F09-行为与健康-1章节.pptVIP

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Ecological Models of Health Behavior Behaviors are influenced by intrapersonal, social, cultural, and physical environment variables Variables are likely to interact Need to address variables at multiple levels to understand and change health behaviors 理论的综合应用框架 LEVEL THEORY Individual Health belief model, stage of change Interpersonal Social Cognitive theory Organizational Theory of organizational change Community Diffusion of Innovation PRECEDE-PROCEED Model PRECEDE-PROCEED has nine phases, the first five of which are diagnostic.These diagnoses involve research in target communities and the change-initiating organization to identify goals and specific objectives and set priorities among the objectives to be addressed in the program. The four remaining phases in PRECEDE-PROCEED are implementation and evaluation (process, impact, and outcome), with emphasis on using the latter to improve the former. precede （诊断期）  第5阶段 第4阶段 第3阶段 第2阶段 第1阶段管理和政策诊断 教育学和组织诊断 行为和环境诊断 流行病诊断 社会诊断 第6阶段 第7阶段 第8阶段 第9阶段 过程评价 近期效果评价 中期效果评价 结局评价procede（评价期） 健康促进 倾向因素 促进因素 强化因素 行为和 生活方式 环境 健康 生活 质量 健康教育 政策 法规 组织 PRECEDE-PROCEED as an Organizing Framework for Application of Theory Diagnostic Phase ?THEORY Phase1 Social Diagnosis Phase 2 Epidemiological Diagnosis? Phase 3 Behavioral Environmental Diagnosis Phase 4 Educational Organizational Diagnosis Phase 5 Administrative Policy Diagnosis Stages of Change? x x Health Belief Model x ConsumerInf processg x S Learning Theory x x CommunityOrganizat x x Organizational chang x x Diffusion of Innovations x x 健康教育与 健康促进 健康教育HEALTH EDUCATION 健康教育是通过有计划、有组织、有系统的教育和社