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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Behavior modification in primary care: the pressure system model.
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Behavior modification in primary care: the pressure system model.

机译：初级保健中的行为修改：压力系统模型。

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The leading causes of death in the United States are predominantly attributable to modifiable behaviors. Patients with behavioral risk factors for premature death and disability, including dietary practices; sexual practices; level of physical activity; motor vehi cle use patterns; and tobacco, alcohol, and illicit sub stance use, are seen far more consistently by primary care providers than by mental health specialists. Yet models of behavior modification are reported, debated, and revised almost exclusively in the psychology literature. While the Stages of Change Model, or Transtheo retical Model, has won application in a broadening array of clinical settings, its application in the primary care setting is apparently quite limited despite evidence of its utility [Prochaska J, Velicer W. Am J Health Promot 1997;12:38-48]. The lack of a rigorous behavioral model developed for application in the primary care setting is an impediment to the accomplishment of public health goals specified in the Healthy People objectives and in the reports of the U.S. Preventive Services Task Force. The Pressure System Model reported here synthesizes elements of established behavior modification theories for specific application under the constraints of the primary care setting. Use of the model in both clinical and research settings, with outcome evaluation, is encouraged as part of an effort to advance public health. Copyright 2000 American Health Foundation and Academic Press.
机译：在美国，主要的死亡原因主要是可改变的行为。具有导致过早死亡和残疾的行为危险因素的患者，包括饮食习惯;性行为;体育活动水平;机动车使用方式;与初级卫生保健提供者相比，精神卫生专家对烟草，酒精和非法物质的使用更加一致。然而，行为修改模型几乎完全在心理学文献中进行了报道，辩论和修订。尽管变更阶段模型或跨理论模型已在广泛的临床环境中获得应用，但尽管有其实用性的证据，但其在初级保健环境中的应用显然相当有限[Prochaska J，Velicer W. Am J Health Promot 1997; 12：38-48]。缺乏为在基层医疗机构中应用而开发的严格的行为模型，这妨碍了实现《健康人》目标和美国预防服务工作队报告中规定的公共卫生目标。此处报告的压力系统模型综合了已建立的行为修正理论的要素，以在初级保健机构的约束下针对特定的应用。鼓励在临床和研究环境中使用该模型并进行结果评估，以此作为促进公共卫生的工作的一部分。版权所有2000美国健康基金会和学术出版社。

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