Cabral Rebecca J, Cotton David, Semaan Salaam, Gielen Andrea C
Division of Reproductive Health at the Centers for Disease Control and Prevention in Atlanta, Georgia.
Health Promot Pract. 2004 Apr;5(2):199-207. doi: 10.1177/1524839903258765.
This article describes the application of the transtheoretical model of behavior change to prevention programs for women at risk for or infected with HIV. The focus of these multisite demonstration projects was to increase condom and contraceptive use. The model was operationalized for use in the following two different intervention approaches: facility-based interventions (individual counseling for women in clinics, shelters, and drug treatment centers) and community-level interventions (including production of small media materials, street outreach, and community mobilization). The authors found that interventions derived from a complex theory can be disseminated to frontline providers who have little prior HIV education experience or academic training. They suggest that the transtheoretical model has value for the design and implementation of HIV prevention programs.
本文介绍了行为改变的跨理论模型在针对有感染艾滋病毒风险或已感染艾滋病毒的女性预防项目中的应用。这些多地点示范项目的重点是增加避孕套和避孕药具的使用。该模型通过以下两种不同的干预方法实施应用：基于机构的干预措施（为诊所、庇护所和戒毒治疗中心的女性提供个体咨询）和社区层面的干预措施（包括制作小型媒体材料、街头宣传和社区动员）。作者发现，源自复杂理论的干预措施可以传播给几乎没有艾滋病毒教育经验或学术培训的一线服务提供者。他们认为，跨理论模型对艾滋病毒预防项目的设计和实施具有价值。
