Fors S W, Owen S, Hall W D, McLaughlin J, Levinson R
Department of Health Promotion and Behavior, University of Georgia, Athens 30602.
Health Educ Q. 1989 Summer;16(2):255-61. doi: 10.1177/109019818901600209.
The purpose of this research was to evaluate the effectiveness of hypertension (HBP) education within a population of sixth grade students (n = 1204) and their parents (n = 1446). The "3Rs and HBP" curriculum attempts to diffuse the HBP information from teachers, to pupils and then to parents using the sixth grade son/daughter as a "health messenger." This curriculum was tested with and without a home blood pressure measurement component versus controls in 21 schools randomly assigned to the three conditions. Postintervention data were collected from students at school and from their parents at home interviews. Students were compared for knowledge, blood pressure measurement skill, and home diffusion activities. Parents were compared for knowledge, risk factor reduction, blood pressure, care-seeking, and compliance behaviors. Student self-esteem and family interactions were investigated as possible intervening variables in the diffusion process. Student knowledge, BP measurement skills, and diffusion to parents was increased by the 3Rs and HBP curriculum with the home component. Parental effects beyond the diffusion process were limited to knowledge improvement in certain groups. Family interaction (level and style) was found to be a significant intervening variable in the diffusion process.
本研究的目的是评估高血压（HBP）教育在六年级学生群体（n = 1204）及其父母群体（n = 1446）中的效果。“3Rs与HBP”课程试图通过将六年级的儿子/女儿作为“健康信使”，把高血压信息从教师传递给学生，再传递给家长。该课程在随机分配到三种条件的21所学校中，测试了有无家庭血压测量部分并与对照组进行比较。干预后的数据从学校的学生和在家接受访谈的家长处收集。比较了学生在知识、血压测量技能和家庭传播活动方面的情况。比较了家长在知识、风险因素降低、血压、寻求护理和依从行为方面的情况。研究了学生自尊和家庭互动作为传播过程中可能的干预变量。“3Rs与HBP”课程加上家庭部分，提高了学生的知识、血压测量技能以及向家长的传播。传播过程之外的家长效应仅限于某些群体的知识改善。发现家庭互动（水平和方式）是传播过程中的一个重要干预变量。
