (χ² [14] = 21.76, p = .08, CFI = .99, TLI = .97, SRMR = .03, RMSEA = .04) whereby self-regulatory imagery positively predicted self-efficacy, outcome expectations, and self-regulatory behaviors. Furthermore, self-regulatory imagery indirectly predicted barriers, outcome expectations, self-regulation, enjoyment, and PA. This research highlights self-regulatory imagery as an effective strategy in modifying exercise-related cognitions and behaviors. Incorporating social cognitive constructs into the design of imagery interventions may increase PA engagement.


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