This review of the current status of theoretically based behavioral research for chronic illness management makes the following points: (a) Behavioral interventions have demonstrated effectiveness for improving health outcomes using biomedical indicators, (b) current interventions are too costly and time consuming to be used in clinical and community settings, (c) translation of the conceptual models generated from studies of the problem-solving processes underlying self-management and the relationship of these processes to the self system and cultural and institutional contexts suggest new avenues for developing effective and efficient cognitive-behavioral interventions, and (d) it is proposed that integration of the conceptual developments in self-management with new approaches to the design of clinical trials can generate tailored, behavioral interventions that will improve quality of care.

中文翻译：

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健康心理学：寻找行为与健康之间的途径。

本文对基于理论的慢性病管理行为研究的现状进行了回顾，提出了以下几点：（a）行为干预已显示出使用生物医学指标改善健康结果的有效性，（b）当前干预过于昂贵且耗时，无法使用在临床和社区环境中，（c）对基于自我管理的问题解决过程的研究以及这些过程与自我系统，文化和制度背景之间的关系的研究所产生的概念模型的翻译，为发展有效和高效的方法提供了新途径。认知行为干预，以及（d）建议将自我管理中的概念发展与临床试验设计的新方法相结合，可以产生量身定制的，可以改善护理质量的行为干预。