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Health Education & Behavior, Vol. 12, No. 2, 151-168 (1985)
DOI: 10.1177/109019818501200203

Applications of Behavior Modification to Community Health Education: The Case of Heart Disease Prevention

John P. Elder

Graduate School of Public Health San Diego State University, San Diego

Melbourne F. Hovell

Graduate School of Public Health San Diego State University, San Diego

Thomas M. Lasater

The Memorial Hospital and Brown University Program in Medicine, Pawtucket, R.I.

Barbara L. Wells

The Memorial Hospital and Brown University Program in Medicine, Pawtucket, R.I.

Richard A. Carleton

The Memorial Hospital and Brown University Program in Medicine, Pawtucket, R.I.

Principles of behavior modification increasingly have been applied to community health education and offer considerable promise for public health in general. Behavior modification procedures can be conceptualized in a 2 x 2 framework with desired goals being either to increase and strengthen or decrease and weaken behavior, and procedures producing essentially positive or negative consequences. Modifying specific behavioral risk factors for the prevention of heart disease may include the use of positive reinforcement, shaping, differential reinforce ment, negative reinforcement, and "punishment." The use of an adequate "behavior analytic" history, highly acceptable interventions, observable effects, inexpensive materials and proce dures, community-owned programs, and other practical guidelines can help optimize the effec tiveness of behavior modification for health education in the community.


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