Centre for Outcomes Research and Effectiveness, University College London, UK.
Health Psychol. 2010 Jan;29(1):1-8. doi: 10.1037/a0016939.
OBJECTIVE: Interventions are increasingly described as theory-based; however, the basis for this is often not clear. Advancing behavioral science requires a good understanding of how interventions are informed by, and test, theory. This study aims to develop a reliable method for assessing the extent to which behavioral interventions are theory-based. DESIGN: The reliability, usability, and comprehensiveness of an initial coding scheme were improved in 13 iterative stages on the basis of its application to 29 papers, from a systematic review of interventions to promote physical activity and healthy eating. RESULTS: The final Theory Coding Scheme contained 19 items, each with satisfactory interrater reliabilities, coding whether a theory or model was mentioned, how theories were used in intervention design, how intervention evaluations tested theory, and the implications of the results for future theory development. CONCLUSION: The Theory Coding Scheme is an important methodological innovation, providing a research tool to reliably describe the theoretical base of interventions, inform evidence syntheses within literature reviews and meta-analyses, and stimulate the use of empirical data for theory development.
目的:干预措施越来越多地被描述为基于理论的;然而,其基础通常并不明确。推进行为科学需要很好地理解干预措施是如何受到理论的启发并对其进行检验的。本研究旨在开发一种可靠的方法来评估行为干预措施在多大程度上基于理论。
设计:根据对促进身体活动和健康饮食的干预措施进行系统评价的 29 篇论文的应用,通过 13 个迭代阶段,对初始编码方案的可靠性、可用性和全面性进行了改进。
结果:最终的理论编码方案包含 19 个项目,每个项目的评分者间信度都令人满意,编码是否提到了理论或模型,理论在干预设计中的使用方式,干预评估对理论的检验,以及结果对未来理论发展的意义。
结论:理论编码方案是一项重要的方法学创新,为可靠描述干预措施的理论基础提供了研究工具,为文献综述和荟萃分析中的证据综合提供了信息,并促进了对理论发展的实证数据的使用。
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