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Curriculum Development - SEF and Change Theories

SEF and Change Theories




Key Concepts

Individual Level

Stages of Change Model

Individual’s readiness to change or attempt to change toward healthy behaviors

  • Pre-contemplation
  • Contemplation
  • Decision/determination
  • Action
  • Maintenance


Health Belief Model

Persons’ perception of the threat of a health problem and the appraisal of recommended behavior(s) for preventing or managing the problem

  • Perceived susceptibility
  • Perceived severity
  • Perceived benefits of action
  • Perceived barriers to action
  • Cues to action
  • Self-efficacy


Theory of Reasoned Action and Planned Behavior



Interpersonal Level

Social Learning Theory

Behavior is explained vial a 3-way, dynamic reciprocal theory in which personal factors, environmental influences and behavior continually interact

  • Behavioral capability
  • Reciprocal
  • Determinism
  • Expectations Self-efficacy

Community Level

Community Organization Theories

Emphasizes active participation and development of communities that can better evaluate and solve health and social problems

  • Empowerment
  • Community Competence
  • Participation and relevance
  • Issues selection
  • Critical consciousness


Organizational Change Theory

Concerns processes and strategies for increasing the chances that health policies and programs will adopt and be maintained in formal organizations.

  • Problem definitions
    (awareness stage)
  • Initiation of action
    (adoption stage)
  • Implementation of Change
  • Institutionalization of Change


Diffusion of Innovation Theory




Natural Helper Models



Source: Glanz K, Rimer BK, National Cancer Institute (U.S.) Theory at a glance: a guide for helath promotion practice. NIH publication: no 97-3896. Bethesda Md: U.S. Dept. of Health and Human Services Public Health Service National Institutes of Health, National Cancer Institute. 1997: 48.

Content Last Modified: 5/6/2008 12:47:00 PM
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