Is there utility in the transtheoretical model?
Is there utility in the transtheoretical model?
复制标题
DOI：
10.1348/135910708x368991
复制
发表时间：
2009-05-01
影响因子：
7.9
通讯作者：
Armitage, Christopher J.
中科院分区：
文献类型：
--
作者：
Armitage, Christopher J.
目标.跨理论模式可以说是健康行为改变的主导模式，得到了前所未有的研究关注，但同时也引起了特别的批评。然而，这些批评几乎只针对变化阶段，而变化阶段只是跨理论模型的14个组成部分之一，这可能会转移人们的注意力，使人们无法关注基于该模型的更富有成果的研究途径。叙述性回顾。结果。这些证据表明，目前跨理论模型所阐述的变革阶段概念存在一些缺陷。在概念层面上，即使是将改变的五个阶段结合在一起的研究也指出了一个更适合Gollwitzer（1993）和Heckhausen（1991）的模型，即动机阶段之后是意志阶段。跨理论模型的变化过程可能实际上是最有用的，但至少在实验上研究不足。三项研究成功地利用变化的过程，以减少饮酒，鼓励戒烟和增加体力活动的描述。结论。跨理论模型的要素为制定有效的健康行为改变干预措施提供了希望，但问题是，提取这些要素是否会完全破坏跨理论模型的想法。
Objectives. The transtheoretical model is arguably the dominant model of health behaviour change, having received unprecedented research attention, yet it has simultaneously attracted exceptional criticism. However, the criticisms have been directed almost exclusively at the stages of change, just one of fourteen components of the transtheoretical model, which may have diverted attention away from more fruitful avenues of research based on the model.Design and methods. Narrative review.Results. The evidence would suggest some flaws in the concept of stages of change as currently articulated in the transtheoretical model. On a conceptual level, even studies incorporating the five stages of change point to a model that better fits Gollwitzer (1993) and Heckhausen's (1991) idea of a motivational phase followed by a volitional phase. Potentially the processes of change components of the transtheoretical model may actually prove the most useful, yet have been under-researched, at least experimentally. Three studies that successfully utilise the processes of change to reduce alcohol consumption, encourage smoking cessation and increase physical activity are described.Conclusions. Elements of the transtheoretical model offer promise in developing effective health behaviour change interventions, but the question arises as to whether extracting these elements undermines completely the idea of a transtheoretical model.