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规划、实施和评估健康促进和行为改变干预措施的影响:健康心理学家的前进道路。

Planning for, implementing and assessing the impact of health promotion and behaviour change interventions: a way forward for health psychologists.

机构信息

a Applied Research Centre for Health & Lifestyle Interventions , Coventry University , Coventry CV1 5FB , UK.

出版信息

Health Psychol Rev. 2014;8(1):8-33. doi: 10.1080/17437199.2013.775629. Epub 2013 Mar 7.

DOI:10.1080/17437199.2013.775629
PMID:25053005
Abstract

Researchers in the field of health psychology have increasingly been involved in translating a body of knowledge about psychological factors associated with health-relevant behaviours, into the development and evaluation of interventions that seek to apply that knowledge. In this paper we argue that a changing economic and political climate, and the strong behavioural contribution to disease morbidity and mortality in developed nations, requires health psychologists to plan more rigorously for, and communicate more effectively, about how health promotion, social cognition and behaviour change interventions will have impact and be increasingly embedded into health services or health promotion activity. We explain academic and wider socio-economic uses of 'impact' in health services research. We describe the relationship between impact and dissemination, and impact as distinct from, but often used interchangeably with the terms 'implementation', 'knowledge transfer' and 'knowledge translation' (KT). The evidence for establishing impact is emergent. We therefore draw on a number of impact planning and KT frameworks, with reference to two self- management interventions, to describe a framework that we hope will support health psychologists in embedding impact planning and execution in research. We illustrate this further in an on-line annexe with reference to one of our own interventions, Mums-and-MS (see Supplemental Material).

摘要

健康心理学领域的研究人员越来越多地参与将与健康相关行为相关的心理因素知识体系,转化为旨在应用这些知识的干预措施的开发和评估中。在本文中,我们认为,不断变化的经济和政治环境,以及行为因素对发达国家疾病发病率和死亡率的巨大影响,要求健康心理学家更严谨地规划、更有效地沟通,以了解健康促进、社会认知和行为改变干预措施将如何产生影响,并越来越多地融入卫生服务或健康促进活动。我们解释了健康服务研究中“影响”的学术和更广泛的社会经济用途。我们描述了影响和传播之间的关系,以及影响与“实施”、“知识转移”和“知识转化”(KT)等术语的区别,但通常可互换使用。证明影响的证据尚在出现之中。因此,我们借鉴了一些影响规划和 KT 框架,并参考了两个自我管理干预措施,描述了一个框架,我们希望这个框架将支持健康心理学家将影响规划和执行纳入研究中。我们通过参考我们自己的一个干预措施 Mums-and-MS(请参见补充材料),进一步在线附录中说明了这一点。

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