El Modelo Procesual de Acción en Salud como un marco de referencia teórico para entender el cambio de conducta
DOI:
https://doi.org/10.15517/ap.v30i121.23458Palabras clave:
autoeficacia, planeamiento, control de la acción, auto-monitoreoResumen
Se presenta un marco de referencia para explicar, predecir, y modificar conductas de salud el cual consiste en varios constructos psicológicos y un mecanismo de mediación. La percepción de riesgo, las expectativas de resultado, la autoeficacia, la intención, y el control de acción constituyen los bloques de construcción para un modelo de mediación que está basado en dos procesos: el establecimiento de metas y la consecución de metas. Cuando se trata del desarrollo de intervenciones para modificar conductas, uno puede apuntar hacia la fase inicial de motivación, o bien, hacia la fase volitiva subsecuente. Este es un marco de referencia abierto, que permite varios diseños de investigación y un subconjunto de constructos. Se han realizado cientos de estudios basados en este modelo, de los cuales se escoge, como ilustración, tres estudios correlacionales y dos estudios de intervención, que abordan actividad física en Alemania y Costa Rica, higiene dental en India y Polonia, y uso de mascarillas contra el polvo en China. Estos difieren en términos de predictores que emergen como predictores más relevantes para el cambio de conductas.
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Abraham, C., & Sheeran, P. (2000). Understanding and changing health behaviour: From health beliefs to self-regulation. In P. Norman, C. Abraham, & M. Conner (Eds.), Understanding and changing health behaviour (pp. 3-24). Amsterdam: Harwood.
Bandura, A. (1997). Self-efficacy: The exercise of control. New York: Freeman.
Borland, R. (2014). Understanding Hard to Maintain Behaviour Change: A Dual Process Approach. Chichester: Wiley.
Carraro, N., & Gaudreau, P. (2013). Spontaneous and experimentally induced action planning and coping planning for physical activity: A meta-analysis. Psychology of Sport and Exercise, 14(2), 228-248. doi: 10.1016/j.psychsport.2012.10.004
Craciun, C., Schüz, N., Lippke, S., & Schwarzer, R. (2012). A mediator model of sunscreen use: A longitudinal analysis of social-cognitive predictors and mediators. International Journal of Behavioral Medicine, 19(1), 65-72. doi: 10.1007/s12529-011- 9153-x
Fishbein, M., & Ajzen, I. (1975). Belief, attitude, intention, and behavior: An introduction to theory and research. Reading, MA: Addison-Wesley.
Godin, G., & Kok, G. (1996). The theory of planned behavior: A review of its applications to health-related behaviors. American Journal of Health Promotion, 11(2), 87-97.
Hagger, M. S., & Luszczynska, A. (2014). Implementation intention and action planning interventions in health contexts: State of the research and proposals for the way forward. Applied Psychology: Health and Well-Being, 6(1), 1-47. doi: 10.1111/aphw.12017
Kwasnicka, D., Presseau, J., White, M., & Sniehotta, F. F. (2013). Does planning how to cope with anticipated barriers facilitate health-related behaviour change? A systematic review. Health Psychology Review, 7(2), 129-145. doi: 10.1080/17437199.2013.766832
Lhakhang, P., Hamilton, K., Sud, N., Sud, S., Kroon, J., Knoll, N., & Schwarzer, R. (2016). Combining Self-management Cues with Incentives to Promote Interdental Cleaning among Indian Periodontal Disease Outpatients. BMC Oral Health. doi: 10.1186/s12903-016-0164-5
Luszczynska, A., & Schwarzer, R. (2003). Planning and self-efficacy in the adoption and maintenance of breast self-examination: A longitudinal study on self-regulatory cognitions. Psychology and Health, 18(1), 93-108. doi: 10.1080/0887044021000019358
Parschau, L., Barz, M., Richert, J., Knoll, N., Lippke, S., & Schwarzer, R. (2014). Physical Activity among Adults with Obesity: Testing the Health Action Process Approach. Rehabilitation Psychology, 59(1), 42-49. doi: 10.1037/a0035290
Renner, B., & Schupp, H. (2011). The perception of health risks. In H. Friedman (Ed.). The Oxford handbook of health psychology (pp. 639–666). New York: Oxford University Press.
Reyes Fernández, B., Fleig, L., Godinho, C. A., Montenegro-Montenegro, E., Knoll, N., & Schwarzer, R. (2015). Action control bridges the planning-behavior gap: A longitudinal study on physical exercise in young adults. Psychology & Health, 30(8), 911 - 923 . DOI: 10.1080/08870446.2015.1006222
Scholz, U., Schüz, B., Ziegelmann, J.P., Lippke, S., & Schwarzer, R. (2008). Beyond behavioural intentions: planning mediates between intentions and physical activity. British Journal of Health Psychology 13(3),479-494. http://dx.doi.org/10.1348/135910707X216062
Scholz, U., Sniehotta, F. F., & Schwarzer, R. (2005). Predicting physical exercise in cardiac rehabilitation: The role of phase-specific self-efficacy beliefs. Journal of Sport and Exercise Psychology, 27(2), 135-151.
Schwarzer, R. (1992). Self-efficacy in the adoption and maintenance of health behaviors: Theoretical approaches and a new model. In R. Schwarzer (Ed.), Self-efficacy: Thought control of action (pp. 217-243). Washington, DC: Hemisphere.
Schwarzer, R. (2008). Modeling health behavior change: How to predict and modify the adoption and maintenance of health behaviors. Applied Psychology: An International Review, 57(1), 1-29. doi: 10.1111/j.1464-0597.2007.00325.x
Schwarzer, R. (2015). Health self-regulation, motivational and volitional aspects of. In J. D. Wright (Editor-in-chief), International encyclopedia of the social & behavioral sciences (2nd ed., Vol. 10., pp. 710–715). Oxford: Elsevier.
Schwarzer, R. (2016). Coping planning as an intervention component: A commentary. Psychology & health, 1-4.
Schwarzer, R., Antoniuk, A., & Gholami, M. (2015). A brief intervention changing oral self-care, self-efficacy, and self-monitoring. British Journal of Health Psychology, 20(1), 56–67. doi: 10.1111/ bjhp.12091
Schwarzer, R., & Luszczynska, A. (2015). Health Action Process Approach. In M. Conner, & P. Norman (Eds.), Predicting health behaviours (pp.252-278). 3rd edition. Maidenhead, UK: McGraw Hill Open University Press.
Schwarzer, R., & Renner, B. (2000). Social-cognitive predictors of health behavior: Action self-efficacy and coping self-efficacy. Health Psychology, 19, 487-495.
Sniehotta, F. F., Nagy, G., Scholz, U., & Schwarzer, R. (2006). The role of action control in implementing intentions during the first weeks of behaviour change. British Journal of Social Psychology, 45(1), 87-106.
Sniehotta, F. F., Schwarzer, R., Scholz, U., & Schüz, B. (2005). Action planning and coping planning for long-term lifestyle change: Theory and assessment. European Journal of Social Psychology, 35(4), 565- 576. doi: 10.1002/ejsp.258
Zhou, G., Gan, Y., Ke, Q., Knoll, N., Lonsdale, C., & Schwarzer, R. (2016). Avoiding exposure to air pollution by using filtering facemask respirators: An application of the Health Action Process Approach. Health Psychology, 35(2), 141-147. doi: 10.1037/ hea0000264
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Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-SinDerivadas 4.0.
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