Fassier J-B, Lamort-Bouché M, Sarnin P, Durif-Bruckert C, Péron J, Letrilliart L, Durand M-J
UMR T 9405, unité mixte de recherche épidémiologique et de surveillance transport travail environnement (UMRESTTE), université Claude-Bernard Lyon 1, 8, avenue Rockefeller, 69373 Lyon cedex 08, France; CAPRIT, campus Longueuil, université de Sherbrooke, 150, place Charles-Le Moyne, bureau 200, J4K 0A8 Longueuil, QC, Canada.
UMR T 9405, unité mixte de recherche épidémiologique et de surveillance transport travail environnement (UMRESTTE), université Claude-Bernard Lyon 1, 8, avenue Rockefeller, 69373 Lyon cedex 08, France; Département de médecine générale, université Claude-Bernard Lyon 1, 8, avenue Rockefeller, 69373 Lyon cedex 08, France.
Rev Epidemiol Sante Publique. 2016 Feb;64(1):33-44. doi: 10.1016/j.respe.2015.10.002. Epub 2015 Dec 30.
Health promotion programs are expected to improve population health and reduce social inequalities in health. However, their theoretical foundations are frequently ill-defined, and their implementation faces many obstacles. The aim of this article is to describe the intervention mapping protocol in health promotion programs planning, used recently in several countries.
The challenges of planning health promotion programs are presented, and the six steps of the intervention mapping protocol are described with an example. Based on a literature review, the use of this protocol, its requirements and potential limitations are discussed.
The intervention mapping protocol has four essential characteristics: an ecological perspective (person-environment), a participative approach, the use of theoretical models in human and social sciences and the use of scientific evidence. It comprises six steps: conduct a health needs assessment, define change objectives, select theory-based change techniques and practical applications, organize techniques and applications into an intervention program (logic model), plan for program adoption, implementation, and sustainability, and generate an evaluation plan. This protocol was used in different countries and domains such as obesity, tobacco, physical activity, cancer and occupational health. Although its utilization requires resources and a critical stance, this protocol was used to develop interventions which efficacy was demonstrated.
The intervention mapping protocol is an integrated process that fits the scientific and practical challenges of health promotion. It could be tested in France as it was used in other countries, in particular to reduce social inequalities in health.
健康促进项目旨在改善人群健康状况并减少健康方面的社会不平等现象。然而，其理论基础常常界定不清，实施过程也面临诸多障碍。本文旨在描述健康促进项目规划中最近在多个国家使用的干预映射方案。
介绍了规划健康促进项目的挑战，并通过一个例子描述了干预映射方案的六个步骤。基于文献综述，讨论了该方案的使用情况、要求及其潜在局限性。
干预映射方案有四个基本特征：生态视角（人-环境）、参与式方法、在人文和社会科学中使用理论模型以及使用科学证据。它包括六个步骤：进行健康需求评估、确定变革目标、选择基于理论的变革技术和实际应用、将技术和应用组织成一个干预项目（逻辑模型）、规划项目的采用、实施和可持续性，以及制定评估计划。该方案在不同国家和领域得到应用，如肥胖、烟草、体育活动、癌症和职业健康等。尽管其使用需要资源并秉持批判性立场，但该方案被用于开发已证明具有成效的干预措施。
干预映射方案是一个综合过程，适合健康促进的科学和实际挑战。它可以在法国进行测试，因为它在其他国家已被使用，特别是用于减少健康方面的社会不平等现象。
