Зарубежные теоретические модели изменения поведения в сфере профилактики социально значимых заболеваний

Татьяна Валерьевна Красносельских; Алла Вадимовна Шаболтас

doi:10.21638/11701/spbu16.2017.305

Авторы

Татьяна Валерьевна Красносельских Первый Санкт-Петербургский государственный медицинский университет им. акад. И.П.Павлова, Российская Федерация, 197022, Санкт-Петербург, ул. Льва Толстого, 6–8
Алла Вадимовна Шаболтас Санкт-Петербургский государственный университет, Российская Федерация, 199034, Санкт-Петербург, Университетская наб., 7–9

DOI:

https://doi.org/10.21638/11701/spbu16.2017.305

Аннотация

Заражение социально значимыми заболеваниями, такими как инфекции, передаваемые половым путем, включая ВИЧ-инфекцию и гепатиты В и С, почти полностью детерминировано поведенческими факторами. Поэтому традиционный биомедицинский подход к профилактике указанных заболеваний целесообразно дополнить вмешательствами, направленными на коррекцию индивидуально-психологических и поведенческих аспектов рискованного поведения. Наибольшая эффективность профилактических вмешательств достигается в том случае, если они базируются на общепризнанных научных концепциях коррекции поведения. Целью нашей работы было рассмотрение основных зарубежных теоретических концептуальных моделей изменения поведения, которые наиболее широко используются в сфере общественного здравоохранения применительно к профилактике социально значимых инфекций. Представлены результаты анализа зарубежных публикаций, в которых описываются наиболее известные теоретические концепции коррекции поведения, связанного со здоровьем. Проведенный анализ литературы позволяет констатировать, что в настоящее время в мире разработано большое количество теоретических моделей, позволяющих с большой вероятностью объяснять, предсказывать и изменять поведение. Теоретическая концептуализация — неотъемлемый базис любого профилактического вмешательства, претендующего на эффективность. Большинство профилактических программ, направленных на снижение риска заражения ИППП и гемоконтактными инфекциями, которые в последние годы были проверены в рамках лонгитюдных клинических исследований и показали свою эффективность, базировались на рассмотренных авторами теориях.

Ключевые слова:

теоретические модели, профилактика социально значимых заболеваний, изменение поведения

Скачивания

Данные скачивания пока недоступны.

Библиографические ссылки

Литература

Gandelman A.A., Vogan S.A., Dolcini M.M. Assessing HIV prevention provider knowledge of behavior science theory: building on existing intuitive experience // Health Promotion Practice. 2005. Vol. 6, N 3. P. 299–307.

Grau L.E. et al. Cultural adaptation of an intervention to reduce sexual risk behaviors among patients attending a STI clinic in St. Petersburg, Russia // Prevention Science. 2013. Vol. 14, N 4. Р. 400–410.

Rhodes F., Wolitski R.J. Perceived effectiveness of fear appeals in AIDS education: relationship to ethnicity, gender, age, and group membership // AIDS Education and Prevention. 1990. Vol. 2, N 1. P. 1–11.

Rosenstock I.M. Why people use health services // Milbank Memorial Fund quarterly. 1966. Vol. 44, N 3. Р. 94–127.

Benotsch E.G. et al. A comparison of HIV/AIDS knowledge and attitudes of STD clinic clients in St. Petersburg, Russia and Milwaukee, Wi, USA // Journal Community Health. 2004. Vol. 29, N 6. P. 451–465.

Takács J. et al. «Condoms are reliable but I am not»: a qualitative analysis of AIDS-related beliefs and attitudes of young heterosexual adults in Budapest, Hungary, and St. Petersburg, Russia // Central European journal of public health. 2006. Vol. 14, N 2. P. 59–66.

Benotsch E.G. et al. Drug use and sexual risk behaviours among female Russian IDUs who exchange sex for money or drugs // International Journal of STD & AIDS. 2004. Vol. 15, N 5. P. 343–347.

Janz N., Becker H.M. The Health Belief Model: a decade later // Health Education Quarterly. 1984. Vol. 11, N 1. P. 1–47.

Ajzen I. Attitudes, personality, and behavior. Chicago, IL: Dorsey Press, 1988. 175 p.

Jannis I.L., Mann L. Decision making: A psychological analysis of conflict, choice and commitment. New York: The Free Press, 1977. 512 р.

Bandura A.Social foundations of thought and action: a social cognitive theory. Englewood Cliffs, NJ: Prentice-Hall, 1986. 617 p.

Bandura A. Social learning theory. Englewood Cliffs, NJ: Prentice Hall, 1977. 247 p.

Bandura A. Self-efficacy: toward a unifying theory of behavioral change // Psychology Review. 1977. Vol. 84, N 2. P. 191–215.

