Lorig K, Laurin J
Health Educ Q. 1985 Fall;12(3):231-43. doi: 10.1177/109019818501200302.
By definition, the objective of health education is to change health behavior. One assumption underlying this objective is that changed health behaviors will result in improved health status. Both the objective and its assumption are based largely on experience with acute health problems. However, health education is now changing its focus towards chronic diseases. This paper examines a number of chronic disease health education studies. Investigation reveals that although there is often an improvement in health status, the associations between changed health behaviors and improved health status are not clear and at times do not appear to exist. In light of this evidence, the authors suggest that there is, in some cases, a need to reevaluate the assumptions that underlie health education and a need in health education programs to study factors other than, or in addition to, behavior change as mediators of health status.
根据定义，健康教育的目标是改变健康行为。这一目标背后的一个假设是，改变健康行为将导致健康状况的改善。该目标及其假设在很大程度上都基于急性健康问题的经验。然而，健康教育现在正将重点转向慢性病。本文审视了一些慢性病健康教育研究。调查显示，尽管健康状况往往有所改善，但改变的健康行为与改善的健康状况之间的关联并不明确，有时似乎并不存在。鉴于这一证据，作者们建议，在某些情况下，有必要重新评估作为健康教育基础的假设，并且在健康教育项目中有必要研究除行为改变之外或作为健康状况调解因素的行为改变之外的其他因素。
