Baranowski T
Department of Preventive Medicine and Community Health, The University of Texas Medical Branch, Galveston.
Int Q Community Health Educ. 1989 Jan 1;10(4):297-327. doi: 10.2190/NKBY-UVD6-K542-1QVR.
Effective community health education requires theories which combine the perspectives of behavior change at the levels of the individual with those at the levels of the community. Within the framework of reciprocal determinism, a variety of theories and concepts are integrated to understand behavior change at levels of the individual and levels of the community. These concepts are applied at each step in the behavior change process, and categories of intervention are explained within the proposed framework. A variety of specific intervention procedures are generated from the framework for promoting behavior change at each level and stage of change. Such a comprehensive integrated framework holds promise of designing more effective health education programs.
有效的社区健康教育需要将个体层面的行为改变观点与社区层面的行为改变观点相结合的理论。在相互决定论的框架内，整合了各种理论和概念，以理解个体层面和社区层面的行为改变。这些概念应用于行为改变过程的每一步，并在所提出的框架内解释干预类别。从该框架中产生了各种具体的干预程序，以促进每个层面和改变阶段的行为改变。这样一个全面的综合框架有望设计出更有效的健康教育项目。
