McBride J L
Georgia Baptist Family Practice Residency Program, Morrow 30260, USA.
J Med Assoc Ga. 1996 Sep;85(3):153-5.
We must look at the "big picture" when encouraging positive change in people's lives. Simplistic fads and magical techniques rarely promote lasting change. A more holistic approach that incorporates the psychologic and behavioral components is much more powerful. We need to adopt a model of change that promotes an overall positive lifestyle and an idea of wellness that is not focused on absence of disease. Physicians should stress that psychosocial aspects be considered, discussed, and addressed to enhance true positive lifestyle changes that focus on personal responsibility as the most effective locus of control. Positive cultural and family beliefs, religious and social norms, self care and self responsibility are the fundamental building blocks in our later efforts to promote health education and healthy lifestyles. To be most cost effective, these efforts need to be incorporated into the curricula of young children.
在鼓励人们生活中发生积极变化时，我们必须着眼于“大局”。简单的时尚潮流和神奇技巧很少能促进持久的改变。一种更全面的方法，将心理和行为成分纳入其中，会更有成效。我们需要采用一种促进整体积极生活方式的变革模式，以及一种不局限于无病状态的健康理念。医生应强调要考虑、讨论并解决心理社会方面的问题，以促进真正积极的生活方式改变，这种改变将个人责任视为最有效的控制源。积极的文化和家庭信仰、宗教和社会规范、自我护理和自我责任，是我们后来促进健康教育和健康生活方式努力的基本基石。为了达到最高的成本效益，这些努力需要纳入幼儿课程。