Meichenbaum D.Н. Examination of model characteristics in reducing avoidance behavior // Journal of Personality and Social Psychology. 1971. Vol. 17, N 3. P. 298–307.

Bandura A. Self-efficacy mechanism in human agency // Am Psychology. 1982. Vol. 37, N 2. Р. 122– 147.

Bandura A. The explanatory and predictive scope of self-efficacy theory // Journal Social Clinic Psychology. 1986. Vol. 4, N 3. Р. 359–373.

Prochaska J.O., DiClemente C.C. Toward a comprehensive model of change // Treating addictive behaviors: process of change / eds W.R.Miller, N.Heather. New York: Plenum Press, 1986. P. 3–27.

Прохоров А.В., Величер У.Ф., Прочаска Дж.О. Транстеоретическая модель изменения поведения и ее применение // Вопросы психологии. 1994. № 2. С. 113–123.

Velicer W.F., Prochaska J.O., Rossi J. S., Snow M.G. Assessing outcome in smoking cessation studies // Psychology Bulletin. 1992. Vol. 111, N 1. P. 23–41.

DiClemente C.C. et al. The process of smoking cessation: an analysis of precontemplation, contemplation and preparation stages of change // Journal of Consulting and Clinical Psychology. 1991. Vol. 59, N 2. P. 295–304.

Prochaska J.O., DiClemente C.C. Processes and stages of change in smoking, weight control, and psychological distress // Coping and substance abuse / eds S. Schiffman, T.Wills. New York: Academic Press, 1985. P. 319–345.

Fisher J.D., Fisher W.A. Changing AIDS risk behavior // Psychology Bulletin. 1992. Vol. 111, N 3. Р. 455–474.

Lazarus J.V. et al. Systematic review of interventions to prevent the spread of sexually transmitted infections, including HIV, among young people in Europe // Croatian Medical Journal. 2010. Vol. 51, N 1. P. 74–84.

Miller W.R. Motivational interviewing with problem drinkers // Behavioral Psychotherapy. 1983. Vol. 11, N 2. Р. 147–172.

Miller W.R., Rollnick S. Motivational interviewing: preparing people to change addictive behavior. 2nd ed. New York: The Guilford Press, 2002. 428 p.

Мотивационное интервьюирование лиц, употребляющих инъекционные наркотики: Метод. рекомендации для социальных работников программ профилактики ВИЧ/СПИД. Киев: Изд-во СПИД Фонда «Восток — Запад», 2004. 108 с.

Kelly J.A., St Lawrence J. S., Hood H.V., Brasfield T.L. Behavioral intervention to reduce AIDS risk activities // Journal of Consulting and Clinical Psychology. 1989. Vol. 57, N 1. Р. 60–67.

Kelly J.A. et al. The effects of HIV/AIDS intervention groups for high-risk women in urban clinics // American Journal of Public Health. 1994. Vol. 84, N 12. Р. 1918–1922.

Kelly J.A. et al. A skills-training group intervention model to assist persons in reducing risk behaviors for HIV infection // AIDS Education Preview. 1990. Vol. 2, N 1. Р. 24–35.

Abdala N. et al. Efficacy of a brief HIV prevention counseling intervention among STI clinic patients in Russia: a randomized controlled trial // AIDS and Behavior. 2013. Vol. 17, N 3. Р. 1016–1024.

Критерии программ «равный — равному» по профилактике ВИЧ-инфекции и продвижению идеи здорового образа жизни среди молодежи в Российской Федерации: Руководство для практиков. М.: Изд-во «Y-PEER», 2006. 113 с.

Тренинг для тренеров: Практическое руководство. М.: Изд-во «Y-PEER», 2006. 203 с.

Просвещение по методу «равный — равному» и ВИЧ/СПИД: концепции, применение и проблемы. Женева: Изд-во ЮНЭЙДС, 2007. 40 с.

Rogers E.M. Diffusion of innovations. New York: Free Press, 2003. 512 p.

Winett R.A. et al. Enhancing social diffusion theory as a basis for prevention intervention: a conceptual and strategic framework // Appliend and Preventive Psychology. 1995. Vol. 4, N 4. Р. 233–245.

Kelly J.A. Changing HIV Risk behavior: practical strategies. New York: The Guilford Press, 1995. 159 p.

Kelly J.A., Kalichman S.C. Increased attention to human sexuality can improve HIV/AIDS prevention efforts: key research issues and directions // Journal of Consulting ang Clinical Psychology. 1995. Vol. 63, N 6. P. 907–918.

Kelly J.A. Popular opinion leaders and HIV prevention peer education: resolving discrepant findings, and implications for the development of effective community programmes // AIDS Care. 2004. Vol. 16, N 2. Р. 139–150.

