“…The predictive role of social-cognitive factors in this study is consistent with theoretical and applied studies of volitional, goal-directed learning and behavior change outside of the field of speech pathology, including health behavior and academic learning (Anczak & Nogler, 2003;Bandura, 1997;Bandura, Barbaranelli, Caprara, & Pastorelli, 1996;DiIorio et al, 2006;DiMatteo, 2004;DiMatteo, Giordani, Lepper, & Croghan, 2002;Dishman & Buckworth, 1996;Lemoncello, Sohlberg, Fickas, Albin, & Harn, 2010;Locke & Latham, 2002;Meichenbaum & Turk, 1987;Pajares & Schunk, 2001;Schwarzer, Luszczynska, Ziegelmann, Scholz, & Lippke, 2008). Explaining 29% of practice and 25% of generalization variance, social-cognitive factors are interpreted as clinically meaningful determinants of patient adherence behavior in voice therapy.…”