Teachable moments for health behavior change: a concept analysis.
Teachable moments for health behavior change: a concept analysis.
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DOI：
10.1016/j.pec.2008.11.002
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发表时间：
2009-07
影响因子：
3.5
通讯作者：
Flocke, Susan A.
中科院分区：
文献类型：
--
作者：
Lawson, Peter J.;Flocke, Susan A.
“可教育时刻”是指能够引导个人积极行为改变的事件或环境。然而，教育时刻的基本要素尚未得到阐明。因此，我们对文献进行了全面的回顾，以揭示这一现象的共同定义和关键因素。使用跨越社会科学和医学学科的数据库，收集了包含搜索词“可教时刻*”的所有记录。然后系统地回顾已确定的文献并得出模式。在各个学科中，“可教时刻”在概念和操作上都没有得到很好的发展。这个词的使用分为三类：1)“可教时刻”与“机会”同义（81%）；2)导致高于预期的行为改变的情境被回顾性地标记为“可教时刻”（17%）；3)一种涉及提示事件的现象，该事件会引发特定的认知和情绪反应（2%）。研究结果表明，可教时刻不一定是不可预测的，也不一定是促使行为改变的情境因素的集合，而是通过临床与患者的互动可能创造出可教时刻。医患互动可能是创造健康行为改变的教育时刻的核心。
“Teachable moments” have been proposed as events or circumstances which can lead individuals to positive behavior change. However, the essential elements of teachable moments have not been elucidated. Therefore, we undertook a comprehensive review of the literature to uncover common definitions and key elements of this phenomenon. Using databases spanning social science and medical disciplines, all records containing the search term “teachable moment*” were collected. Identified literature was then systematically reviewed and patterns were derived. Across disciplines, ‘teachable moment’ has been poorly developed both conceptually and operationally. Usage of the term falls into three categories: 1) “teachable moment” is synonymous with “opportunity” (81%); 2) a context that leads to a higher than expected behavior change is retrospectively labeled a ‘teachable moment’ (17%); 3) a phenomenon that involves a cueing event that prompts specific cognitive and emotional responses (2%). The findings suggest that the teachable moment is not necessarily unpredictable or simply a convergence of situational factors that prompt behavior change but suggest the possible creation of a teachable moment through clinician-patient interaction. Clinician-patient interaction may be central to the creation of teachable moments for health behavior change.
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影响因子：
3.4
作者：
Barnett, NP;Lebeau-Craven, R;Monti, PM
通讯作者：
Monti, PM
DOI：
10.1016/j.jamcollsurg.2004.10.015
发表时间：
2005-02-01
影响因子：
5.2
作者：
Carlos, RC;Underwood, W;Bernstein, SJ
通讯作者：
Bernstein, SJ
影响因子：
3.8
作者：
Boudreaux, Edwin D.;Baumann, Brigitte M.;Ziedonis, Douglas M.
通讯作者：
Ziedonis, Douglas M.
影响因子：
5.1
作者：
Flocke, SA;Stange, KC
通讯作者：
Stange, KC
DOI：
10.1177/073346489000900110
发表时间：
1990-03-01
期刊：
Journal of applied gerontology : the official journal of the Southern Gerontological Society
影响因子：
--
作者：
Dubney, L
通讯作者：
Dubney, L