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提出一种使用迭代方法为行为干预提供资金的新途径。

Proposing a new approach to funding behavioural interventions using iterative methods.

作者信息

Kwasnicka Dominika, Ten Hoor Gill A, Hekler Eric, Hagger Martin S, Kok Gerjo

机构信息

SWPS University of Social Sciences and Humanities, Wrocław, Poland.

NHMRC CRE in Digital Technology to Transform Chronic Disease Outcomes, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia.

出版信息

Psychol Health. 2021 Jul;36(7):787-791. doi: 10.1080/08870446.2021.1945061. Epub 2021 Jun 27.

Abstract

Current research funding models for health psychologists tend to be biased toward support for large-scale 'definitive' behavioural trials. This approach emphasizes rigorous tests of one or more key questions, but, unintentionally, may lead to the funding of interventions that are based on myriad untested assumptions. We propose that future funding models should provide support for 'iterative' research that tests assumptions at each stage of the intervention development process, including design, deployment, efficacy, implementation, and sustainability. More funding should be allocated to these developmental stages with funding allocated to testing the efficacy of definitive trials only when it is appropriately supported by research that indicates that key assumptions have been met. This shift should foster more robust behavioural interventions that have appropriate efficacy and effectiveness, and 'work' in the 'real world' contexts. Funders should support assumption testing using a diversity of methods (e.g., qualitative, quantitative, expert consensus), and encourage behavioural researchers to adjust their assumptions according the data produced. We contend that time is now to shift funding models to support assumption-testing research and ensure that funding applications for research testing 'definitive' behavioural trials has clear evidence supporting underlying assumptions.

摘要

当前健康心理学家的研究资助模式往往倾向于支持大规模的“确定性”行为试验。这种方法强调对一个或多个关键问题进行严格测试,但无意中可能会导致基于无数未经检验假设的干预措施获得资助。我们建议,未来的资助模式应支持“迭代”研究,即在干预开发过程的每个阶段(包括设计、部署、效果、实施和可持续性)对假设进行测试。应将更多资金分配给这些开发阶段,只有在有适当研究表明关键假设已得到满足的情况下,才将资金分配用于测试确定性试验的效果。这种转变应促进更有力的行为干预措施,这些措施具有适当的效果和有效性,并能在“现实世界”环境中“发挥作用”。资助者应支持使用多种方法(如定性、定量、专家共识)进行假设测试,并鼓励行为研究人员根据所产生的数据调整他们的假设。我们认为现在是时候改变资助模式以支持假设测试研究,并确保用于测试“确定性”行为试验的研究资助申请有明确证据支持其潜在假设了。

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