Roter D L, Rudd R E, Keogh J, Robinson B
Department of Behavioral Sciences and Health Education, Johns Hopkins School of Hygiene and Public Health.
Int Q Community Health Educ. 1986 Jan 1;7(2):109-21. doi: 10.2190/FJPL-N1RH-829Q-PQRJ.
There is broad acceptance of the philosophic foundations of health education as grounded in the collaborative model of client and professional partnership. In practice, however, this partnership is largely dominated by the professional side. Workers may be particularly sensitive to professional domination as issues associated with health promotion vs. safety and health programs at the workplace are often politicized. This polarization is particularly evident in the area of asbestos-related hazard prevention, reduction, and education. Using asbestos hazards as the unifying theme, we participated in a program to facilitate active participation of workers in the production of their own occupational health education materials through the use of the photonovel. Representatives from some seven building trade locals worked with a staff to produce a twenty-four-page photonovel for their co-workers. A random sample of 500 members of building trades locals received either a copy of the photonovel or a popular NCI asbestos pamphlet with an evaluation questionnaire. Differences between the groups were evident in favor of the photonovel in readability, factual recall, general credibility, and attitudes toward future involvement in health and safety issues.
健康教育的哲学基础以客户与专业人员合作模式为根基,这一点已得到广泛认可。然而在实际操作中,这种合作很大程度上由专业一方主导。由于与工作场所健康促进与安全健康项目相关的问题常常被政治化,工作人员可能对专业主导尤为敏感。这种两极分化在与石棉相关的危害预防、减少及教育领域尤为明显。以石棉危害作为统一主题,我们参与了一个项目,通过使用图文小说来促进工人积极参与制作他们自己的职业健康教育材料。大约七个建筑行业工会地方分会的代表与一名工作人员合作,为他们的同事制作了一本24页的图文小说。从建筑行业工会地方分会的500名成员中随机抽取样本,他们要么收到一本图文小说,要么收到一份附有评估问卷的美国国立癌症研究所(NCI)关于石棉的通俗小册子。两组之间在可读性、事实记忆、总体可信度以及对未来参与健康与安全问题的态度方面存在明显差异,结果显示图文小说更具优势。