Browse > Article

The Use of Health Behavior Theory for Effective Health Counselling  

김혜경 (이화여자대학교 대학원 보건교육학과)
Publication Information
Korean Journal of Health Education and Promotion / v.19, no.1, 2002 , pp. 149-170 More about this Journal
Abstract
The use of health behavior theory in health counseling may improve its effectiveness. This article provides an overview of health behavior theory and guidelines on how to incorporate various theories into effective health counseling. Models that focus on behavior change at the individual level are described, including the health belief model, which focuses on individual health beliefs; social learning theory, which emphasizes interactions between individual, behavior and its environment; theory of reasoned action and theory of planned behavior, which examines factors influencing behavioral intention;. the stages of change model, which focuses on one's stage of readiness for change. Research review provides explanatory and predictive utility of four health behavior theories. Suggestions for effective health counselling are as follows: 1. Unified theoretical framework incorporating key concepts from different health behavior theories is needed. 2. Need assessment should be included in counselling process. 3. Behavior-change counselling should target changes in one or more key variables previously identified. 4. Focusing on promotional efforts into a high profile behavior(gateway behavior) can be an an adjunctive way of initiating other health promotion behaviors. 5. Counselling should be staged based, and different strategies and processes of changes should be applied at different stages.
Keywords
health counselling; health behavior theory;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Costakis CE, Dunnagan T, Haynes G. The relationship between the stage of exercise adoption and other health behaviors. American Journal of Health Promotion 1999; 14(1): 22-30   DOI   ScienceOn
2 Langlois MA, Petosa R, Hallam JS. Why do effective smoking prevention program work? Student changes in social cognitive theory constructs. Journal of School Health 1999; 69(8): 326-331   DOI   ScienceOn
3 Povey R, Conner M, Sparks P, James R, Shepherd R. A critical examination of the application of the transtheoretical model's stage of change to dietary behaviors. Health Education Research 1999; 14(5): 641-651   DOI   ScienceOn
4 Conn VS. Older woman: social cognitive theory correlates of health behavior. Woman & Health 1997; 26(3): 75-85
5 Peterson TR, Aldana SG. Improving exercise behavior: An application of the stage of change model in a worksite setting. American Journal of Health Promotion 1999; 13(4): 229-232   DOI   ScienceOn
6 Corwin SJ, Sargent RG, Rheaume CE, Saunders RP. Dietary behaviors among fourth graders: a social cognitive theory study approach. American Journal of Health Behavior 1999; 23(3): 182-197   DOI   ScienceOn
7 김성재, 조남옥, 유경희, 강남미, 최희정. 비판적 문헌고찰에 의한 건강행위 관련이론의 분석. 간호학논문집 1996; 10(1): 87-122
8 Harrison JA, Mullen PD, Green LW. A meta-analysis of studies of the Health Belief Model with adults. Health Education Research 1992; 7(1): 107-116   DOI   ScienceOn
9 Smedslund G. A pragmatic basis for judging models and theories in health psychology: the axiomatic method. Journal of Health Psychology 2000; 5(2): 133-149   DOI
10 Prochaska JO, Diclemente CC, Velicer WF. Standardized, individualized, interactive and personalized self[help programs for smoking cessation. Health Psycholog 1993; 12: 399-405.   DOI   ScienceOn
11 Keller C, Fleury J, Gregor-Holt, Thompson T. Predictive ability of social cognitive theory in Exercise research: an integrated literature review. Online Journal of Knowledge Synthesis for Nursing 1999; 6(2)
12 Wulfert E, Wan CK Safer sex intentions and condom use viewed from a health belief, reasoned action, and social cognitive perspective. Journal of Sex Research 1995; 32(4): 299-311   DOI
13 Polly A Breakthrough or bandwagon? Are interventions tailored to Stage of Change more effective than non-staged intervention? 1997; 56: 166-174
14 구미옥. 당뇨병환자의 자기간호행위와 대사조절에 관한 구조모형. 서울대학교 대학원. 간호학 박사학위논문, 1992
15 Bennett P, Bozionnelos G. The thoery of planned behavior as predictor of condom use: a narrative review. Psychology, Health & Medicine 2000; 5(3): 307-322   DOI   ScienceOn
16 김명, 서미경, 서혜경, 김영복. 보건교육 이론과 적용. 계축문화사, 2001
17 김종임, 자조집단 활동과 자기효능성 층진법을 이용한 수중운동 프로그램이 류마티스 관절염환자의 통증, 생리적지수 및 삶의 질에 미치는 영향. 서울대학교 대학원 박사학위 논문, 1994
18 Glanz K, Lewis FM, Rimer BK Health Behavior and Health Education. Jossey-Bass, 1990
19 구미옥, 이은옥. 건강신념모델과 한국인 만성질환자의 환자역할 행위. 서울대학교 대학원. 간호학 박사학위 논문, 1990
20 Nguyen MN, Potvin L, Otis J Regular exercise in 30-to 60-year old men: combining the stage-of-change model and the theory of planned behavior to identify determinants for targeting heart health intervention. Journal of Community Health 1997; 22(4): 233-246   DOI   ScienceOn
21 Wrobleski S. Commentary on Social learning theory: strategies for health promotion. ONS Nursing Scan in Oncology 1993; 41(5): 245-249
22 HIll AJ, Boudreau F, Arnyot E, Dery D, Godin G. Predicting the stages of smoking acquisition according to the theory of planned behavior. Journal of Adolescent Health 1997; 21(2): 107-115   DOI   ScienceOn
23 Naylor PJ, Simmonds G, Riddoch C, Velleman G, Turton P. Comparison of stage-matched and unmatched interventions to promote exercise behavior in the primary care setting. Health Education Research 1999; 14(5): 653-666   DOI   ScienceOn
24 Blair JE. Social learning theory: Strategies for health promotion. AAOHN Journal 1993; 41(5): 245-249
25 Prochaska JO, Velicer WF. The transtheoretical model of health behavior change. American Journal of Health Promotion 1997; 12(1): 38-48   DOI   ScienceOn
26 Boyle RG, O'Connor PJ, Pronk NP, Tan A Stage of change for physical activity, diet, and smoking among HMO members with chronic condition. American Journal of Health Promotion 1998; 12(3): 170-175   DOI   ScienceOn
27 김인자. 만성 요통환자의 대처유형과 건강통제위, 자기효능감과의 관계. 서울대학교 대학원. 간호학 석사학위논문, 1994