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%"   JIn this presentation you will learn & &&(% & about the basic idea and the logical structure of the Contextualized Feedback Intervention Theorydd I. Idea When do individuals change? When they have an important goal they want to accomplish & They notice a significant discrepancy between the goal and their current status regarding the goal & They believe they can reduce the discrepancy P When Do Individuals not Change?* (( ((A) When the goal is not important enough))  When Do Individuals not Change?* (( (sB) When the perceived discrepancy between the current status and the goal is smaller than a significant discrepancytZt When Do Individuals not Change?* (( (JC) When they believe they have no control over changing the current statusKK $Example: Changing Practice Behavior $/Your goal is to help your patients You are unlikely to change your practice if you think you are already doing your best to help However, if you find that you are not helping them as much as you thought and you think you could potentially change Then it is more likely that you will change your practice00Question,How can you influence each of these factors?II. DescriptionCognitive DissonanceTwo cognitive elements that are dissonant cause psychologically uncomfortable feeling Significant discrepancy between desired goal status and perceived goal status constitute dissonant cognitions Uncomfortable feeling creates motivation to reduce dissonance This motivation can be channeled into motivation to change => self-persuasion more effective and persistent than coercive approaches to changeZFeedback FeedbackhFunction: Close gap between perceived status and actual current status to create significant discrepancy FeedbackhFunction: Close gap between perceived status and actual current status to create significant discrepancy #Example: Changing Practice Behavior#You do not notice any significant discrepancy when there is no external feedback.  My patients are doing fine You receive feedback that your patients are not doing as well as you thought These two thoughts are dissonant with each other.  Factors That Affect FeedbackAttention Competing feedback sources Perceived feedback validity & utility General feedback propensity Goal commitment External pressure to attend to feedback (conditional) Acceptance Relative importance of feedback Current perception of reality & self-evaluation skills X  X  X Goal CommitmentGoal Commitment (GC)GC is "the determination to try for a goal and the persistence in pursuing it over time (Hollenbeck, Williams, & Klein, 1989, p.18 ) Goals are hierarchically structured Assumption of CFIT: There is a higher level goal that all members of the target group share (e.g. improving the health status of clients) The target goal should be instrumental for accomplishing the higher level goal (e.g. improving therapeutic relationship) GC should be high to increase the chance of experiencing significant dissonance>ZS","y% Factors That Affect Goal Commitment ~Goal attractiveness Perceived instrumentality Goal expectancy Self-efficacy Competing goals and activities Supporting factorsL@@! In order for the feedback about your patients to cause a change in your practice you need to Notice the feedback about your patients Believe that the feedback is valid Be committed to the goal of helping your patients Believe that changing your practice will result in better outcomes for your patients. 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