Schölmerich Vera L N, Kawachi Ichiro
Harvard School of Public Health, Boston, MA, USA University of Rotterdam, Rotterdam, Netherlands
Harvard School of Public Health, Boston, MA, USA.
Health Educ Behav. 2016 Feb;43(1):17-20. doi: 10.1177/1090198115605309.
Multilevel interventions are inspired by socio-ecological models, and seek to create change on various levels-for example by increasing the health literacy of individuals as well as modifying the social norms within a community. Despite becoming a buzzword in public health, actual multilevel interventions remain scarce. In this commentary, we explore the operational and empirical barriers to designing and implementing multilevel interventions, and argue that the current theoretical framework based on the socio-ecological model is insufficient to guide those seeking to design multilevel interventions. We consider two theories, namely, the complementarity principle theory and the risk compensation theory-to address the gap between theory and translation into practice.
多级干预受社会生态模型的启发，旨在在各个层面创造改变——例如，通过提高个人的健康素养以及改变社区内的社会规范。尽管多级干预已成为公共卫生领域的流行语，但实际的多级干预仍然很少。在这篇评论中，我们探讨了设计和实施多级干预的操作和实证障碍，并认为当前基于社会生态模型的理论框架不足以指导那些寻求设计多级干预的人。我们考虑两种理论，即互补性原理理论和风险补偿理论，以弥合理论与实践转化之间的差距。
