Deck 3: Understanding and Achieving Behavior Change
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Deck 3: Understanding and Achieving Behavior Change
1
Self-efficacy is the determination to act in a certain way.
False
2
Cognitive-behavioral theory is best applied when people are actively ready to make a change.
True
3
Behavior change theories provide evidence-based methods that are not empirically tested.
False
4
Cognitive-behavioral theory is highly process-oriented and goal-directed.
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5
The diffusion of innovation model addresses the process by which people adopt new ideas and behaviors.
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6
The belief that one can successfully change behavior is known as self-efficacy.
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7
The incorporation of behavior change theories into program planning is not critical to the nutrition care process.
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8
In social cognitive theory, the environment refers exclusively to the physical realm (e.g., the workplace, the layout of the kitchen, etc.).
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9
Knowing the factors that affect consumers' food choices tells us how consumers make their decisions.
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10
The New York City Department of Health and Mental Hygiene's television ad campaign, "Are You Pouring on the Pounds?" is an example of a social marketing campaign.
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11
The stages of change model can only be applied at the individual level and is not appropriate for community-based interventions.
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12
Nutrition counseling is usually conducted one-on-one, whereas nutrition education, by definition, cannot be conducted in this manner.
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13
Motivational interviewing targets changes in attitudes and beliefs.
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14
A subjective norm is the perceived social pressure to perform or not perform a behavior.
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15
The transtheoretical model describes an individual's motivation and readiness for change.
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16
An intervention is a health promotion activity aimed at changing the behavior of a target population.
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17
The stages of change model assumes that individuals will pass through each stage in a linear fashion.
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18
The health belief model was developed as a way to explain why people in high-risk groups failed to participate in programs designed to detect or prevent disease.
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19
Frequently, practitioners incorporate concepts from more than one theory into an intervention design.
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20
In motivational interviewing, the counselor takes the lead in the counseling session and directs the client by providing information and suggesting "fixes."
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21
Motivational interviewing is a style of counseling in which the nutrition counselor is considered the "lifestyle expert".
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22
Which intervention strategy is most appropriate for someone in the precontemplation stage of change?
A)encouraging a support network
B)coaching on preparation for high-risk situations
C) facilitating the development of an action plan
D) exploring ambivalence about change
A)encouraging a support network
B)coaching on preparation for high-risk situations
C) facilitating the development of an action plan
D) exploring ambivalence about change
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23
Which intervention strategy is most appropriate for an individual with hypertension who is in the preparation stage?
A)attending a health fair to learn more about hypertension
B)acknowledging that he has hypertension
C) setting small, specific, realistic goals
D) actively preparing foods that are lower in salt and sodium
A)attending a health fair to learn more about hypertension
B)acknowledging that he has hypertension
C) setting small, specific, realistic goals
D) actively preparing foods that are lower in salt and sodium
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24
An innovator typically perceives himself as popular and is financially privileged.
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25
Which model of behavior change was developed by Prochaska and DiClemente?
A)health belief model
B)transtheoretical model
C) diffusion of innovation
D) theory of planned behavior
A)health belief model
B)transtheoretical model
C) diffusion of innovation
D) theory of planned behavior
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26
The Diabetes Prevention Program (DPP) Research Group showed that lifestyle intervention based on cognitive-behavioral theory was significantly more effective than drug therapy at reducing the incidence of diabetes.
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27
The focus of the ____ is that people and their environment interact continuously, each influencing the other.
A)health belief model
B)stages of change model
C) social cognitive theory
D) theory of trying
A)health belief model
B)stages of change model
C) social cognitive theory
D) theory of trying
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28
In which approach are self-defined behavior change goals especially important?
A)health belief model
B)diffusion of innovation model
C) theory of trying
D) motivational interviewing
A)health belief model
B)diffusion of innovation model
C) theory of trying
D) motivational interviewing
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29
The transtheoretical model is also referred to as the ____.
A)diffusion of innovation model
B)stages of change model
C) theory of reasoned action
D) health belief model
A)diffusion of innovation model
B)stages of change model
C) theory of reasoned action
D) health belief model
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30
Providing tailored self-help materials is a recommended intervention strategy for the action stage of change of the transtheoretical model.
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31
Which behavior change approach characterizes individuals as early adopters or laggards?
A)diffusion of innovation model
B)health belief model
C) social cognitive theory
D) cognitive behavioral theory
A)diffusion of innovation model
B)health belief model
C) social cognitive theory
D) cognitive behavioral theory
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32
Social-cognitive theory was developed to explain how people acquire and maintain certain behaviors.
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33
According to the transtheoretical model, when an individual is thinking about making a change by weighing the risks of benefits of the change, he or she is in the preparation stage.
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34
The health belief model is a fundamental model used for explaining social influence and for describing virtually any health behavior over which the individual has control.
