utilized by the nursc-1·esea Tchcr-p:irtnc:r working with lhe 69 fomilics lo !?,Cneratc empirical data and unravel the depth of the issues, 14ars and fomily copin~ ~ml adaptation which sustninec J the diseasl! in the village for many ycnrs. The participatory approach,vas utilized lo explore with the local lc;,ders and the fomilics opportun ities to unleasl1 the empowering potcmi;1I of partners i11 ln:alth dc:vd(lpmcnt nl all len:ls: the national, regional, provincial, municipal and the villngc {ln,rnnga y) levels. The hub of the empowerm ent pcrspcdive is the work group composed of families in the village in parlncn ;hip witlt the local lc:n Ul!r S oncl the rural Jw;,lth unit tl'. tm. Thrqu~h motivation-support,ind expcricntfal lcan1ini. ; strategics, the rcsc11rch partni. :rs helped each other un(lerstand the process of l>eh~Jviur c. :lwnge from the rculity of status quo to human responses rel a led with 'moving beyond whal is" to where the family-community partners 'can be'. Fleury':,; stages of herilth behavior change dnsc:ribc human re.-;ponse on initiation.. me. I rnainlc11ance uf ru::w and positive henlth patterns (1991; 1995). Fleury·s theory w. is ad;,1 p1. cd in I he dc:sign, i rnplemcntation unc J cva luation of the fornily empowe rment experience s on malaria prcvenl irm ;ind c;ontrol in Jfarnngay Danglas, Danglas Munieipali L y, Abra Provincf! (Sec lllustr;:ition 18. 2). Using motivntion­ support interventions, the fornilics were gui Je<l thn;ugh the behavior change process from constructing the intention to initiate and sustain lhe change on lo translating the intention 10 action ancl, finally, integrating the action/s or change in Lo existing life style. FACILITATING BEHAVIOR CHANGE THRU MOTIVATION­ SUPPORT INTERVENTIONS Motivation-support interventions enhance, maintain or increase the client­ partners' c. lesfre lo initiule unc. l ::;ustain decisions and actions to complete the hehavior change process. The interventions include experiences that enhance client-partners· competence to understand the relatinnship of the purpose of the action t(, clients' goals, motives or ac;pirations ; ability to meet needs for self-esteem/sense of control competence/self-efficacy and autonomy or relatedness; skills to carry out the action or behavior that lead to efficient goal attainment; journey through the prncess of owning and affirmin g conunitment to sust. iin behavior change; and, desire to create a social network and lay supportive and outreach mechani sms and resources to facilitate availability and accessibi Jity of human can:! senrices (M,1glaya, 1988). ln order to create the intention to initiate and sustain the behavior change in stage 1, motjvation-support options are used to systematically work with families/clien t­ partners as they journey through their human response ex-periences to understand the meanjng or value of the behavior change needed and feel a sense of control to overcome/ manage barriers to change and assume o,vnership over the responsibility for the desired change. Using participatory approach, the nurse-catalyst and family/ community-partners can go through e>.."I)eriential learning processes wilh structured learning exercises as the· 'tribal story'. Client-partners share experiences on the realities of sense of aloneness, helplessness and self-pity in the face of inaccessibility and unavailability of health services or resources to cope v. ith endemic diseases amidst poverty and ignorance of options. Through the 'look and think· participatory approach, nurse and fam_ilies analyze specific pt'oblem/s in terms of nah1re. causes and consequences such as the epidemiology of malaria and the life cyde/bionomics of the mosquito-vector, in order to enhance a sense of control over the situation and ha\'e the ability to handle the disease. The 'action' phase covers additional skills development on / enhancement on early case finding, prompt and appropriate management and prevention and conlrol measures. Through stages 2 and 3. families/ communit y partners go through planning activities (to create tbe ·mind-set" that leads to efficient goal attainment), practice. feedback, and evaluation sessions oo c. ase detection, disease 435 