KSAB Health behavioral Modification Model

The vicious circle of population in Thailand that I studied in community medicine when I was a medical student were ignorance, poverty, illness. It still be now, and I think It's the same this vicious cycle in many Developing countries.

           When I was a medical student in Chiangmai Unoversity, I studied about the vicious circle of Thai population, ignorance, poverty, illness. I think it still be the same today.

           MOPH try to solve illness problems of population. Most of health expenditure was used in curative care, and low outcomes of prevention & promotion. The Universal coverage program make Thai population having high accessibility in public health services, but they loss autonomy. They are more dependent in heath services than self-care.

           To solve this problem is to make them high literacy, especially in health literacy. The "KAP" has implemented to make the population's health literacy. KAP is come from Knowledge, Attitide and Practice.

            I suppose a new model to increase health literacy that will modify health behavior of population,it's called "KSAB" model. I have adapted it from KAP.

            When I learn in knowledge management, and apply it in Bantak hospital. Knowledge is divied in 2 categories by Nonaka & Tacheuchi into Tacit knowledge and Explicit knowledge. And Snowden clarifies them into 5 types by the ASHEN model; Artefact, Skill, Heuristic, Experience and National talent, so I think it very clear to understand tem.

            From KAP model, Knowledge is included both explicit & tacit knowledge, but almost health personels focus on explicit knowledge in traing population. It makes them to know "what is it", but usually don't know "how to practice it". And I think "Practice" does'nt mean to chanf health behavior of population.

            KSAB model has 4 elements as following;

K = Knowledge : Know what it is, reflex to explicit knowledge

S = Skill : Know how to do it, reflex to tacit knowledge that make 

       people knowing how to do for their good health.

A = Attitude : to make them commiting to change their health

       behavior.

B = Behavior : to behave themselves along to knowledge & skill

       for good health.

        This KSAB model will help us to evaluate health behavioral modification that the evaluation should cover all of knowledge, skill, attitude and behavior.

 

Phichet Banyati

November 13, 2007.

Antwerp, Belgium