Intarakamhang Ungsinun
Behavioral Science Research Institute, Srinakharinwirot Univesity, Bangkok, Thailand.
Glob J Health Sci. 2011 Dec 29;4(1):204-10. doi: 10.5539/gjhs.v4n1p204.
The objectives of this mixed methods research were 1) to study effects of the health behavior modification program (HBMP) conducted under the principles of the PROMISE Model and the CIPP Model and 2) to compare the 3-self health behaviors and the biomedical indicators before with after the program completion. During the program, three sample groups including 30 program leaders, 30 commanders and 120 clients were assessed, and there were assessments taken on 4,649 volunteers who were at risk of metabolic syndrome before and after the program conducted in 17 hospitals. The collected data were analyzed by the t-test and the path analysis. The research instruments were questionnaires used for program evaluation, structuralized interview forms, and questionnaires used for 3-self health behavior assessment. The findings were as follows: 1) During the program, the assessment result deriving from comparing the overall opinions toward the program among the three sample groups showed no difference (F=2.219), 2) The program management factors based on the PROMISE Model (positive reinforcement, optimism, context, and process or activity provision) had an overall influence on the product or success of the HBMP (p< 0.05) with size effects at 0.37, 0.13, 0.31 and 0.88 respectively. All of the factors could predict the product of the program by 69%. 3) After participating in the program, the clients' 3-self health behaviors (self-efficacy, self-regulation, and self-care) were significantly higher than those appeared before the participation (p< 0.05), and their biomedical indicators (BMI, blood pressure, waistline, blood glucose, lipid profiles, cholesterol, and HbA1c) were significantly lower than those measured before the program (p< 0.05).
1）研究在PROMISE模型和CIPP模型原则下开展的健康行为修正项目（HBMP）的效果；2）比较项目完成前后的三种自我健康行为和生物医学指标。在项目实施期间，对三个样本组进行了评估，包括30名项目负责人、30名指挥官和120名客户，并且对在17家医院开展项目前后的4649名有代谢综合征风险的志愿者进行了评估。收集到的数据采用t检验和路径分析进行分析。研究工具包括用于项目评估的问卷、结构化访谈表格以及用于自我健康行为评估的问卷。研究结果如下：1）在项目实施期间，对三个样本组对项目的总体意见进行比较得出的评估结果无差异（F = 2.219）；2）基于PROMISE模型的项目管理因素（积极强化、乐观、背景以及过程或活动提供）对HBMP的成果或成功具有总体影响（p < 0.05），效应量分别为0.37、0.13、0.31和0.88。所有这些因素能够预测项目成果的69%；3）参与项目后，客户的三种自我健康行为（自我效能感、自我调节和自我护理）显著高于参与项目之前（p < 0.05），并且他们的生物医学指标（体重指数、血压、腰围、血糖、血脂谱、胆固醇和糖化血红蛋白）显著低于项目实施前测量的指标（p < 0.05）。
