什么使干预成为生命历程干预？
What Makes an Intervention a Life Course Intervention?
机构信息
Center for Healthier Children, Families, and Communities.
Departments of Pediatrics.
出版信息
Pediatrics. 2022 May 1;149(Suppl 5). doi: 10.1542/peds.2021-053509D.
OBJECTIVES
To develop an initial list of characteristics of life course interventions to inform the emerging discipline of life course intervention research.
METHODS
The Life Course Intervention Research Network, a collaborative national network of >75 researchers, service providers, community representatives, and thought leaders, considered the principles, characteristics, and utility of life course interventions. After an in-person launch meeting in 2019, the steering committee collaboratively and iteratively developed a list of life course intervention characteristics, incorporating a modified Delphi review process.
RESULTS
The Life Course Intervention Research Network identified 12 characteristics of life course interventions. These interventions (1) are aimed at optimizing health trajectories; (2) are developmentally focused, (3) longitudinally focused, and (4) strategically timed; and are (5) designed to address multiple levels of the ecosystem where children are born, live, learn, and grow and (6) vertically, horizontally, and longitudinally integrated to produce a seamless, forward-leaning, health optimizing system. Interventions are designed to (7) support emerging health development capabilities; are (8) collaboratively codesigned by transdisciplinary research teams, including stakeholders; and incorporate (9) family-centered, (10) strengths-based, and (11) antiracist approaches with (12) a focus on health equity.
CONCLUSIONS
The intention for this list of characteristics of life course interventions is to provide a starting point for wider discussion and to guide research development. Incorporation of these characteristics into intervention designs may improve emerging health trajectories and move critical developmental processes and pathways back on track, even optimizing them to prevent or reduce adverse outcomes.
目的
为新兴的生命历程干预研究领域提供生命历程干预特征的初始清单。
方法
生命历程干预研究网络是一个由 75 名以上研究人员、服务提供者、社区代表和思想领袖组成的合作性国家网络，他们考虑了生命历程干预的原则、特征和实用性。在 2019 年举行的一次现场启动会议之后，指导委员会合作并反复制定了一份生命历程干预特征清单，其中纳入了经过修改的德尔菲审查程序。
结果
生命历程干预研究网络确定了生命历程干预的 12 个特征。这些干预措施：(1)旨在优化健康轨迹；(2)关注发展；(3)关注纵向；(4)策略性地安排时间；(5)旨在解决儿童出生、生活、学习和成长的生态系统的多个层面；(6)垂直、水平和纵向整合，以建立一个无缝、前瞻性、优化健康的系统；(7)旨在支持新兴的健康发展能力；(8)由跨学科研究团队与利益攸关方共同设计；(9)包含以家庭为中心、以优势为基础、反种族主义的方法；(10)并特别关注健康公平。
结论
该生命历程干预特征清单的目的是提供更广泛讨论的起点，并指导研究的开展。将这些特征纳入干预设计中可能会改善新兴的健康轨迹，并使关键的发展过程和途径恢复正轨，甚至优化它们以预防或减少不良后果。
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