College of Health Medicine and Wellbeing, The University of Newcastle and Hunter Medical Research Institute, Newcastle, New South Wales, Australia.
Monash University, Clayton, Victoria, Australia.
BMJ Open. 2022 Jun 7;12(6):e060196. doi: 10.1136/bmjopen-2021-060196.
Codesign is a meaningful end-user engagement in research design. The integrated knowledge translation (IKT) framework involves adopting a collaborative research approach to produce and apply knowledge to address real-world needs, resulting in useful and useable recommendations that will more likely be applied in policy and practice. In the field of food addiction (FA), there are limited treatment options that have been reported to show improvements in FA symptoms.
The primary aim of this paper is to describe the step-by-step codesign and refinement of a complex intervention delivered via telehealth for adults with FA using an IKT approach. The secondary aim is to describe our intervention in detail according to the TIDieR checklist.
This study applies the IKT process and describes the codesign and refinement of an intervention through a series of online meetings, workshops and interviews.
This study included researchers, clinicians, consumers and health professionals.
The primary outcome was a refined intervention for use in adults with symptoms of FA for a research trial.
A total of six female health professionals and five consumers (n=4 female) with lived overeating experience participated in two interviews lasting 60 min each. This process resulted in the identification of eight barriers and three facilitators to providing and receiving treatment for FA, eight components needed or missing from current treatments, telehealth as a feasible delivery platform, and refinement of key elements to ensure the intervention met the needs of both health professionals and possible patients.
Using an IKT approach allowed for a range of viewpoints and enabled multiple professions and disciplines to engage in a semiformalised way to bring expertise to formulate a possible intervention for FA. Mapping the intervention plan to the TIDieR checklist for complex interventions, allowed for detailed description of the intervention and the identification of a number of areas that needed to be refined before development of the finalised intervention protocol.
共同设计是一种有意义的研究设计中的终端用户参与方式。综合知识转化（IKT）框架涉及采用协作研究方法来生成和应用知识以解决实际需求，从而产生有用且可用的建议，这些建议更有可能在政策和实践中得到应用。在食物成瘾（FA）领域，据报道，有限的治疗方法可改善 FA 症状。
本文的主要目的是描述使用 IKT 方法通过远程医疗为 FA 成人提供的复杂干预措施的逐步共同设计和完善。次要目的是根据 TIDieR 清单详细描述我们的干预措施。
本研究应用 IKT 流程，并通过一系列在线会议、研讨会和访谈描述干预措施的共同设计和完善。
本研究包括研究人员、临床医生、消费者和卫生专业人员。
主要结果是为 FA 症状成人进行研究试验的改良干预措施。
共有六名女性卫生专业人员和五名消费者（n=4 名女性）参与了两次访谈，每次持续 60 分钟，具有暴食经历。这一过程确定了提供和接受 FA 治疗的八项障碍和三项促进因素、当前治疗方法中缺失或需要的八项组成部分、远程医疗作为可行的交付平台，以及完善确保干预措施满足卫生专业人员和可能患者需求的关键要素。
使用 IKT 方法可以让各种观点参与进来，并使多个专业和学科以半正式的方式参与进来，将专业知识汇集起来制定可能的 FA 干预措施。将干预计划映射到 TIDieR 清单上，可详细描述干预措施，并确定在开发最终干预方案之前需要完善的若干领域。
