Although the integration of health education theory with practice has always been taught, this linkage has not always occurred as a systematic part of program or theory development. This paper reflects the 12-year experience of one health education program which started from a base not soundly grounded in theory and moved to one tightly linked with theory. Throughout this process, outcome data were collected allowing for evaluations of both practice and theory.
Lorig K., Feigenbaum P., Regan C., Ung E., Holman HR: A comparison of lay-taught and professional-taught arthritis self-management courses. J Rheumatol13(4):763-767, 1986.
3.
Lorig K., Fries JF: The Arthritis Helpbook (3rd ed.). Reading, MA, Addison-Wesley, 1990 .
4.
Lorig K., Lubeck D., Kraines RG, Seleznick M., Holman HR: Outcomes of self-help education for patients with arthritis. Arthritis Rheum28:680-685, 1986.
5.
Lorig K., Seleznick M., Lubeck D., Ung E., Chastain R., Holman HR: The beneficial outcomes of the arthritis self-management course are inadequately explained by behavior change. Arthritis Rheum32(1):91-95, 1989.
6.
Lorig K., Laurin J.: Some notions about the assumptions underlying health education. Health Educ Q12(13):231-243, 1985.
7.
Lenker SL, Lorig K., Gallagher D.: Reasons for the lack of association between changes in health behavior and improved health status: an explanatory study. Pat Ed Counsel6(2):69-72, 1984.
8.
Abramson L., Seligman M., Teasdale J.: Learned helplessness in humans: critique and reformulation. J. Abnorm Psychol87:49-74, 1978.
9.
Wallston BS, Wallston KA: Social psychological models of health behavior: an examination and integration , in Baum A, Taylor SE, Singer JE (eds.); Handbook of Psychology and Health, Vol IV. Hillsdale, NJ, Erlbaum, 1984.
10.
Antonovsky A. : Health Stress and Coping. San Francisco, CA, Jossey-Bass Publishers, 1980.
Lazarus RS, Folkman S.: Stress Appraisal and Coping. New York, NY, Springer Publishing Co., 1984.
13.
Nicassio PM , Wallston KA, Callahan LF, Herbert M., Pincus T.: The measurement of helplessness in rheumatoid arthritis: the development of the arthritis helplessness index. J Rheumatol12(3):462-467, 1985.
14.
Antonovsky A. : Unraveling the Mystery of Health. San Francisco, CA, Jossey-Bass Publishers , 1987.
15.
Regan C.: Appraisal and Coping in Older Persons with Osteoarthritis. Unpublished dissertation , Stanford University, 1990.
16.
O'Leary A.: Self-efficacy and health. Behav Res Ther23:437-441, 1985.
17.
Strecher VJ , McEvoy-DeVellis B, Becker MH, Rosenstock IM: The role of self-efficacy in achieving health behavior change. Health Educ Q13:73-91, 1986.
18.
Bandura A.: Self-efficacy mechanism in physiological activation and health-promoting behavior , in Madden J IV, Mathysse S, Barchas J (eds.); Adaptation, Learning and Affect. New York, NY, Raven Press, 1986.
19.
Lorig K., Brown BW, Ung E., Chastain R., Shoor S., Holman HR: Development and evaluation of a scale to measure the perceived self-efficacy of people with arthritis. Arthritis Rheum32(1):37-44, 1989.
20.
Bandura A.: Social Foundations of Thought and Action: A Social Cognitive Theory . Englewood, NJ, Prentice Hall , 1986 .
21.
Locke EA, Shaw KN, Saari LM, Latham GP: Goal-setting and task performance: 1969-1980. Psychol Bull90:125-152, 1981.
22.
Kanfer FH, Duerfeldt PH, Martin B., Dorsey TE: Effects of model reinforcement, expectation to perform and task performance on model observation. J Pers Soc Psychol20:214-217, 1971.
23.
Rosenbaum ME , Tucker IF: The competence of the model and the learning of imitation and non-imitation. J Exp Psychol63:183-190, 1962.
Perry CL, Baranowski T., Parcel GS: How individuals, environments and health behavior interact: social learning theory, in Glanz K, Lewis FM, Rimer BK (eds.); Health Behavior and Health Education: Theory, Research and Practice. San Francisco, CA, Jossey-Bass Publishers, 1990.
26.
Bandura A.: Self-efficacy mechanism in human agency. Am Psychol37:122-147, 1982.
27.
Lewis FM,Daltroy LH: How causal explanations influence health behavior: attribution theory , in Glanz K, Lewis FM, Rimer BK (eds.); Health Behavior and Health Education Theory Research and Practice. San Francisco, CA, Jossey-Bass Publishers , 1990.
Sabogal F., Otero-Sabogal R., Perez-Stable EJ, Vanoss-Marin B., Marin G.: Perceived self-efficacy to avoid cigarette smoking and addiction: differences between Hispanics and non-Hispanic whites. Hispanic JBehav Sci11(2):136-147, May 1989 .
30.
Gonzalez JT , Gonzalez VM: Initial validation of a scale measuring self-efficacy of breast self-examination among low-income Mexican American women. Hispanic JBehav Sci12(3):277-291, August 1990.