Arnoni G, Weinberg A D, Foreyt J P
Health Values. 1987 Mar-Apr;11(2):30-5.
To increase significantly the amount and duration of behavior change in health education risk reduction programs, a multi-dimensional approach is needed. The family system in which each individual functions has a unique impact on an individual's probability of change. The authors propose that risk reduction programs include family therapists as primary change agents and suggest that multiple family therapy is the most effective strategy for reducing long-term change. This model may be applied and adapted to meet the characteristics and needs of most health education risk reduction programs. Given the prevalence of heart disease and cancer, the problems of bringing about risk reduction behavior change have been paramount in the health care community. Attrition rates and recidivism, however, have plagued risk reduction programs. It is proposed that by including family therapists in these programs, personal and family issues may be hindering and/or sabotaging attempted behavior change could be resolved, thus facilitating greater success.
为了显著增加健康教育风险降低项目中行为改变的程度和持续时间,需要一种多维度的方法。个体所处的家庭系统对其改变的可能性有着独特的影响。作者建议风险降低项目将家庭治疗师作为主要的改变推动者,并指出多重家庭治疗是减少长期改变的最有效策略。该模型可以应用并加以调整,以满足大多数健康教育风险降低项目的特点和需求。鉴于心脏病和癌症的普遍性,促使风险降低行为改变的问题在医疗保健领域至关重要。然而,流失率和复发率一直困扰着风险降低项目。有人提出,通过在这些项目中纳入家庭治疗师,可以解决可能阻碍和/或破坏行为改变尝试的个人和家庭问题,从而促进更大的成功。