Chapter 4: School-Based Research on Health Behavior Change: The Stanford Adolescent Heart Health Program as a Model for Cardiovascular Disease Risk Reduction

作者：Joel D. Killen, Thomas Nichols Robinson · 发表于：Review of Research in Education · 年份：1988 · DOI：10.3102/0091732x015001171 · 被引用次数：19 · 研究领域：Behavioral Health and Interventions、Smoking Behavior and Cessation、Substance Abuse Treatment and Outcomes

Schools provide an attractive setting for health behavior change instruction. The mandatory presence of students in schools offers an excellent opportunity for longitudinal research. School interventions are potentially cost-effective. Treatment programs can be integrated into the general educational curriculum so that large numbers of individuals may be influenced without heavy invest-ments of professional resources. Maintenance of behavior change may be enhanced because school-based programs allow greater environmental sup-port to foster and sustain behavior change. However, the transfer of health behavior change curricula from the laboratory or clinic to the school setting has proven to be a difficult task. A principal goal of this chapter is to discuss the conceptual framework, design, implementation, and evaluation of a suc-cessful school-based health behavior change intervention. We begin by presenting a conceptual model of the health behavior change process to illustrate linkages between behavior change theory and interven-tion practice. Next, we discuss program development, taking for our text our own school-based investigations with a multiple-factor cardiovascular disease risk reduction curriculum. We will summarize results of this work as an intro-duction to a discussion of design and evaluation problems of particular con-Research support for our development of the multiple factor intervention was provided by