Wallerstein N, Sanchez-Merki V
Department of Family and Community Medicine, University of New Mexico School of Medicine, Albuquerque 87131.
Health Educ Res. 1994 Mar;9(1):105-18. doi: 10.1093/her/9.1.105.
This article illustrates how Paulo Freire's social change theory can be integrated with a cognitive and behavior change theory to develop a comprehensive health education program directed at both individual- and community-level change. Through discussion of ASAP, an alcohol and substance abuse prevention program for youth from high-risk communities in New Mexico, this article presents an interweaving of Freirian theory and protection-motivation cognitive change theory. Qualitative research data are provided on the processes of change, the interplay of personal and societal factors, and the potential outcomes as a result of using this integrated approach. Programmatic and evaluation implications for health education programs are discussed.
本文阐述了如何将保罗·弗莱雷的社会变革理论与认知及行为改变理论相结合，以制定一个针对个人层面和社区层面变革的全面健康教育计划。通过对“ASAP”（新墨西哥州针对高危社区青少年的酒精和药物滥用预防计划）的讨论，本文呈现了弗莱雷理论与保护动机认知改变理论的交织融合。文中提供了关于变革过程、个人与社会因素相互作用以及采用这种综合方法可能产生的结果的定性研究数据。还讨论了对健康教育计划的规划和评估意义。
