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Transtheoretical Model of Health Behavior Change (TMHBC)

Transtheoretical Model of Health Behavior Change (TMHBC). 學生；林怡廷 指導老師：毛慧芬老師 日期： 2012/09/27. 大綱. 理論 背景 核心 觀念 Stages of change Processes of change Decisional balance Self-efficacy 應用 社區 為基礎相關 介入 Q&A. 理論背景. 時間： 1977 發展者： James O. Prochaska 定義

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Transtheoretical Model of Health Behavior Change (TMHBC)

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  1. Transtheoretical Model of Health Behavior Change(TMHBC) 學生；林怡廷 指導老師：毛慧芬老師 日期：2012/09/27

  2. 大綱 • 理論背景 • 核心觀念 • Stages of change • Processes of change • Decisional balance • Self-efficacy • 應用 • 社區為基礎相關介入 • Q&A

  3. 理論背景 • 時間：1977 • 發展者：James O. Prochaska • 定義 • 透過心理分析，促使個案行為改變(不良→正向)，已達到促進健康的目的

  4. 核心觀念(1)

  5. 核心觀念(2) • Stages of Change

  6. 核心觀念(3) • Processes of change • 定義：促進與維持行為改變的過程策略

  7. 核心觀念(4) Processes of change

  8. 核心觀念(5)Processes of change

  9. 核心觀念(6) • Decisional balance • 衡量行為改變的優點與缺點，而做出決定 • Self-efficacy • 評估維持好行為的信心程度

  10. 應用

  11. 社區為基礎相關介入 • 利用多重社區介入策略、TTM、HBM model，改善韓國社區女性對乳癌的迷思與篩減率 • RCT隨機分派澳洲社區婦女至實驗組(體能運動＋營養衛教，以TTM為基礎)、控制組(不做任何介入)，比較兩組之間的肥胖成效 • RCT隨機分派至臨床、臨床＋社區照護(利用TTM model)、一般照護，比較三個組別介入低收入拉丁社區肥胖成效 • 用TTM model策略，改善伊朗老年人攝取蔬果量

  12. Q &A

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