Elder John P, Lytle Leslie, Sallis James F, Young Deborah Rohm, Steckler Allan, Simons-Morton Denise, Stone Elaine, Jobe Jared B, Stevens June, Lohman Tim, Webber Larry, Pate Russell, Saksvig Brit I, Ribisl Kurt
Graduate School of Public Health Division of Health Promotion, San Diego State University, San Diego, CA 92123, USA.
Health Educ Res. 2007 Apr;22(2):155-65. doi: 10.1093/her/cyl059. Epub 2006 Jul 19.
Social-ecological (SE) models are becoming more widely used in health behavior research. Applying SE models to the design of interventions is challenging because models must be tailor-made for each behavior and population, other theories need to be integrated into multi-level frameworks, and empirical research to guide model development is limited. The purpose of the present paper is to describe a SE framework that guided the intervention and measurement plans for a specific study. The trial of activity for adolescent girls (TAAG) is a multi-center study of interventions to reduce the decline of physical activity in adolescent girls. The TAAG framework incorporates operant learning theory, social cognitive theory, organizational change theory and the diffusion of innovation model in a multi-level model. The explicit and practical model developed for TAAG has already benefited the study and may have elements that can generalize to other health promotion studies.
社会生态（SE）模型在健康行为研究中的应用越来越广泛。将SE模型应用于干预措施设计具有挑战性，因为模型必须针对每种行为和人群量身定制，其他理论需要整合到多层次框架中，且指导模型开发的实证研究有限。本文旨在描述一个指导特定研究的干预和测量计划的SE框架。少女活动试验（TAAG）是一项多中心研究，旨在采取干预措施减少少女身体活动的下降。TAAG框架在一个多层次模型中纳入了操作性学习理论、社会认知理论、组织变革理论和创新扩散模型。为TAAG开发的明确且实用的模型已经使该研究受益，并且可能具有可推广到其他健康促进研究的要素。
