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从理念到干预:早期行为转化研究中使用的框架的回顾与比较。

From ideas to interventions: A review and comparison of frameworks used in early phase behavioral translation research.

机构信息

Health Behaviors Research Branch.

Office of Behavioral and Social Sciences Research.

出版信息

Health Psychol. 2021 Dec;40(12):829-844. doi: 10.1037/hea0001095.

Abstract

Developing and testing more effective health-related behavioral interventions is critical to making progress in improving disease prevention and treatment. One way to achieve this goal is to use a systematic and progressive framework that outlines the steps needed to translate theories, findings, and basic understandings about human behavior into risk factor and disease management or mitigation strategies. Although several frameworks and process models have been designed to inform the development and optimization of health-related behavioral interventions, little guidance is available to compare key aspects of these models, clarify their common and unique features, and aid in selecting the best approach for a specific research question. This article describes the major frameworks that focus on early phase translation-that is, approaches that address the design and optimization of behavioral interventions before testing in Phase III efficacy trials. Differences between and common features of these models are described, opportunities for combining frameworks to maximize their impact are noted, and guidance is provided to enable investigators to choose the most useful model(s) when designing and optimizing health-related behavioral interventions. The goal of this article is to promote the consistent use of frameworks that encourage a systematic, progressive approach to behavioral intervention development and testing as one way to encourage the creation of well-characterized, optimized, and potentially more effective health-related behavioral interventions. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

摘要

开发和测试更有效的健康相关行为干预措施对于在改善疾病预防和治疗方面取得进展至关重要。实现这一目标的一种方法是使用系统和渐进的框架,该框架概述了将有关人类行为的理论、发现和基本理解转化为风险因素和疾病管理或缓解策略所需的步骤。尽管已经设计了几个框架和流程模型来为健康相关行为干预措施的开发和优化提供信息,但几乎没有指导来比较这些模型的关键方面,阐明它们的共同和独特特征,并帮助选择针对特定研究问题的最佳方法。本文描述了主要的框架,这些框架侧重于早期阶段的转化,即解决在 III 期疗效试验之前设计和优化行为干预措施的方法。描述了这些模型之间的差异和共同特征,指出了结合框架以最大程度地发挥其影响力的机会,并提供了指导,使研究人员能够在设计和优化健康相关行为干预措施时选择最有用的模型。本文的目的是促进一致使用鼓励系统、渐进式行为干预措施开发和测试的框架,这是鼓励创建特征明确、优化和潜在更有效的健康相关行为干预措施的一种方式。(PsycInfo 数据库记录(c)2022 APA,保留所有权利)。

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