Mattson M
Commun Monogr. 1999 Sep;66(3):240-65. doi: 10.1080/03637759909376476.
In the present study, the persuasive communication of HIV test counselors as cues to action in clients' decisions to practice safer sex was examined. Results indicated that contrary to expectations, hypothesized relationships inherent in the Health Belief Model (HBM) were not supported for the pre-HIV test survey. However, clients' perceptions of the severity of HIV/AIDS, their susceptibility to HIV/AIDS, the benefits of and barriers to practicing safer sex, and self-efficacy were correlated with compliance with safer-sex recommendations reported on the post-HIV test survey. Intriguing results revolved around communication cues to action. HIV test counseling session transcripts were content analyzed to determine the persuasive messages used by HIV test counselors that may have cued clients' health beliefs and safer-sex behaviors. The inductively-derived coding scheme emphasized the complexity of the interpersonal interaction taking place during counseling sessions. Results indicated that in some cases, use of certain persuasive strategies was related to short-term adoption of safer-sex recommendations. These findings bolstered the argument for a move toward reconceptualizing the HBM by centralizing communication cues to action.
在本研究中，对艾滋病毒检测咨询员的说服性沟通进行了考察，这种沟通作为一种行动线索，影响着客户做出安全性行为的决定。结果表明，与预期相反，健康信念模型（HBM）中固有的假设关系在艾滋病毒检测前的调查中未得到支持。然而，客户对艾滋病毒/艾滋病严重性的认知、他们对艾滋病毒/艾滋病的易感性、采取安全性行为的益处和障碍以及自我效能感，与艾滋病毒检测后调查中报告的遵守安全性行为建议的情况相关。有趣的结果围绕着行动的沟通线索展开。对艾滋病毒检测咨询会话记录进行了内容分析，以确定艾滋病毒检测咨询员所使用的可能提示客户健康信念和安全性行为的说服性信息。归纳得出的编码方案强调了咨询会话期间人际互动的复杂性。结果表明，在某些情况下，使用某些说服策略与短期采用安全性行为建议有关。这些发现支持了通过将行动的沟通线索作为核心来重新概念化健康信念模型的观点。
