Involving Husbands in their Wives' Health Behaviour: Does it Work?
Involving Husbands in their Wives' Health Behaviour: Does it Work?
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DOI：
10.1111/j.1758-0854.2010.01041.x
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发表时间：
2011-03-01
影响因子：
6.9
通讯作者：
Shiloh, Shoshana
中科院分区：
文献类型：
--
作者：
Benyamini, Yael;Ashery, Limor;Shiloh, Shoshana
健康促进已经扩大到包括配偶的潜在影响。一项随机对照试验检验了让丈夫参与旨在提高妻子健康行为表现（乳房自我检查，BSE）的自我调节方案的效果。参与者是140对夫妇（24-55岁的女性）。在基线时，妇女收到问卷，关于乳腺癌和疯牛病的信息，以及形成疯牛病表现行动计划的指示。对一半的女性来说，指示要求丈夫参与。三个月后，所有女性和丈夫都填写了后续调查问卷。该方案在增加两组疯牛病方面非常有效。丈夫参与干预只对那些报告鼓励妻子的丈夫有所贡献。根据丈夫和妻子的报告，让丈夫参与该计划也使他们更了解妻子的疯牛病表现，并鼓励妻子的疯牛病表现。妇女行为变化最大的是那些在基线时认为丈夫没有参与与其健康有关的问题的妇女。研究结果表明，让配偶参与健康促进干预会影响他们的知识和行为，但可能需要根据夫妻处理健康问题的特点进行调整。
Health promotion has been expanding to include potential effects of the spouse. A randomised controlled trial examined effects of involving husbands in a self-regulation programme designed to increase wives' performance of a health behaviour (breast self-examination, BSE). Participants were 140 couples (women ages 24-55). At baseline, women received questionnaires, information about breast cancer and BSE, and instructions to form an action plan for BSE performance. For half the women, the instructions called for involving the husband. Three months later, all women and husbands filled in follow-up questionnaires. The programme was very effective in increasing BSE in both groups. The husband involvement intervention contributed to this increase only among husbands who reported encouraging their wives. Involving husbands in the programme also resulted in their greater knowledge of their wives' BSE performance and encouragement of wives' BSE performance, according to their own and their wives' reports. The greatest changes in women's behaviour were apparent among women who at baseline rated their husbands as not involved in issues related to their health. The findings suggest that involving spouses in health promotion interventions affects their knowledge and behaviour but may need to be tailored to the characteristics of the couple's coping with health matters.