Hwang Won Ju, Kim Mi Jeong
College of Nursing Science, East-West Nursing Research Institute, Kyung Hee University, Seoul, South Korea.
School of Architecture, Hanyang University, Seoul, South Korea.
Front Psychol. 2020 Nov 4;11:538198. doi: 10.3389/fpsyg.2020.538198. eCollection 2020.
This study examined the health promotion model (HPM) as a framework for assessing perceptions and health-related behaviors related to cardiovascular disease (CVD) risk among blue-collar workers. This was done with the aim of providing time-sensitive educational and training materials for workers while on the job or functioning in their communities. The revised HPM was evaluated in the above context using specific criteria developed by Chinn and Kramer (2008) and scoping literature review. Specifically, we assessed the model based on five criteria such as its clarity, simplicity, generality, accessibility, and importance. The revised HPM showed strengths in both accessibility and generality. That is, it applied to all populations and chronic illnesses through clearly defined and specified major concepts. However, there were several weaknesses in areas of clarity and consistency; the model included three new concepts (i.e., activity-related affect, commitment to a plan of action, and immediate competing demands and preference) that actually decreased these elements. In this context, situational influences require adequately reflected external variables. Nevertheless, the revised HPM showed predictive power among this study's target population. The HPM was modified to address deficiencies in regard to the concept of risk perception. Work-related situational influences were also restructured based on individual and environmental characteristics. The modified framework can be used to clarify health-related behaviors among blue-collar workers.
本研究检验了健康促进模型（HPM），将其作为评估蓝领工人对心血管疾病（CVD）风险的认知及与健康相关行为的一个框架。这样做的目的是为在职或在社区中工作的工人提供具有时效性的教育和培训材料。在上述背景下，使用Chinn和Kramer（2008）制定的特定标准并进行范围文献综述，对修订后的HPM进行了评估。具体而言，我们基于五个标准对该模型进行了评估，如清晰度、简单性、普遍性、可及性和重要性。修订后的HPM在可及性和普遍性方面均表现出优势。也就是说，它通过明确界定和指定的主要概念适用于所有人群和慢性疾病。然而，在清晰度和一致性方面存在一些弱点；该模型纳入了三个新概念（即与活动相关的情感、对行动计划的承诺以及即时竞争需求和偏好），而这些实际上削弱了这些要素。在这种情况下，情境影响需要充分反映外部变量。尽管如此，修订后的HPM在本研究的目标人群中显示出预测能力。对HPM进行了修改，以解决风险认知概念方面的不足。还根据个人和环境特征对与工作相关的情境影响进行了重新构建。修改后的框架可用于阐明蓝领工人中与健康相关的行为。
