Taking the Transtheoretical Model Into the Field: A Curriculum for Lay Health Advisors
Taking the Transtheoretical Model Into the Field: A Curriculum for Lay Health Advisors
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DOI：
10.1177/1524839904263838
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发表时间：
2005-07-01
影响因子：
1.9
通讯作者：
Earp, Jo Anne
中科院分区：
文献类型：
--
作者：
Kobetz, Erin;Vatalaro, Katherine;Earp, Jo Anne
跨理论模型（TTM）是一种常用的理论视角，用于理解乳房X线摄影行为和提高一对一咨询的有效性。北卡罗来纳州乳腺癌筛查计划 (NC-BCSP) 制定了培训课程，将 TTM 纳入非专业健康顾问 (LHA) 的建议实践中。 TTM 帮助“自然帮手”LHA 了解北卡罗来纳州农村社区的妇女可能处于乳房 X 光检查筛查的不同阶段，因此需要不同的信息。 NC-BCSP 工作人员相信，通过将对 TTM 的理解与 LHA 天然的帮助能力相结合，我们有可能提高 LHA 建议的有效性。我们根据 LHA 反馈进行的有限评估表明，即使对于那些不熟悉行为改变模型的人来说，该课程也是一种有用的培训工具。我们的 TTM 课程是健康行为理论在学术界成功运作并供非专业人士在该领域使用的一个例子。
The transtheoretical model (TTM) is a commonly applied theoretical perspective for understanding mammography behaviors and improving the effectiveness of one-on-one counseling. The North Carolina Breast Cancer Screening Program (NC-BCSP) developed a training curriculum to incorporate TTM into the advising practices of lay health advisors (LHAs). The TTM helped "natural helper" LHAs understand that women in their rural North Carolina communities were likely to be in different stages for mammography screening and hence required different messages. NC-BCSP staff believed that by combining an understanding of TTM with LHAs' natural helping abilities we potentially increased the effectiveness of LHA advising. Our limited evaluation, based on LHA feedback, suggests the curriculum is a useful training tool, even for those unfamiliar with behavior change models. Our TTM curriculum serves as an example of a health behavior theory successfully operationalized outside academia for use in the field by lay people.