Primary Healthcare Research Unit, Faculty of Medicine, Memorial University of Newfoundland, St. John's, NL, Canada.
Discipline of Medicine, Memorial University of Newfoundland, St. John's, NL, Canada.
Methods Mol Biol. 2021;2249:571-595. doi: 10.1007/978-1-0716-1138-8_31.
Health-related behavior change refers to a body of behavior change strategies that aim to align people's behavior with advances in evidence-based knowledge and decision-making. However, human behavior is complex, and changing it often requires a combination of strategies to be effective. The challenge is in choosing the combination of strategies that will work best. Implementation science, the study of behavior change, has rapidly expanded in recent years and has pioneered work in providing more transparent and theory-based methods for choosing and evaluating behavior change strategies. There are several models and frameworks that underlie the science of implementation, the most recent and comprehensive of which include the Implementation of Change Model, the COM-B (capability, motivation, and behavior) Model, and the Theoretical Domains Framework, as well as the behavior change techniques (BCTs) taxonomy. These models and frameworks can be applied to help support the development and evaluation of behavior change interventions. In this chapter, we will review the latest advances and lessons learned from implementation science as it applies to health-related behavior change.
健康相关行为改变是指一系列旨在使人们的行为与基于证据的知识和决策进展保持一致的行为改变策略。然而，人类行为是复杂的，改变它通常需要多种策略的结合才能有效。挑战在于选择最有效的策略组合。实施科学是行为改变的研究领域，近年来迅速发展，并率先为选择和评估行为改变策略提供了更透明和基于理论的方法。有几个模型和框架是实施科学的基础，其中最新和最全面的包括变革实施模型、能力-动机-行为（COM-B）模型和理论领域框架，以及行为改变技术（BCTs）分类法。这些模型和框架可用于帮助支持行为改变干预措施的制定和评估。在本章中，我们将回顾实施科学在健康相关行为改变方面的最新进展和经验教训。