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35
According to the transtheoretical model, when an individual actively decides to change and plans a change that will usually take place within one month, he or she is in the ____ stage.
A)precontemplation
B)contemplation
C) preparation
D) action
A)precontemplation
B)contemplation
C) preparation
D) action
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36
According to the transtheoretical model, individuals are in the ____ stage when they have incorporated a behavior change into their daily routine and sustained it for six months or longer.
A)precontemplation
B)preparation
C) action
D) maintenance
A)precontemplation
B)preparation
C) action
D) maintenance
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37
Despite dietary recommendations published by the American Cancer Society in 2006 to lower cancer risks, Americans still have saturated fat intakes above the recommended level.
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38
The formal process to instruct or train individuals in a skill to facilitate voluntary adoption of nutrition-related behaviors to improve or maintain health is known as ____.
A)nutrition education
B)nutrition counseling
C) social marketing
D) motivational counseling
A)nutrition education
B)nutrition counseling
C) social marketing
D) motivational counseling
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39
The diffusion of innovation model attempts to explain how a product or idea becomes accepted by a majority of consumers.
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40
In the decision stage of the diffusion of innovation model, an individual forms an attitude either in favor of or against an innovation.
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41
By examining the relationship between an individual's beliefs, attitudes, intentions, and behavior, the theory of reasoned action explains behavior at the ____ level.
A)intrapersonal
B)interpersonal
C) community
D) societal
A)intrapersonal
B)interpersonal
C) community
D) societal
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42
The belief that one can lose weight, a key tenet of weight loss, is viewed as an indication of ____ in the health belief model.
A)self-efficacy
B)perceived susceptibility
C) perceived severity
D) cue to action
A)self-efficacy
B)perceived susceptibility
C) perceived severity
D) cue to action
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43
The health belief model ____.
A)is of limited value for primary prevention activities
B)is applicable only to a select, limited number of health behaviors
C) cannot be utilized until a program is in its implementation phase
D) is only applicable for programs designed for individuals and not communities
A)is of limited value for primary prevention activities
B)is applicable only to a select, limited number of health behaviors
C) cannot be utilized until a program is in its implementation phase
D) is only applicable for programs designed for individuals and not communities
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44
The belief that one can successfully make a behavior change is known as ____.
A)behavioral capacity
B)expectation
C) self-efficacy
D) a subjective norm
A)behavioral capacity
B)expectation
C) self-efficacy
D) a subjective norm
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45
Which theory of consumer health behavior was developed by social psychologists as a means of explaining why people in high-risk groups failed to participate in programs designed to detect or prevent disease?
A)stages of change model
B)social learning theory
C) health belief model
D) motivational interviewing
A)stages of change model
B)social learning theory
C) health belief model
D) motivational interviewing
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46
In cognitive-behavioral theory, encouraging an individual to replace negative self-talk is a type of ____.
A)goal setting
B)problem solving
C) stimulus control
D) cognitive restructuring
A)goal setting
B)problem solving
C) stimulus control
D) cognitive restructuring
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47
In the phenomenon of ____, individuals acquire a new behavior by watching others model it.
A)expectations
B)observational learning
C) reinforcement
D) behavioral capacity
A)expectations
B)observational learning
C) reinforcement
D) behavioral capacity
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48
Which theory asserts that behaviors are determined by a person's intentions to behave in certain ways which are, in turn, influenced by past experiences with those behaviors?
A)diffusion of innovation
B)stages of change
C) theory of reasoned action
D) theory of trying
A)diffusion of innovation
B)stages of change
C) theory of reasoned action
D) theory of trying
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49
Albert Bandura formulated many of the major concepts of the ____.
A)diffusion of innovation model
B)health belief model
C) social cognitive theory
D) stages of change model
A)diffusion of innovation model
B)health belief model
C) social cognitive theory
D) stages of change model
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50
Motivational interviewing ____.
A)is a counselor-focused technique utilized by many health educators
B)was developed by dietitians to determine why consumers don't eat more healthful diets
C) is designed to help clients build commitment and reach a decision to change
D) conceptualizes relapse as a way to grow and mature
A)is a counselor-focused technique utilized by many health educators
B)was developed by dietitians to determine why consumers don't eat more healthful diets
C) is designed to help clients build commitment and reach a decision to change
D) conceptualizes relapse as a way to grow and mature
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51
According to social cognitive theory, approaching behavior change in small steps that enhance the person's self-confidence will facilitate the development of ____.
A)expectations
B)observational learning
C) reinforcement
D) self-efficacy
A)expectations
B)observational learning
C) reinforcement
D) self-efficacy
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52
When a counselor utilizes motivational interviewing, promoting self-efficacy ____.
