Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, MD USA.
Transl Behav Med. 2011 Mar;1(1):93-102. doi: 10.1007/s13142-010-0008-9.
This paper focuses on the process for adapting existing legacy computerized tailored intervention (CTI) programs and implications for future development of CTI to ensure that interventions can be disseminated and implemented in different settings. A significant amount of work is required to adapt existing CTI for new research applications and public health interventions. Most new CTI are still developed from scratch, with minimal re-use of software or message content, even when there are considerable overlaps in functionality. This is largely a function of the substantial technical, organizational, and content-based barriers to adapting and disseminating CTI. CTI developers should thus consider dissemination and re-use early in the design phase of their systems. This is not intended to be a step-by-step guide on how to adopt or disseminate research-tested CTI, but rather a discussion that highlights issues to be considered for adapting and disseminating evidence-based CTI.
本文重点介绍了适应当前遗留的计算机化定制干预（CTI）程序的过程，以及为确保干预措施能够在不同环境中传播和实施而对未来 CTI 发展的影响。为了将现有 CTI 应用于新的研究和公共卫生干预措施，需要进行大量的工作。尽管在功能上存在相当大的重叠，但大多数新的 CTI 仍然是从头开始开发的，很少重新使用软件或消息内容。这在很大程度上是由于适应和传播 CTI 存在大量技术、组织和基于内容的障碍。因此，CTI 开发人员应该在系统设计阶段就考虑到传播和重用问题。这并不是一份关于如何采用或传播经过研究验证的 CTI 的分步指南，而是一次讨论，重点介绍了适应和传播基于证据的 CTI 时需要考虑的问题。
