研究与思考行为改变的一种策略和方法行为分阶段转变理论

:1,2,3(1.,310031;2.,250014;3.,310012):;:R749:A:1005-8559(2002)03-352-02(Thetranstheoreticalmodelandstagesofchange,TTM)Prochaska80,,[1]TTM:1.,2.,3.4.,5.,6.7.,TTM8.,TTM,,[2,3,4],[5,6],,[1]TTM,TTM1.:TTM,,,5(1)(precontemplation):,6,,,,(2)(contemplation):,,6,,(3)(preparation):(),(4)(action):(6),,,(5)(maintenance):,,(termina-tion);(relapse)(1)();(2)();(3),();(4)()();(5)()2.:,10,(1)(consciousraising):,(2)(dramaticrelief):,,(3)(self-reevaluation):(4)(environmentalreevaluation):,(5)(self-liberation):,(6)(helpingrelationships):253ChineseJournalofBehavioralMedicalScience11(3),2002,(7)(counter-conditioning):(8)(contingencemanagement):,(9)(stimuluscontrol):,,,,,(10)(socialliberation):3.(Decisionalbalance):4.:,,,1.,,40%,40%,20%[7]1922,904,201,22.24%,38.81%,36.27%,24.88%,,2.,,;,,,;,,,[3]3.:,,,12,;3;45[1]TTM,,,,,,,,,,,,:,,??,,,,TTM,,,TTM,,,,[][1]ProchaskaJO,ReddingCA,EvereKE.Thetranstheoreticalmodelandstagesofchange.In:Healthbehaviorandhealthedu-cation.SanFrancisco[M]:Jossey-BassPublishers,1997.6183.[2]GlanzKandLewisFM.Stagesofchangeinadoptinghealthdi-ets:fat,fiber,andcorrelatesofnutrientintake[J].HealthEd-ucationQuarterly,1994,21(5):499519.[3]ProchaskaJO,DiclementeCC,NorcrossJC.Insearchofhowpeoplechange:applicationtotheaddictivebehaviors[J].Ameri-calPsychologist,1992,47(9):11021114.[4]ElderJP,AyalaGX,HarrisS.Theoriesandinterventionap-proachestohealth-behaviorchangeinprimarycare[J].Ameri-canJournalofPreventiveMedicine,1999,17(4):275284.[5]ZimmemanGL,OlsenCG,BosworthMF.Stagesofchangeapproachtohelpingpatientschangebehavior[J].AmericanFamilyPhysician,2000,61(5):14091416.[6]JensenMP,NielsonWR,RomanoJM,etal.Furtherevaluationthepainstagesofchangequestionnaire:isthetranstheoreticalmodelofchangeusefulforpatientswithchronicpain[J]?Pain,2000,86(3):255264.[7]VelicerWF,WeinstockMA.Distributionofsmokersbystageinthreerepresentativesamples[J].PreventiveMedicine,1995,24(4):401411.:(1955-),,:2001-12-07:3532002113