They may be physiological, medical, or psychological. And personal modifiers can be the result of work style or ergonomics knowledge. Psychosocial modifiers that are cultural, organizational, or social in nature can also exert an effect on outcomes while performing life's activities. The third element of the framework, outcomes, represents the health possibilities that an individual experiences in response to performing life's activities in the presence of modifiers. These outcomes occur along a spectrum ranging from a positive, to a neutral, to an acute effect, or to a chronic disorder.
Outcomes occur through the mediation of some set of modifiers.
The event cycle is repeated whenever there is a change in any three of the framework's elements.