Cohen R Y
Am J Community Psychol. 1982 Oct;10(5):527-39. doi: 10.1007/BF00894142.
Two studies compared the effectiveness of a community-based, behavioral group program versus an individual patient-education program with low-income diabetic and hypertensive patients, respectively. The dependent variables measured patients' knowledge, disease management skills, and clinical outcomes. Patients in the group programs demonstrated greater gains in knowledge and disease management skills than did the control patients. However, there was no clinically significant change in weight, blood pressure, or urinalysis results for any group of patients. The data suggest that group management is an effective mechanism for patient education but is not sufficiently reinforcing to induce change of habits, particularly when there are competing sources of reinforcement within the community.
两项研究分别比较了基于社区的行为小组项目与针对低收入糖尿病患者和高血压患者的个体患者教育项目的有效性。因变量衡量患者的知识、疾病管理技能和临床结果。小组项目中的患者在知识和疾病管理技能方面比对照组患者有更大的提高。然而，任何一组患者的体重、血压或尿液分析结果都没有出现具有临床意义的变化。数据表明，小组管理是患者教育的一种有效机制，但不足以强化以促使习惯改变，特别是当社区内存在相互竞争的强化源时。
