Cox Cheryl Lorane
Department of Nursing Research, St. Jude Children's Research Hospital, Memphis, TN, USA.
Oncol Nurs Forum. 2003 Sep-Oct;30(5):E92-9. doi: 10.1188/03.ONF.E92-E99.
PURPOSE/OBJECTIVES: To describe the Interaction Model of Client Health Behavior (IMCHB) and its application to health promotion in childhood cancer survivors.
Periodical literature about cancer survivors, health behavior models, and the IMCHB.
Childhood cancer survivors are at risk for various late complications of treatment. The primary goal of intervention is the modification of health-related behavior. Conceptual models that extend beyond health beliefs are needed to guide explanatory and intervention studies in this group.
The IMCHB identifies background, cognitive, affective, motivational, and contextual variables that explain health-related behaviors. The model defines the interactive and collective contributions of a survivor, family, and provider to adherence to protocols, reduction of risk behavior, and promotion of health-protective behavior.
This model may identify new determinants of health-related behavior that can be targeted by specific inter- or intrapersonal interventions to protect the health of childhood cancer survivors and reduce their risk of late sequelae.
目的/目标：描述客户健康行为互动模型（IMCHB）及其在儿童癌症幸存者健康促进中的应用。
关于癌症幸存者、健康行为模型和IMCHB的期刊文献。
儿童癌症幸存者面临各种治疗晚期并发症的风险。干预的主要目标是改变与健康相关的行为。需要超越健康信念的概念模型来指导该群体的解释性和干预性研究。
IMCHB识别出了解释与健康相关行为的背景、认知、情感、动机和情境变量。该模型定义了幸存者、家庭和提供者对遵循方案、减少风险行为和促进健康保护行为的互动和集体贡献。
该模型可能识别出与健康相关行为的新决定因素，可通过特定的人际或个人内干预措施加以针对，以保护儿童癌症幸存者的健康并降低其晚期后遗症的风险。
