Zauszniewski Jaclene A, Bekhet Abir, Herbell Kayla
Case Western Reserve University, Cleveland, Ohio, United States.
Marquette University, Milwaukee, Wisconsin, United States.
Nurse Res. 2018 Dec 6;26(3):20-25. doi: 10.7748/nr.2018.e1603. Epub 2018 Oct 31.
It is critically important to determine the effectiveness of an intervention before it can be translated into clinical practice. However, the future implementation and sustainability of the intervention may be diminished if other intervention parameters are not assessed. This requires obtaining feedback from intervention recipients so interventions will be perceived as appealing, relevant, meaningful and beneficial to them; otherwise recipients may be unlikely to perform them over time, resulting in unsuccessful health outcomes.
To propose the addition of two intervention parameters to the existing six-parameter model and provide examples from recent research of how each parameter can be tested.
Definitions of the eight parameters are provided and methods for analysing each of them explained. While some studies show necessity, fidelity and cost have unique distinguishing characteristics, other studies indicate feasibility, acceptability and safety have common features, and efficacy and effectiveness are closely associated.
Researchers frequently examine one or two parameters, but few simultaneously apply the six-parameter model. This model is also missing two vital parameters - efficacy and cost.
Comprehensive and systematic evaluation of all eight intervention parameters is recommended before researchers begin randomised controlled trials and translate them into practice.
在将一项干预措施转化为临床实践之前，确定其有效性至关重要。然而，如果不评估其他干预参数，该干预措施未来的实施和可持续性可能会受到影响。这就需要从干预措施的接受者那里获得反馈，以便干预措施能被视为对他们有吸引力、相关、有意义且有益；否则，随着时间的推移，接受者可能不太可能执行这些措施，从而导致健康结果不佳。
提议在现有的六参数模型中增加两个干预参数，并从近期研究中举例说明每个参数如何进行测试。
给出了八个参数的定义，并解释了分析每个参数的方法。虽然一些研究表明必要性、保真度和成本具有独特的区别特征，但其他研究表明可行性、可接受性和安全性具有共同特征，而效力和效果密切相关。
研究人员经常检查一两个参数，但很少同时应用六参数模型。该模型还缺少两个重要参数——效力和成本。
建议研究人员在开始随机对照试验并将其转化为实践之前，对所有八个干预参数进行全面系统的评估。
