CHES Health Behavior Change Theories 2 — Questions and Answers
Question 1: Which model suggests that behavior change occurs through a series of experiential and behavioral processes across five stages?
- Transtheoretical Model (Correct answer)
- Health Belief Model
- PRECEDE-PROCEED Model
- Social Ecological Model
Correct answer: Transtheoretical Model
The Transtheoretical Model (TTM), or Stages of Change Model, describes behavior change as a progression through five stages using both experiential and behavioral processes.
Question 2: The concept of 'reciprocal determinism' in Social Cognitive Theory means that:
- Behavior, personal factors, and environment mutually influence each other (Correct answer)
- Reinforcement determines whether a behavior is repeated
- Social norms determine individual behavior
- Environment determines personal beliefs about health
Correct answer: Behavior, personal factors, and environment mutually influence each other
Reciprocal determinism is Bandura's concept that behavior, personal cognitive factors, and environmental influences all interact and influence one another bidirectionally.
Question 3: A CHES uses 'motivational interviewing' to help a client move from contemplation to preparation. This approach is grounded in which principle?
- Meeting clients where they are in the change process (Correct answer)
- Providing extensive health risk information
- Offering financial incentives for behavior change
- Setting strict behavioral contracts
Correct answer: Meeting clients where they are in the change process
Motivational interviewing is a client-centered counseling style that meets individuals at their current stage of change and helps them resolve ambivalence.
Question 4: Which level of the Social Ecological Model focuses on the relationship between an individual and their immediate social environment?
- Interpersonal (Correct answer)
- Intrapersonal
- Community
- Policy
Correct answer: Interpersonal
The interpersonal level of the Social Ecological Model addresses social networks, family, peers, and social support that influence individual health behaviors.
Question 5: Perceived severity and perceived susceptibility are constructs of which health behavior theory?
- Health Belief Model (Correct answer)
- Theory of Planned Behavior
- Transtheoretical Model
- Social Cognitive Theory
Correct answer: Health Belief Model
Perceived severity and perceived susceptibility are core constructs of the Health Belief Model, representing beliefs about the seriousness of and personal vulnerability to a condition.
Question 6: A health educator developing a church-based wellness program is working at which level of the Social Ecological Model?
- Community (Correct answer)
- Interpersonal
- Intrapersonal
- Policy
Correct answer: Community
Faith-based and community organizations operate at the community level of the Social Ecological Model, which addresses social norms and collective actions in a defined geographic or social setting.
CHES Health Behavior Change Theories 2
Which model suggests that behavior change occurs through a series of experiential and behavioral processes across five stages?