Reesor Layton, Vaughan Elizabeth M, Hernandez Daphne C, Johnston Craig A
Department of Health and Human Performance, University of Houston.
Department of Medicine, Baylor College of Medicine.
Am J Lifestyle Med. 2017 Nov;11(6):430-432. doi: 10.1177/1559827617722504. Epub 2017 Aug 11.
Individuals commonly seek help for problem health behaviors, such as excessive drinking, smoking, and weight gain. Yet, there is a high rate of recidivism in these behaviors because outcome expectancies are either too high, negative outcome expectancies are not considered, or outcome expectancies are not properly addressed. Healthcare providers are recommended to list the outcome expectancy for the problem behavior and corresponding treatment for their patient. Through the process it is important to acknowledge both the positive and negative outcomes of engaging in the problem behavior. Healthcare providers are then encouraged to have their patient identify the goals and objectives that will assist in achieving the desired outcome. By recognizing and addressing outcome expectancies, it is more likely that the patient will be less resistant to the healthcare provider's recommendations to change problematic behavior.
人们通常会就一些有问题的健康行为寻求帮助,比如酗酒、吸烟和体重增加。然而,这些行为的复发率很高,因为结果预期要么过高,要么没有考虑负面结果预期,要么结果预期没有得到妥善处理。建议医疗保健提供者为其患者列出问题行为的结果预期以及相应的治疗方法。在这个过程中,承认参与问题行为的积极和消极结果很重要。然后鼓励医疗保健提供者让患者确定有助于实现预期结果的目标。通过认识和处理结果预期,患者更有可能减少对医疗保健提供者改变问题行为建议的抵触情绪。