Berhane Adugnaw, Biadgilign Sibhatu, Berhane Alemayehu, Memiah Peter
School of Public Health, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
Independent Public Health Consultants, Addis Ababa, Ethiopia.
Patient Educ Couns. 2015 Apr;98(4):469-75. doi: 10.1016/j.pec.2014.12.012. Epub 2015 Jan 14.
The objective of this study is to use the Transtheoretical behavioral model to assess male involvement in family planning.
A cross-sectional study was conducted in Angolela-Tera District of Amhara Region from February 15 to March 14, 2008 on married men. Multi-stage sampling technique was employed to select the 770 study participants. The relationship of stage of change and decisional balance, self-efficacy and processes of change was assessed by ANOVA tests.
225(30.5%) of the men were in the Precontemplation stage, 235(31.8%) were in the contemplation stage, 81(11.0%) were in preparation, 76(10.3%) were in action stage, and, 121(16.4%), were in the maintenance stage. Confidence increased across the stages while experiential and behavioral processes increased in the early stages and then decreased at a transition from action to maintenance stage. The pros were increased across the stages, the cons decreased and a crossover occurred prior to contemplation stage.
The findings suggest that counselors need to understand that behavior change is a process that occurs in a series of stages and therefore can facilitate behavioral changes with various strategies. Health educators need to develop educational components that match stages of change.
Based on our results, programs aimed at promoting contraceptive prevalence for contraception should seek ways and means for increasing the pros and for increasing self-efficacy.
本研究的目的是使用跨理论行为模型评估男性在计划生育中的参与情况。
2008年2月15日至3月14日，在阿姆哈拉地区的安戈莱拉-特拉区对已婚男性进行了一项横断面研究。采用多阶段抽样技术选取了770名研究参与者。通过方差分析测试评估改变阶段与决策平衡、自我效能感和改变过程之间的关系。
225名（30.5%）男性处于未考虑阶段，235名（31.8%）处于考虑阶段，81名（11.0%）处于准备阶段，76名（10.3%）处于行动阶段，121名（16.4%）处于维持阶段。信心在各阶段有所增加，而体验和行为过程在早期增加，然后在从行动阶段向维持阶段过渡时下降。益处因素在各阶段增加，弊端因素减少，且在考虑阶段之前出现交叉。
研究结果表明，咨询人员需要明白行为改变是一个分一系列阶段发生的过程，因此可以通过各种策略促进行为改变。健康教育工作者需要制定与改变阶段相匹配的教育内容。
根据我们的研究结果，旨在提高避孕普及率的项目应寻求增加益处因素和提高自我效能感的方法和途径。