Ngugi E.N. et al. Focused peer mediated educational programs among female sex workers to reduce sexually transmitted disease and human immunodeficiency virus transmission in Kenya and Zimbabwe // Journal of Infectious Diseases. 1996. Vol. 174, Suppl 2. P. 240–247.

Results of the NIMH collaborative HIV/sexually transmitted disease prevention trial of a community popular opinion leader intervention / NIMH Collaborative HIV/STD Prevention Trial Group // Journal of Acquired Immune Deficiency Syndromes. 2010. Vol. 54, N 2. P. 204–214.

Цветкова Л.А.и др. Теоретические модели формирования, контроля и коррекции наркопотребления. СПб.: Изд-во ГУ, 2006. 248 с.

References

Gandelman A.A., Vogan S.A., Dolcini M.M. Assessing HIV prevention provider knowledge of behavior science theory: building on existing intuitive experience. Health Promotion Practice, 2005, vol. 6, no. 3, pp. 299–307.

Grau L.E. et al. Cultural adaptation of an intervention to reduce sexual risk behaviors among patients attending a STI clinic in St. Petersburg, Russia. Prevention Science, 2013, vol. 14, no. 4, pp. 400–410.

Rhodes F., Wolitski R.J. Perceived effectiveness of fear appeals in AIDS education: relationship to ethnicity, gender, age, and group membership. AIDS Education and Prevention, 1990, vol. 2, no. 1, pp. 1–11.

Rosenstock I.M. Why people use health services. Milbank Memorial Fund Quarterly, 1966, vol. 44, no. 3, pp. 94–127.

Benotsch E.G. et al. A comparison of HIV/AIDS knowledge and attitudes of STD clinic clients in St. Petersburg, Russia and Milwaukee, Wi, USA. Journal Community Health, 2004, vol. 29, no. 6, pp. 451–465.

Takács J. et al. «Condoms are reliable but I am not»: a qualitative analysis of AIDS-related beliefs and attitudes of young heterosexual adults in Budapest, Hungary, and St. Petersburg, Russia. Central European journal of public health, 2006, vol. 14, no. 2, pp. 59–66.

Benotsch E.G. et al. Drug use and sexual risk behaviours among female Russian IDUs who exchange sex for money or drugs. International Journal of STD & AIDS, 2004, vol. 15, no. 5, pp. 343–347.

Janz N., Becker H.M. The Health Belief Model: a decade later. Health Education Quarterly, 1984, vol. 11, no. 1, pp. 1–47.

Ajzen I. Attitudes, personality, and behavior. Chicago, IL: Dorsey Press, 1988. 175 p.

Jannis I.L., Mann L. Decision making: A psychological analysis of conflict, choice and commitment. New York, The Free Press, 1977. 512 р.

Bandura A. Social foundations of thought and action: a social cognitive theory. Englewood Cliffs, NJ, Prentice-Hall, 1986. 617 p.

Bandura A. Social learning theory. Englewood Cliffs, NJ, Prentice Hall, 1977. 247 p.

Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychology Review, 1977, vol. 84, no. 2, pp. 191–215.

Meichenbaum D.Н. Examination of model characteristics in reducing avoidance behavior. Journal of Personality and Social Psychology, 1971, vol. 17, no. 3, pp. 298–307.

Bandura A. Self-efficacy mechanism in human agency. Am Psychology, 1982, vol. 37, no. 2, pp. 122– 147.

Bandura A. The explanatory and predictive scope of self-efficacy theory. Journal Social Clinic Psychology, 1986, vol. 4, no. 3, pp. 359–373.

Prochaska J.O., DiClemente C.C. Toward a comprehensive model of change. Treating addictive behaviors: process of change. Eds W.R.Miller, N.Heather. New York, Plenum Press, 1986, pp. 3–27.

Prokhorov A.V., Velicher U.F., Prochaska Dzh.O. Transteoreticheskaia model’ izmeneniia povedeniia i ee primenenie [Transteoretic model of behavior change and its application]. Voprosy psikhologii [ Questions of Psychology], 1994, no. 2, pp. 113–123. (In Russian)

Velicer W.F., Prochaska J.O., Rossi J. S., Snow M.G.Assessing outcome in smoking cessation studies. Psychology Bulletin, 1992, vol. 111, no. 1, pp. 23–41.

DiClemente C.C. et al. The process of smoking cessation: an analysis of precontemplation, contemplation and preparation stages of change. Journal of Consulting and Clinical Psychology, 1991, vol. 59, no. 2, pp. 295–304.

Prochaska J.O., DiClemente C.C.Processes and stages of change in smoking, weight control, and psychological distress. Coping and substance abuse. Eds S. Schiffman, T.Wills. New York: Academic Press, 1985, pp. 319–345.

