从行为意向到健康行为—健康行为程式模型HAPA概述.PDF

中国临床心理学杂志 年 第 卷 第 期 · · 2010 18 6 809 从行为意向到健康行为—健康行为程式模型(HAPA)概述 曹佃省， 谢光荣 （中南大学湘雅二医院精神卫生研究所，湖南长沙410011 ） 【摘要】 本文简要概述了健康行为促进与干预中的相关理论模型， 将健康理论模型归类为连续理论模型与阶段理 论模型。 本文对整合行为意向与行为改变的健康行为程式模型（HAPA ）的行为阶段划分、模型构成要素及针对模型 的相关研究等方面作了简要概括，并对今后研究中行为阶段划分的适切性、HAPA 模型与其他模型的比较研究、行为 改变机制的深化研究及模型构建的中国化等方面提出了思考。 【关键词】 健康行为； 连续模型； 阶段模型； HAPA ； 概述 中图分类号: R395.6 文献标识码: A 文章编号: 1005-3611(2010)06-0809-04 From Intention to Health Behavior: An Overview on Health Action Process Approach CAO Dian-sheng ， XIE Guang-rong ， ， ， ， Mental Health Institute 2nd Xiangya Hospital Central South University Changsha 410011 China 【Abstract 】 Theories and models in health behavior intervention and promotion were generally summarized and catego- rized as continuum models with social cognitive variables directly used to predict behavior change and stage models with the process of behavior change decomposed into a series of quantitatively different stages. A new integrated stage model, Health Action Process Approach (HAPA) was overviewed in this paper. Directions and suggestions such as the suitability and accuracy of HAPA stage classification in behavior change process, comparative study of HAPA model with other con- tinuum or stage models, exploring study on mechanism underlying behavior change process and the construction and chinization of health behavior models were presented in the end. 【Key words 】 Health behavior ； Continuum model ； Stage