End Points• Reaching personal goals• Physiological status• Functioning• Health care use• Perceptions of quality

Reactions (outcomeexpectations

& self-efficacy)

Observations

Use of Management Strategies• Prevention• Disease control

Observations

Intrapersonal Factors • Knowledge• Attitudes• Feelings• Beliefs

External Factors• Role models• Technical advice and service• Social support• Money and material resources

Figure 2. The Continuous and Reciprocal Nature of Self-Regulation Processes in Disease Prevention and Management

Reactions (outcomeexpectations

& self-efficacy)

Judgments

Judgments

Judgments

Observations

Observations

Reactions (outcomeexpectations

& self-efficacy)