 to achieve the specific behavior changes and how t11ese can be carried out). The third component consisting of implementation or practice sessions centered on providing the families guided experiences or opportuniti es to carry out or practice the competencies/ skills lean1ed. The last component focused on evaluatio-n activities which developed the faro. Hies' capabilitie s to specify "What happencdr, "What were missing?" and, "'What to do ne"'t?" Research findings showed that these four components of ilie motivation-support intervention significantly improved the fam}lies' competencies on early casefinding, prom pl/appropriate treatment, use of self-protection measures and environm ental manipulation to eliminate the breeding and resting sites of the mosquito-vector of malaria. Fleury's model of wellness motivation was adapted using the motivation-support intervention. Families were guided thru the behavior change process: from constructing the intention to initiate/sus tain the change to translating the intention into actions, and lastly to integrate the actions/change into exjsting lifestyle. Appendix E specifies the nursing interventions to facilitate the families' movement through each stage. Chapter 18 describes in detail the family empowerment process and outcomes based on an intervention research on malatia cont Tol done in Danglas, Abra Pi:ovince from 1997 to 1999. Criteria for Selecting the Type of Nurse-Family Contact Effectivity, efficiency, and appropriateness are major criteria for selecting the type of family-nurse contact. While the home visit is expensive in terms of time, effort, and logistics for the nurse, il is an effective and appropriate type of family-nurse contact if the objectives and outcomes of care require accurate appraisal of family relationships, home and environment, and family competencies (i. e. ilie best opportunity to obse. rve actual care given by family member s). The clinic or office conference is less expensive for the nurse and provides the opportuuity to use equipment that cannot be taken to the home. In some cases, the other team members in the clinic may be consulted or called upon to provide additional service. The clinic or office conference also emphasizes to the family the importance of empowerment and asswning responsibility for self-help. The telephone conference may be effective, efncient and appropriate if the objectives and outcome s of care require immediate access to data, given problems on distance or travel time. Sttch data include monitoring of health status or progress during the acute phase of an illness state, change i. n schedule of visitor family decision, and updates on outcomes or response s to care or treatment. The written communication is another less ti. me-consuming option for the nurse in instances when there are many priority families needing follow-up on top of problems of distance and travel time. If the family is motivated and independent enough such that the nurse can use the advantage of placing responsibility for action on the family, sending a letter, note (as reminder, follow-up on medica. tion/treatment or update on progress or referral) and learning materials are appropriate, effective and efficient options. A school visit or conference provides an opportunity to work with the family and school authorities on how to determine the degree of vulnerability of and work out interventions to help children and adolescents on specific health risks, hawr<ls or adjustment problems. An industrial plant or job site visit is done when the nurse and the family need to make an accurate assessment of health risks or hazards, and work with employer or supervisor on what can be done to improve on provisions for health and safety of workers. 91 l 