Murray-Johnson Lisa, Witte Kim, Boulay Marc, Figueroa Maria Elena, Storey Douglas, Tweedie Ian
The Ohio State University, OH, USA.
Int Q Community Health Educ. 2005;25(1-2):185-207. doi: 10.2190/1500-1461-44GK-M325.
Scholars within the fields of public health, health education, health promotion, and health communication look to specific theories to explain health behavior change. The purpose of this article is to critically compare four health theories and key variables within them with regard to behavior change in the area of reproductive health. Using cross-country analyses of Ghana, Nepal, and Nicaragua (data sets provided by the Center for Communication Programs, Johns Hopkins University), the authors looked at the Health Belief Model, Theory of Reasoned Action, Extended Parallel Process Model, and Social Cognitive Theory for these two defined objectives. Results show that all four theories provide an excellent fit to the data, but that certain variables within them may have particular value for understanding specific aspects of behavior change. Recommendations for the selection of theories to use as guidelines in the design and evaluation of reproductive health programs are provided.
公共卫生、健康教育、健康促进和健康传播领域的学者们借助特定理论来解释健康行为的改变。本文旨在批判性地比较四种健康理论及其关键变量，特别是在生殖健康领域的行为改变方面。作者利用对加纳、尼泊尔和尼加拉瓜的跨国分析（数据由约翰霍普金斯大学传播项目中心提供），针对这两个既定目标研究了健康信念模型、理性行动理论、扩展平行过程模型和社会认知理论。结果表明，所有这四种理论都与数据高度契合，但其中某些变量对于理解行为改变的特定方面可能具有特殊价值。本文还提供了有关选择理论作为生殖健康项目设计和评估指南的建议。
