Miranda Joyal, Côté José
Faculty of Community ServicesDaphne Cockwell School of NursingRyerson UniversityToronto, ONCanada.
Faculté des sciences infirmièresUniversité de MontréalMontreal, ONCanada.
JMIR Public Health Surveill. 2017 Apr 19;3(2):e20. doi: 10.2196/publichealth.7052.
Many HIV (human immunodeficiency virus) prevention interventions are currently being implemented and evaluated, with little information published on their development. A framework highlighting the method of development of an intervention can be used by others wanting to replicate interventions or develop similar interventions to suit other contexts and settings. It provides researchers with a comprehensive development process of the intervention.
The objective of this paper was to describe how a systematic approach, intervention mapping, was used to develop a tailored Web-based intervention to increase condom use among HIV-positive men who have sex with men.
The intervention was developed in consultation with a multidisciplinary team composed of academic researchers, community members, Web designers, and the target population. Intervention mapping involved a systematic process of 6 steps: (1) needs assessment; (2) identification of proximal intervention objectives; (3) selection of theory-based intervention methods and practical strategies; (4) development of intervention components and materials; (5) adoption, implementation, and maintenance; and (6) evaluation planning.
The application of intervention mapping resulted in the development of a tailored Web-based intervention for HIV-positive men who have sex with men, called Condom-HIM.
Using intervention mapping as a systematic process to develop interventions is a feasible approach that specifically integrates the use of theory and empirical findings. Outlining the process used to develop a particular intervention provides clarification on the conceptual use of experimental interventions in addition to potentially identifying reasons for intervention failures.
目前正在实施和评估许多艾滋病毒(人类免疫缺陷病毒)预防干预措施,但关于其开发的信息公布较少。一个突出干预措施开发方法的框架可供其他想要复制干预措施或开发类似干预措施以适应其他背景和环境的人使用。它为研究人员提供了干预措施的全面开发过程。
本文的目的是描述如何使用一种系统方法——干预映射,来开发一种量身定制的基于网络的干预措施,以增加与男性发生性关系的艾滋病毒阳性男性的避孕套使用。
该干预措施是在与一个由学术研究人员、社区成员、网页设计师和目标人群组成的多学科团队协商后开发的。干预映射涉及一个由6个步骤组成的系统过程:(1)需求评估;(2)确定近端干预目标;(3)选择基于理论的干预方法和实际策略;(4)开发干预组件和材料;(5)采用、实施和维持;以及(6)评估规划。
干预映射的应用导致为与男性发生性关系的艾滋病毒阳性男性开发了一种量身定制的基于网络的干预措施,称为“Condom-HIM”。
将干预映射作为开发干预措施的系统过程是一种可行的方法,它特别整合了理论和实证研究结果的应用。概述开发特定干预措施所使用的过程,除了可能确定干预失败的原因外,还能阐明实验性干预措施的概念性应用。