复杂慢性病的瓦尔行为改变模型：临床医生指南
The Wahls Behavior Change Model for Complex Chronic Diseases: A Clinician's Guide.
作者信息
Elliott-Wherry Alaina N, Lee Jennifer E, Pearlman Amy M, Wahls Terry L
机构信息
Department of Community and Behavioral Health, University of Iowa College of Public Health, Iowa City, IA, USA.
College of Nursing, The University of Iowa, Iowa City, IA, USA.
出版信息
Degener Neurol Neuromuscul Dis. 2022 Sep 9;12:111-125. doi: 10.2147/DNND.S370173. eCollection 2022.
Behavior change models are used to understand and intervene on health-related behaviors and outcomes. However, there is a gap in the literature regarding how to create and maintain behavior change in patients with complex chronic diseases such as Multiple Sclerosis (MS). To address this gap, the Wahls Behavior Change Model (WBCM) (The trademark applies to subsequent mention of the model.) was developed based on existing behavior change theory, empirical evidence, and extensive clinical experience caring for patients with complex chronic diseases. A patient-centered, comprehensive, and multimodal approach, this model provides a framework for understanding and implementing lifestyle behavior change. The overall goals of this paper are to: (1) review existing behavior change theories; (2) introduce the WBCM, including the model's 11 Principles for behavior change in patients with complex chronic diseases; and (3) share how providers can be trained to implement the WBCM. The WBCM can potentially improve short- and longer-term function and quality of life outcomes for people with complex chronic diseases.
行为改变模型用于理解与健康相关的行为及结果，并对其进行干预。然而，在如何促使患有诸如多发性硬化症（MS）等复杂慢性病的患者产生并维持行为改变方面，文献中存在空白。为填补这一空白，基于现有的行为改变理论、实证证据以及照顾复杂慢性病患者的丰富临床经验，开发了瓦尔兹行为改变模型（WBCM）（该商标适用于后续对该模型的提及）。作为一种以患者为中心、全面且多模式的方法，该模型为理解和实施生活方式行为改变提供了一个框架。本文的总体目标是：（1）回顾现有的行为改变理论；（2）介绍WBCM，包括该模型针对复杂慢性病患者的11条行为改变原则；（3）分享如何培训医疗服务提供者以实施WBCM。WBCM有可能改善复杂慢性病患者的短期和长期功能以及生活质量结果。
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