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6. SOCIAL COGNITIVE THEORY OF MASS COMMUNICATION               145

        choose to do so, and how well they maintain the changes they have
        achieved.
           The influential role of people’s beliefs in their personal efficacy in social
        diffusion is shown in their response to health communications aimed at
        altering health-impairing habits. Meyerowitz and Chaiken (1987) exam-
        ined four alternative mechanisms through which health communications
        could alter health habits—by transmission of factual information, fear
        arousal, change in risk perception, and enhancement of perceived self-
        efficacy. They found that health communications fostered adoption of pre-
        ventive health practices primarily by their effects on perceived self-
        efficacy. Beck and Lund (1981) have similarly shown that preventive
        health practices are better promoted by heightening self-efficacy than by
        elevating fear. Analyses of how communitywide media campaigns pro-
        duce changes reveal that both the preexisting and induced level of per-
        ceived self-efficacy play an influential role in the adoption and social dif-
        fusion of health practices (Maibach, Flora, & Nass, 1991; Slater, 1989). The
        stronger the preexisting perceived self-efficacy and the more the media
        campaigns enhance people’s beliefs in their self-regulative efficacy, the
        more likely they are to adopt the recommended practices. Health knowl-
        edge gets translated into healthful habits through the mediation of per-
        ceived self-efficacy (Rimal, 2000).
           The findings just reviewed underscore the need to shift the emphasis
        from trying to scare people into healthy behavior to empowering them with
        the tools and self-beliefs for exercising personal control over their health
        habits. People must also experience sufficient success using what they have
        learned to become convinced of their efficacy and the functional value of
        what they have adopted. This is best achieved by combining modeling with
        guided mastery, in which newly acquired skills are first tried under condi-
        tions likely to produce good results and then extended to more unpre-
        dictable and difficult circumstances (Bandura, 1986, 2000a).

        Adoption Determinants

        The acquisition of knowledge and skills regarding innovations is necessary
        but not sufficient for their adoption in practice. A number of factors deter-
        mine whether people will act on what they have learned. Environmental
        inducements serve as one set of regulators.  Adoptive behavior is also
        highly susceptible to incentive influences, which may take the form of
        material, social, or self-evaluative outcomes. Some of the motivating incen-
        tives derive from the utility of the adoptive behavior. The greater the rela-
        tive benefits provided by an innovation, the higher is the incentive to adopt
        it (Ostlund, 1974; Rogers & Shoemaker, 1971). However, benefits cannot be
        experienced until the new practices are tried. Promoters, therefore, strive to
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