The application of theory in childhood asthma self help…理论在儿童哮喘自助中的应用.pdfVIP

The application of theory in childhood asthma self-help programs John G. Bruhn, Ph.D. Galveston, Texus Theories from research in health education and compliance (adherence) behavior are reviewed and examined for their applicability to studies of self-management of childhood asthma. Specific theories discussed include: (I) the health belief model, (2) models of health, illness, and sick- role behavior, (3) social learning theory, (4) models of physician-patient relationships, (5) self- regulation model, (6) communication theory, (7) attribution, control, and decision-making theory, (8) grounded theory, (9) ecologic theory, and (IO) family and social systems theories. A scheme to guide development and testing of theories in children’s health and illness behavior is presented. The key common elements in the examined theories on adherence behavior are integrated and organized into a paradigm for the family determinants of the self-management of chronic illness. (J ALLERGY CLIN IMMUNOL 72:561-577, 1983.) In a national survey in 1976, asthma ranked first ence that may be useful in future research on the among 10chronic conditions that causelimitation of self-managmentof childhood asthma. activity among children lessthan 17yr of age.’ Fur- USE OF THEORY IN RESEARCH ON HEALTH thermore, the morbidity causedby asthmais a leading EDUCATION AND ADHERENCE BEHAVIOR causeof functional disability in children, as reflec