Yoddumnern-Attig B, Attig G A, Kanungsukkasem U
Institute for Population and Social Research, Mahidol University, Thailand.
Nutr Health. 1992;8(1):17-31. doi: 10.1177/026010609200800102.
An intersectoral child development services project is being undertaken in Thailand to develop a model process for providing age appropriate care and education to rural children through an integrated programme of nutrition, health and educational services designed to meet community needs and perceptions. Using behavioral analysis and explanatory models, project results show that the effectiveness of nutrition education can be facilitated by (1) recognizing the family as the unit of service, (2) focusing on solutions rather than problems, (3) using a two-stage promotional message strategy to encourage better child caretaking, and (4) viewing potential new practices as behavioral processes, rather than single entities aimed at a specific outcome. Program planning should also include the successive construction and analysis of community-based explanatory models which justify people's nutrition and health behaviors. The ultimate aim is to identify differences between explanatory models held by community members and health/nutrition educators, negotiate this conflict, and thereafter develop more practical and realistic methods for modifying behavior.
泰国正在开展一个跨部门儿童发展服务项目，旨在通过一项综合营养、健康和教育服务计划，为农村儿童提供适合其年龄的护理和教育，该计划旨在满足社区需求和认知。通过行为分析和解释模型，项目结果表明，营养教育的有效性可通过以下方式得到促进：（1）将家庭视为服务单位；（2）关注解决方案而非问题；（3）采用两阶段宣传信息策略，鼓励更好地照顾儿童；（4）将潜在的新做法视为行为过程，而非旨在实现特定结果的单一实体。项目规划还应包括对基于社区的解释模型进行连续构建和分析，这些模型可为人们的营养和健康行为提供依据。最终目标是找出社区成员与健康/营养教育工作者所持解释模型之间的差异，协调这种冲突，然后制定更实际、更现实的行为改变方法。