Fisher J.D., Fisher W.A. Changing AIDS risk behavior. Psychology Bulletin, 1992, vol. 111, no. 3, pp. 455–474.

Lazarus J.V. et al. Systematic review of interventions to prevent the spread of sexually transmitted infections, including HIV, among young people in Europe. Croatian Medical Journal, 2010, vol. 51, no. 1, pp. 74–84.

Miller W.R. Motivational interviewing with problem drinkers. Behavioral Psychotherapy, 1983, vol. 11, no. 2, pp. 147–172.

Miller W.R., Rollnick S. Motivational interviewing: preparing people to change addictive behavior. 2nd ed. New York, The Guilford Press, 2002. 428 p.

Motivatsionnoe interv’iuirovanie lits, upotrebliaiushchikh in”ektsionnye narkotiki: Metod. rekomendatsii dlia sotsial’nykh rabotnikov programm profilaktiki VICh/SPID [ Motivational interviewing of people who use injecting drugs: guidelines for social workers in HIV/AIDS prevention programs]. Kiev, AIDS Publishing House of the East-West Foundation, 2004. 108 p. (In Russian)

Kelly J.A., St Lawrence J. S., Hood H.V., Brasfield T.L. Behavioral intervention to reduce AIDS risk activities. Journal of Consulting and Clinical Psychology, 1989, vol. 57, no. 1, pp. 60–67.

Kelly J.A. et al. The effects of HIV/AIDS intervention groups for high-risk women in urban clinics. American Journal of Public Health, 1994, vol. 84, no. 12, pp. 1918–1922.

Kelly J.A. et al. A skills-training group intervention model to assist persons in reducing risk behaviors for HIV infection. AIDS Education Preview, 1990, vol. 2, no. 1, pp. 24–35.

Abdala N. et al. Efficacy of a brief HIV prevention counseling intervention among STI clinic patients in Russia: a randomized controlled trial. AIDS and Behavior, 2013, vol. 17, no. 3, pp. 1016–1024.

Kriterii programm «ravnyi — ravnomu» po profilaktike VICh-infektsii i prodvizheniiu idei zdorovogo obraza zhizni sredi molodezhi v Rossiiskoi Federatsii: Rukovodstvo dlia praktikov [ Criteria for peer education programs for HIV prevention and promotion of healthy lifestyles among young people in the Russian Federation: a guide for practitioners]. Moscow, Y-PEER Publ., 2006. 113 p. (In Russian)

Trening dlia trenerov: Prakticheskoe rukovodstvo [Training for trainers: a practical guide]. Moscow, Y-PEER Publ., 2006. 203 p. (In Russian)

Prosveshchenie po metodu «ravnyi — ravnomu» i VICh/SPID: kontseptsii, primenenie i problemy [Peer education and HIV/AIDS: concepts, applications and challenges]. Zheneva, UNAIDS Publ., 2007. 40 p. (In Russian)

Rogers E.M. Diffusion of innovations. New York, Free Press, 2003. 512 p. 35. Winett R.A. et al. Enhancing social diffusion theory as a basis for prevention intervention: a conceptual and strategic framework. Applied and Preventive Psychology, 1995, vol. 4, no. 4, pp. 233– 245.

Kelly J.A. Changing HIV Risk behavior: practical strategies. New York, The Guilford Press, 1995. 159 p.

Kelly J.A., Kalichman S.C. Increased attention to human sexuality can improve HIV/AIDS prevention efforts: key research issues and directions. Journal of Consulting ang Clinical Psychology, 1995, vol. 63, no. 6, pp. 907–918.

Kelly J.A. Popular opinion leaders and HIV prevention peer education: resolving discrepant findings, and implications for the development of effective community programmes. AIDS Care, 2004, vol. 16, no. 2, pp. 139–150.

Ngugi E.N. et al. Focused peer mediated educational programs among female sex workers to reduce sexually transmitted disease and human immunodeficiency virus transmission in Kenya and Zimbabwe. Journal of Infectious Diseases, 1996, vol. 174, Suppl 2, pp. 240–247.

Results of the NIMH collaborative HIV/sexually transmitted disease prevention trial of a community popular opinion leader intervention / NIMH Collaborative HIV/STD Prevention Trial Group. Journal of Acquired Immune Deficiency Syndromes, 2010, vol. 54, no. 2, pp. 204–214.

Tsvetkova L.A. and others. Teoreticheskie modeli formirovaniia, kontrolia i korrektsii narkopotrebleniia [ Theoretical models for the formation, control and correction of drug use]. St. Petersburg, St. Petersburg University Press, 2006. 248 p. (In Russian)