A)helps the counselor to listen with empathy
B)empowers the client by encouraging hope and optimism
C) is used only in the final stages of the intervention strategy
D) reminds the client that only he or she is responsible
A)helps the counselor to listen with empathy
B)empowers the client by encouraging hope and optimism
C) is used only in the final stages of the intervention strategy
D) reminds the client that only he or she is responsible
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53
Cognitive-behavioral theory is best applied when people are ____.
A)not yet ready to make a change
B)almost ready to make a change
C) actively ready to make a change
D) already changing the targeted behavior
A)not yet ready to make a change
B)almost ready to make a change
C) actively ready to make a change
D) already changing the targeted behavior
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54
Increasing calcium intakes in people aged 2 years and older is an objective of ____.
A)Get Fit Now
B)Healthy People 2020
C) Pathways to Change
D) EatFit Intervention Program
A)Get Fit Now
B)Healthy People 2020
C) Pathways to Change
D) EatFit Intervention Program
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55
The theory of planned behavior is also referred to as the ____.
A)diffusion of innovation model
B)health belief model
C) social cognitive theory
D) theory of reasoned action
A)diffusion of innovation model
B)health belief model
C) social cognitive theory
D) theory of reasoned action
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56
In social cognitive theory, a person's beliefs about the likely outcomes or results of a behavior are called ____.
A)expectations
B)capabilities
C) reinforcements
D) self-efficacy
A)expectations
B)capabilities
C) reinforcements
D) self-efficacy
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57
In the theory of planned behavior, social pressure from others to perform or not to perform a behavior is referred to as ____.
A)personal intention
B)cues to action
C) perceived susceptibility
D) subjective norms
A)personal intention
B)cues to action
C) perceived susceptibility
D) subjective norms
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58
In the social cognitive theory, responses to a person's behavior that increase or decrease the likelihood of recurrence are called ____.
A)expectations
B)self-regulations
C) reinforcements
D) self-efficacy
A)expectations
B)self-regulations
C) reinforcements
D) self-efficacy
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59
The health belief model conceptualizes an individual's ____ as having two dimensions.
A)intention to change
B)perception of threats
C) past attempts at trying
D) self-actualization needs
A)intention to change
B)perception of threats
C) past attempts at trying
D) self-actualization needs
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60
A strength of social cognitive theory is that it focuses on ____.
A)target behaviors
B)attitudes
C) knowledge
D) emotions
A)target behaviors
B)attitudes
C) knowledge
D) emotions
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61
Match the term in the right column with its correct description in the left column. Options will be used only once.
a.attitude
b.behavior
c.cognitions
d.intention
e.self-efficacy
f.subjective norm
Response of an individual to his or her environment
a.attitude
b.behavior
c.cognitions
d.intention
e.self-efficacy
f.subjective norm
Response of an individual to his or her environment
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62
A determination to act in a particular way is called a(n) ____.
A)modified attitude
B)subjective norm
C) intention
D) expectation
A)modified attitude
B)subjective norm
C) intention
D) expectation
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63
Match the descriptions of the behavior change theories in the left column with the name of the theory in the right column. Options will be used only once.
a.health belief model
b.social cognitive theory
c.theory of planned behavior
d.diffusion of innovation model
e.transtheoretical model
Focuses on the process by which an idea or behavior spreads throughout a population
a.health belief model
b.social cognitive theory
c.theory of planned behavior
d.diffusion of innovation model
e.transtheoretical model
Focuses on the process by which an idea or behavior spreads throughout a population
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64
The dynamic interaction of the person, the behavior, and the environment in which the behavior is performed is referred to as ____.
A)self-regulation
B)reciprocal determinism
C) behavioral capability
D) self-efficacy
A)self-regulation
B)reciprocal determinism
C) behavioral capability
D) self-efficacy
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65
Understanding factors influencing women's breastfeeding practices by exploring attitudes, subjective norms, and perceived behavioral controls is an application of the ____.
A)theory of planned behavior
B)transtheoretical model
C) cognitive-behavioral theory
D) diffusion of innovation model
A)theory of planned behavior
B)transtheoretical model
C) cognitive-behavioral theory
D) diffusion of innovation model
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66
____ comprise the category of people that adopt an innovation readily, usually without input from significant others.
A)Early adopters
B)Innovators
C) Early majority
D) Laggards
A)Early adopters
B)Innovators
C) Early majority
D) Laggards
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67
Self-efficacy, outcome expectancies, and self-regulation, which are three of the major constructs of the ____, were applied in the development, implementation, and evaluation of the EatFit intervention program for young teens.
