Prochaska James O
Cancer Prevention Research Center, University of Rhode Island, Kingston, RI 02881, USA.
Med Decis Making. 2008 Nov-Dec;28(6):845-9. doi: 10.1177/0272989X08327068. Epub 2008 Nov 17.
Decision making is an integral part of the transtheoretical model of behavior change. Stage of change represents a temporal dimension for behavior change and has been the key dimension for integrating principles and processes of change from across leading theories of psychotherapy and behavior change. The decision-making variables representing the pros and cons of changing have been found to have systematic relationships across the stages of change for 50 health-related behaviors. Implications of these patterns of relationships are discussed in the context of helping patients make more effective decisions to decrease health risk behaviors and increase health-enhancing behaviors.
决策是行为改变跨理论模型的一个组成部分。改变阶段代表了行为改变的时间维度,并且一直是整合来自领先的心理治疗理论和行为改变理论的改变原则和过程的关键维度。已发现代表改变利弊的决策变量在50种与健康相关行为的改变阶段中存在系统关系。在帮助患者做出更有效决策以减少健康风险行为和增加健康促进行为的背景下,讨论了这些关系模式的影响。