Moore Shirley M, Jones Lenette, Alemi Farrokh
Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH.
Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH.
Nurs Outlook. 2016 Jul-Aug;64(4):306-311. doi: 10.1016/j.outlook.2016.05.006. Epub 2016 May 18.
The adoption and maintenance of healthy living behaviors by individuals and families is a major challenge. We describe a new model of health behavior change, SystemCHANGE (SC), which focuses on the redesign of family daily routines using system improvement methods. In the SC intervention, families are taught a set of skills to engage in a series of small, family self-designed experiments to test ideas to change their daily routines. The family system-oriented changes brought about by these experiments build healthy living behaviors into family daily routines so that these new behaviors happen as a matter of course, despite wavering motivation, willpower, or personal effort on the part of individuals. Case stories of the use of SC to improve family healthy living behaviors are provided. Results of several pilot tests of SC indicate its potential effectiveness to change health living behaviors across numerous populations.
个人和家庭采用并维持健康的生活行为是一项重大挑战。我们描述了一种新的健康行为改变模型，即系统变革（SystemCHANGE，简称SC），该模型专注于运用系统改进方法重新设计家庭日常生活。在SC干预中，会教导家庭一套技能，使其能够开展一系列由家庭自行设计的小型实验，以测试改变日常生活的想法。这些实验带来的以家庭系统为导向的改变将健康生活行为融入家庭日常生活，这样一来，尽管个人的动机、意志力或个人努力有所波动，这些新行为仍会自然而然地发生。文中提供了使用SC改善家庭健康生活行为的案例故事。SC的几次试点测试结果表明，它在改变众多人群的健康生活行为方面具有潜在效力。
