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9 Cards in this Set

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Background

Self efficacy looks at a persons belief in his/her ability to make a health related change. Self efficacy beliefs are cognitions that determine whether health behaviour change will be initiated, how much effort will be expended and how long it will be sustained.

Aim

To asses the self-efficacy of patients undergoing systematic desensitisation in relation to their behaviour with previously phobic objects

Method/Design

Quasi-experiment

Data

Qualitative and Quantitative

Participants

- All had snake phobia (quasi)


- 10 snake phobic patients who replied to newspaper advertisement


- 9 females and 1 male


- No control group

Procedure

Pre-test assessment - each participant tested for avoidance behaviour towards a Boa constrictor, then fear arousal was assessed with an oral rating of 1-10. Fear of snakes also measures.


Systematic desensitisation - a standard desensitisation programme was followed. Patients introduced to a series of event involving snakes and at each stage were taught relaxation (range from looking at pictures and handling live snakes).


Post test assessments carried out were on self efficacy and coping

Findings

Higher levels of post test self efficacy were found to correlate with higher levels of interaction with snakes. The more participants interact with snakes, the higher their level of self-efficacy.

Conclusion

Desensitisation enhances self-efficacy levels which, in turn, led to a belief that the participant was able to cope with their phobia of snakes

Evaluation

- Generalisability - the sample was small and gynocentric, however there was a wide range of ages


- Demand characteristics may have been present due to the nature of the study and the self-reports.