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一种基于理论的干预措施开发方法以改变患者行为:来自儿科二级护理的药物依从性实例

A Theory-Based Approach for Developing Interventions to Change Patient Behaviours: A Medication Adherence Example from Paediatric Secondary Care.

作者信息

Heath Gemma, Cooke Richard, Cameron Elaine

机构信息

Department of Psychology, School of Life and Health Sciences, Aston University, Birmingham B4 7ET, UK.

Manchester Centre for Health Psychology, University of Manchester, Coupland 1 Building, Coupland Street, Manchester M13 9PL, UK.

出版信息

Healthcare (Basel). 2015 Dec 4;3(4):1228-42. doi: 10.3390/healthcare3041228.

DOI:10.3390/healthcare3041228
PMID:27417822
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4934641/
Abstract

In this article we introduce a Health Psychology approach to changing patient behaviour, in order to demonstrate the value of Health Psychology professional practice as applied within healthcare settings. Health Psychologists are experts in understanding, predicting and changing health-related behaviours at the individual, group and population level. They combine psychological theory, research evidence and service-user views to design interventions to solve clinically relevant behavioural problems and improve health outcomes. We provide a pragmatic overview of a theory and evidence-based Intervention Mapping approach for developing, implementing and evaluating interventions to change health-related behaviour. An example of a real behaviour change intervention designed to improve medication adherence in an adolescent patient with poorly controlled asthma is described to illustrate the main stages of the intervention development process.

摘要

在本文中,我们介绍一种改变患者行为的健康心理学方法,以展示健康心理学专业实践在医疗环境中的应用价值。健康心理学家是在个体、群体和人群层面理解、预测和改变与健康相关行为的专家。他们将心理学理论、研究证据和服务使用者的观点结合起来,设计干预措施,以解决临床相关的行为问题并改善健康结果。我们对一种基于理论和证据的干预映射方法进行务实概述,该方法用于开发、实施和评估改变与健康相关行为的干预措施。描述了一个旨在提高哮喘控制不佳的青少年患者药物依从性的实际行为改变干预案例,以说明干预开发过程的主要阶段。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3403/4934641/7b0ce0ba14ae/healthcare-03-01228-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3403/4934641/7b0ce0ba14ae/healthcare-03-01228-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3403/4934641/7b0ce0ba14ae/healthcare-03-01228-g001.jpg

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Better reporting of interventions: template for intervention description and replication (TIDieR) checklist and guide.更好的干预措施报告:干预描述和复制(TIDieR)清单和指南模板。
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Validation of the theoretical domains framework for use in behaviour change and implementation research.
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J Med Internet Res. 2024 Oct 18;26:e52302. doi: 10.2196/52302.
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Effectiveness of complex behaviour change interventions tested in randomised controlled trials for people with multiple long-term conditions (M-LTCs): systematic review with meta-analysis.随机对照试验中针对患有多种长期疾病(M-LTCs)人群的复杂行为改变干预措施的有效性:系统评价与荟萃分析。
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