Glanz K, Kirscht J P, Rosenstock I M
Med Care. 1981 Feb;19(2):141-52. doi: 10.1097/00005650-198102000-00002.
Data from a longitudinal study of 432 hypertensive patients under the care of private practitioners are used to answer two questions: How do patients react to educational interventions, and how are their responses related to changes in their adherence behaviors? The four educational interventions, introduced sequentially and tested in a factorial design, were written messages, nurse's phone call, self-monitoring and social support. Patients' reactions to the interventions were assessed, using data from questions asked at post-intervention interviews and information recorded during the interventions. Cognitive, attitudinal and behavioral data are examined. Findings indicate that respondents were cognizant of the interventions and viewed them positively; also, some predictions about intervention features were supported. However, actions which respondents attributed to the interventions were not found to be related to increased adherence, according to the test used in this study.
一项针对432名在私人执业医生照料下的高血压患者的纵向研究数据，被用于回答两个问题：患者对教育干预如何做出反应，以及他们的反应与依从行为的变化有何关联？四种教育干预措施按顺序推出，并采用析因设计进行测试，分别是书面信息、护士电话、自我监测和社会支持。利用干预后访谈中所提问题的数据以及干预期间记录的信息，对患者对这些干预措施的反应进行了评估。对认知、态度和行为数据进行了研究。研究结果表明，受访者了解这些干预措施并给予积极评价；此外，关于干预特征的一些预测得到了支持。然而，根据本研究中所使用的测试，并未发现受访者归因于这些干预措施的行为与依从性提高有关。
