Aims: Second hand smoke (SHS) exposure is increasingly recognized as a major public health concern. Assessing adolescents’ motivational level to avoid SHS is vital to promote and reinforce reductions in SHS exposure....Aims: Second hand smoke (SHS) exposure is increasingly recognized as a major public health concern. Assessing adolescents’ motivational level to avoid SHS is vital to promote and reinforce reductions in SHS exposure. Methods: A brief measure based on the Stage of Change model was developed to characterize adolescents’ behavior related to reducing SHS exposure and used to identify potential determinants of SHS stage of change. The sample consisted of 1172 adolescents aged 13 to 15 years who participated in an internet-based cohort study of youth in British Columbia, Canada. Results: Sixty-six percent of the adolescents reported they had consistently made efforts to reduce exposure to SHS for more than 6 months, while 19% did not intend to reduce their exposure to SHS in the next 6 months. Adolescents’ SHS stage of change significantly differed by ethnicity, whether they had tried cigarettes, amount of tobacco smoked in their lifetime, parental and peer smoking statuses, past months’ exposure to SHS, frequent smoking in the home, and home smoking restrictions (all p < 0.05). Active smoking and more frequent exposure to SHS were associated with an increased probability of being in the pre-contemplation stage of change with regard to behavior related to reducing SHS exposure. Conclusion: This brief measure based on the Stage of Change model can be used in future studies to characterize adolescents’ behavior around SHS. Adolescents who smoke or have parents and/or friends who smoke appear to be a population that could benefit from stage-matched interventions designed to raise awareness of the risks associated with SHS for smokers and non-smokers, and ultimately reduce SHS exposure.展开更多
根据心理测量原理和变化阶段理论,对英文量表Stage of Change(Continuous Measure)Scale进行了本土化的修订,编制为中文版量表。分别对上海和北京部分高校的300名和550名大学生进行第一版和第二版的测试,采用因素分析和相关分析等统计...根据心理测量原理和变化阶段理论,对英文量表Stage of Change(Continuous Measure)Scale进行了本土化的修订,编制为中文版量表。分别对上海和北京部分高校的300名和550名大学生进行第一版和第二版的测试,采用因素分析和相关分析等统计方法进行了信效度的分析。结果表明:中文版“大学生体育锻炼变化阶段(连续性测量)量表”具有较高的信效度,是测量大学生锻炼变化阶段的有效工具。展开更多
目的探索行为阶段改变（stage of change,SOC）理论在糖尿病患者社区管理中的应用。方法 2012-09/2013-06,对重庆市沙坪坝区和九龙坡区城乡215名糖尿病患者进行社区管理,运用SOC理论对患者身体活动进行有针对性的干预,对比分析干预前后...目的探索行为阶段改变（stage of change,SOC）理论在糖尿病患者社区管理中的应用。方法 2012-09/2013-06,对重庆市沙坪坝区和九龙坡区城乡215名糖尿病患者进行社区管理,运用SOC理论对患者身体活动进行有针对性的干预,对比分析干预前后患者糖尿病防治知识、行为、自我效能及血糖控制率的转变。结果干预后,城市和农村糖尿病患者13个糖尿病防治相关知识回答正确10个及以上的比例分别由0.68%和0%提高到32.88%和15.94%,干预前后差异有统计学意义（P均〈0.01）;合理控制饮食、每周监测血糖及每天检查足部的比例由5.8%~32.2%提高到30.4%~65.8%,干预前后差异有统计学意义（P均〈0.05）,身体活动处于维持和行动阶段的比例分别由干预前的23.7%和27.5%提高到67.8%和65.2%,干预前后差异有统计学意义（P均〈0.01）;自我效能得分平均提高0.85和0.60,干预前后差异有统计学意义（P〈0.01和P〈0.05）;血糖控制率由40.41%和36.23%显著提高到63.70%和56.52%,干预前后差异有统计学意义（P=0.003和0.017）。结论运用SOC模型进行糖尿病患者社区管理,患者糖尿病防治知识、行为、自我效能及血糖控制率均显著提高,城市地区干预效果优于农村地区。展开更多
文摘Aims: Second hand smoke (SHS) exposure is increasingly recognized as a major public health concern. Assessing adolescents’ motivational level to avoid SHS is vital to promote and reinforce reductions in SHS exposure. Methods: A brief measure based on the Stage of Change model was developed to characterize adolescents’ behavior related to reducing SHS exposure and used to identify potential determinants of SHS stage of change. The sample consisted of 1172 adolescents aged 13 to 15 years who participated in an internet-based cohort study of youth in British Columbia, Canada. Results: Sixty-six percent of the adolescents reported they had consistently made efforts to reduce exposure to SHS for more than 6 months, while 19% did not intend to reduce their exposure to SHS in the next 6 months. Adolescents’ SHS stage of change significantly differed by ethnicity, whether they had tried cigarettes, amount of tobacco smoked in their lifetime, parental and peer smoking statuses, past months’ exposure to SHS, frequent smoking in the home, and home smoking restrictions (all p < 0.05). Active smoking and more frequent exposure to SHS were associated with an increased probability of being in the pre-contemplation stage of change with regard to behavior related to reducing SHS exposure. Conclusion: This brief measure based on the Stage of Change model can be used in future studies to characterize adolescents’ behavior around SHS. Adolescents who smoke or have parents and/or friends who smoke appear to be a population that could benefit from stage-matched interventions designed to raise awareness of the risks associated with SHS for smokers and non-smokers, and ultimately reduce SHS exposure.
文摘根据心理测量原理和变化阶段理论,对英文量表Stage of Change(Continuous Measure)Scale进行了本土化的修订,编制为中文版量表。分别对上海和北京部分高校的300名和550名大学生进行第一版和第二版的测试,采用因素分析和相关分析等统计方法进行了信效度的分析。结果表明:中文版“大学生体育锻炼变化阶段(连续性测量)量表”具有较高的信效度,是测量大学生锻炼变化阶段的有效工具。
文摘目的探索行为阶段改变（stage of change,SOC）理论在糖尿病患者社区管理中的应用。方法 2012-09/2013-06,对重庆市沙坪坝区和九龙坡区城乡215名糖尿病患者进行社区管理,运用SOC理论对患者身体活动进行有针对性的干预,对比分析干预前后患者糖尿病防治知识、行为、自我效能及血糖控制率的转变。结果干预后,城市和农村糖尿病患者13个糖尿病防治相关知识回答正确10个及以上的比例分别由0.68%和0%提高到32.88%和15.94%,干预前后差异有统计学意义（P均〈0.01）;合理控制饮食、每周监测血糖及每天检查足部的比例由5.8%~32.2%提高到30.4%~65.8%,干预前后差异有统计学意义（P均〈0.05）,身体活动处于维持和行动阶段的比例分别由干预前的23.7%和27.5%提高到67.8%和65.2%,干预前后差异有统计学意义（P均〈0.01）;自我效能得分平均提高0.85和0.60,干预前后差异有统计学意义（P〈0.01和P〈0.05）;血糖控制率由40.41%和36.23%显著提高到63.70%和56.52%,干预前后差异有统计学意义（P=0.003和0.017）。结论运用SOC模型进行糖尿病患者社区管理,患者糖尿病防治知识、行为、自我效能及血糖控制率均显著提高,城市地区干预效果优于农村地区。
