The 130th Annual Meeting of APHA

3067.0: Monday, November 11, 2002 - 8:30 AM

Abstract #47986

Interaction Model of Client Health Behavior: Foundation for community-based intervention research

Lucy Marion, PhD, RN, FAAN, Public Health, Mental Health, and Administrative Nursing, University of Illinois College of Nursing, 845 S Damen, M/C 802, Chicago, IL 60612, 312 996 9354, lmarion@uic.edu and JoEllen Wilbur, PhD, RN, FAAN, College of Nursing, University of Illinois at Chicago, 845 S. Damen, Chicago, IL 60612.

The Interaction Model of Client Health Behavior is designed to integrate conceptual frameworks for health behavior change and health services delivery. For 2 decades, the IMCHB has guided individual nurse practitioner-client encounters to promote risk reduction behaviors and provided a heuristic for health professional students. The model also has framed numerous community-based exploratory and descriptive research projects in preparation for community-based risk reduction behavioral interventions. More recently investigators use the model to frame their behavioral and biobehavioral intervention studies. This presentation will describe this model that incorporates psychological and sociological theories, assumptions, and usual methods. The 3 elements-assessment, interaction intervention, and outcomes-are operationalized based on the behavior, the population, and the modality of interaction component. Published intervention studies using the IMCHB have focused on selected populations, including minorities, seniors, workers, and rural residents. These studies will be presented according to type of population, intervention, and the outcomes reported. Adaptations of the IMCHB have allowed for multimodal interventions and for individual and group interaction, and the presentation will include analysis of 2 revisions of the IMCHB for risk reduction in sexual behavior (care management) and cardiovascular risk reduction (women's walking program). A brief description of the evolution of the two models will include the utility of the model in framing 2 very different tailored bio behavioral interventions for vulnerable women in high-risk communities.

Learning Objectives:

Keywords: Behavioral Research, Vulnerable Populations

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

Research Foundations for Practice

The 130th Annual Meeting of APHA