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Volume 17 (3)
Volume 17, Issue 3, Summer 1997
J Contin Educ Health Prof 1997; 17(3):133-140
THEORETICAL FOUNDATIONS
Commitment to Change: Ideational Roots, Empirical Evidence, and Ethical Implications
Paul E. Mazmanian, PhD
Jessica L. Waugh, MA
Pamela M. Mazmanian, MA
A b s t r a c t
Commitment to change may be applied as a tool for promulgating as well as evaluating
behavioral change. Its ideational roots may be traced to communication, law, and
philosophy. A commitment to change may be triggered by one’s perception of uncertainty
between himself or herself and the environment. Acquiring information may help to reduce
uncertainty. Studies of planned change are reviewed in the present document. The reviews suggest
that planners and learners experience higher rates of successful change when commitments
to change are secured from learners than when they are not. As evidence for the success of
planned change grows, the planners’ armamentarium increases, and ethical questions regarding
responsibility for controlling the behavior of others need to be resolved.
Keywords: Commitment to Change; Continuing Medical Education; Ethics of Control; Evaluating
Change; Planned Change
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