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解码健康教育干预措施:时代在变。

Decoding health education interventions: the times are a-changin'.

机构信息

Work and Social Psychology, Maastricht University, The Netherlands.

出版信息

Psychol Health. 2009 Jan;24(1):5-9. doi: 10.1080/08870440903126348.

DOI:10.1080/08870440903126348
PMID:20186636
Abstract

The development of theory- and evidence-based health education interventions is a complex process in which interventionists in collaboration with priority groups and stakeholders make many decisions about objectives, change techniques, intervention materials and activities, delivery modes and implementation issues. In this development process, interventionists have to find a balance between employing change techniques that should be effective in an ideal world, and intervention activities and materials that match the reality of priority populations and intervention contexts. Intervention descriptions providing information about what behaviour change techniques have been employed, do not reflect the complexity of this decision-making process. They do not reveal why interventionists have decided to include or exclude particular behaviour change techniques. They do not reveal that interventions are based not only upon considerations of health psychologists and other scientists, but also on practical and political boundaries and opportunities that set the scene for the effectiveness of change techniques. Intervention descriptions should therefore reveal not only what is included in the interventions, but also why the intervention is as it is. Intervention Mapping provides the tools that enable the production of such descriptions.

摘要

理论和循证健康教育干预措施的制定是一个复杂的过程,在此过程中,干预人员与重点人群和利益相关者合作,对目标、改变技术、干预材料和活动、实施模式以及实施问题做出许多决策。在这个制定过程中,干预人员必须在采用那些在理想世界中应该有效的改变技术,与符合重点人群和干预环境实际情况的干预活动和材料之间找到平衡。干预描述提供了有关采用了哪些行为改变技术的信息,但并没有反映出这一决策过程的复杂性。它们没有揭示干预人员决定包括或排除特定行为改变技术的原因。它们没有表明干预措施不仅基于健康心理学家和其他科学家的考虑,还基于为改变技术的有效性设定背景的实际和政治界限和机会。因此,干预描述不仅应揭示干预措施中包含的内容,还应揭示干预措施之所以如此的原因。干预映射提供了生成此类描述的工具。

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