Howard Kristen R
Spanaway Family Medical Center, WA, USA.
J Sch Nurs. 2007 Apr;23(2):73-9. doi: 10.1177/096703350702300201.
Although the national health crisis of childhood obesity is a well-documented problem, few if any clinical interventions have had success in curbing its growth. In fact, childhood obesity, along with its associated morbidities, continues to climb even in the face of increased awareness. Research shows that factors contributing to obesity are almost entirely modifiable on some level. Furthermore, specific behavior changes have been shown to result in positive outcomes, yet these changes have not been widely implemented by practitioners, families, or individuals. The transtheoretical model of health behavior change offers insight into assessing individuals and targeting interventions for behavior change. This article focuses on guiding school nurses to assess parents of school-age children at risk for obesity for readiness for health behavior change, then choosing parent-focused interventions based on their stage of readiness for change.
尽管儿童肥胖这一全国性健康危机是一个有充分文献记载的问题，但几乎没有临床干预措施能成功遏制其增长。事实上，儿童肥胖及其相关疾病即使在人们意识提高的情况下仍在持续攀升。研究表明，导致肥胖的因素在某种程度上几乎完全是可以改变的。此外，特定的行为改变已被证明会产生积极效果，但这些改变尚未被从业者、家庭或个人广泛采用。健康行为改变的跨理论模型有助于深入评估个体并针对行为改变进行干预。本文重点指导学校护士评估有肥胖风险的学龄儿童家长对健康行为改变的准备情况，然后根据他们的改变准备阶段选择以家长为重点的干预措施。