A)transtheoretical model
B)health belief model
C) social-cognitive theory
D) theory of planned behavior
A)transtheoretical model
B)health belief model
C) social-cognitive theory
D) theory of planned behavior
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68
Match the term in the right column with its correct description in the left column. Options will be used only once.
a.attitude
b.behavior
c.cognitions
d.intention
e.self-efficacy
f.subjective norm
Knowledge and awareness we have of our environment and the judgments we make related to it
a.attitude
b.behavior
c.cognitions
d.intention
e.self-efficacy
f.subjective norm
Knowledge and awareness we have of our environment and the judgments we make related to it
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69
In the health belief model, a person explores the pros and cons of a behavior change in the ____ component.
A)cue to action
B)self-efficacy
C) perceived severity
D) perceived benefits
A)cue to action
B)self-efficacy
C) perceived severity
D) perceived benefits
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70
In which category are opinion leaders often found?
A)early adopters
B)early majority
C) laggards
D) innovators
A)early adopters
B)early majority
C) laggards
D) innovators
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71
Match the term in the right column with its correct description in the left column. Options will be used only once.
a.attitude
b.behavior
c.cognitions
d.intention
e.self-efficacy
f.subjective norm
Perceived social pressure to perform or not perform a behavior
a.attitude
b.behavior
c.cognitions
d.intention
e.self-efficacy
f.subjective norm
Perceived social pressure to perform or not perform a behavior
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72
The process of testing and assessing certain elements of a program before it is implemented fully is called ____ evaluation.
A)outcome
B)input
C) formative
D) strategic
A)outcome
B)input
C) formative
D) strategic
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73
Match the term in the right column with its correct description in the left column. Options will be used only once.
a.attitude
b.behavior
c.cognitions
d.intention
e.self-efficacy
f.subjective norm
Belief that one can make a behavior changeA determination to act in a certain way
a.attitude
b.behavior
c.cognitions
d.intention
e.self-efficacy
f.subjective norm
Belief that one can make a behavior changeA determination to act in a certain way
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74
Match the descriptions of the behavior change theories in the left column with the name of the theory in the right column. Options will be used only once.
a.health belief model
b.social cognitive theory
c.theory of planned behavior
d.diffusion of innovation model
e.transtheoretical model
Proposes that before adopting a new health behavior an individual considers his vulnerability to the problem, the seriousness of the problem, and the effectiveness of the new behavior for reducing the risk or preventing the problem
a.health belief model
b.social cognitive theory
c.theory of planned behavior
d.diffusion of innovation model
e.transtheoretical model
Proposes that before adopting a new health behavior an individual considers his vulnerability to the problem, the seriousness of the problem, and the effectiveness of the new behavior for reducing the risk or preventing the problem
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75
According to the diffusion of innovation model, when an individual is aware of an innovation and has acquired some information about it, he or she is in the ____ stage.
A)knowledge
B)persuasion
C) decision
D) confirmation
A)knowledge
B)persuasion
C) decision
D) confirmation
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76
Incentive programs and specific how-to education are part of the ____ component of the health belief model.
A)perceived benefits
B)perceived susceptibility
C) cues to action
D) self-efficacy
A)perceived benefits
B)perceived susceptibility
C) cues to action
D) self-efficacy
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77
Match the descriptions of the behavior change theories in the left column with the name of the theory in the right column. Options will be used only once.
a.health belief model
b.social cognitive theory
c.theory of planned behavior
d.diffusion of innovation model
e.transtheoretical model
Considers an individual's intention to change behavior to be determined by both personal attitudes and subjective norms
a.health belief model
b.social cognitive theory
c.theory of planned behavior
d.diffusion of innovation model
e.transtheoretical model
Considers an individual's intention to change behavior to be determined by both personal attitudes and subjective norms
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78
Match the descriptions of the behavior change theories in the left column with the name of the theory in the right column. Options will be used only once.
a.health belief model
b.social cognitive theory
c.theory of planned behavior
d.diffusion of innovation model
e.transtheoretical model
Emphasizes that people and their environment interact continuously, each influencing the other
a.health belief model
b.social cognitive theory
c.theory of planned behavior
d.diffusion of innovation model
e.transtheoretical model
Emphasizes that people and their environment interact continuously, each influencing the other
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79
Match the term in the right column with its correct description in the left column. Options will be used only once.
a.attitude
b.behavior
c.cognitions
d.intention
e.self-efficacy
f.subjective norm
Positive or negative evaluation of performing a behavior
a.attitude
b.behavior
c.cognitions
d.intention
e.self-efficacy
f.subjective norm
Positive or negative evaluation of performing a behavior
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80
Match the term in the right column with its correct description in the left column. Options will be used only once.
a.attitude
b.behavior
c.cognitions
d.intention
e.self-efficacy
f.subjective norm
A determination to act in a certain way
a.attitude
b.behavior
c.cognitions
d.intention
e.self-efficacy
f.subjective norm
A determination to act in a certain way
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