Zelenka Martin Alice, Weston D, Kesten J M, French C E
MSc Public Health Student, University of Bristol, Canynge Hall, 39 Whatley Road, Bristol BS8 2PS, UK.
NIHR Health Protection Research Unit in Behavioural Science and Evaluation at University of Bristol, Bristol, UK.
Perspect Public Health. 2024 Jun 10:17579139241257102. doi: 10.1177/17579139241257102.
Rapid intervention development, implementation, and evaluation are required for emergency public health contexts, such as the recent COVID-19 pandemic. A novel Agile Co-production and Evaluation (ACE) framework has been developed to assist this endeavour in future public health emergencies. This scoping review aimed to map available behavioural science resources that can be used to develop and evaluate public health guidance, messaging, and interventions in emergency contexts onto components of ACE: rapid development and implementation, co-production with patients or the public including seldom heard voices from diverse communities, and inclusion of evaluation.
A scoping review methodology was used. Searches were run on MEDLINE, EMBASE, PsycINFO, and Google, with search terms covering emergency response and behavioural science. Articles published since 2014 and which discussed a framework or guidance for using behavioural science in response to a public health emergency were included. A narrative synthesis was conducted.
Seventeen records were included in the synthesis. The records covered a range of emergency contexts, the most frequent of which were COVID-19 ( = 7) and non-specific emergencies ( = 4). One record evaluated existing approaches, 6 proposed new approaches, and 10 described existing approaches. Commonly used approaches included the Behavioural Change Wheel; Capability, Opportunity, and Motivation Behaviour model; and social identity theory. Three records discuss co-production with the target audience and consideration of diverse populations. Four records incorporate rapid testing, evaluation, or validation methods. Six records state that their approaches are designed to be implemented rapidly. No records cover all components of ACE.
We recommend that future research explores how to create guidance involving rapid implementation, co-production with patients or the public including seldom heard voices from diverse communities, and evaluation.
在紧急公共卫生情况下，如近期的新冠疫情，需要快速进行干预措施的开发、实施和评估。已开发出一种新型的敏捷联合生产与评估（ACE）框架，以协助未来应对公共卫生紧急情况。本范围综述旨在梳理可用的行为科学资源，这些资源可用于在紧急情况下将公共卫生指南、信息和干预措施的开发与评估对应到ACE的各个组成部分：快速开发与实施、与患者或公众联合生产（包括纳入来自不同社区的罕有声音）以及纳入评估。
采用范围综述方法。在MEDLINE、EMBASE、PsycINFO和谷歌上进行检索，检索词涵盖应急响应和行为科学。纳入2014年以来发表的、讨论了在应对公共卫生紧急情况时使用行为科学的框架或指南的文章。进行了叙述性综合分析。
综合分析纳入了17条记录。这些记录涵盖了一系列紧急情况，其中最常见的是新冠疫情（n = 7）和非特定紧急情况（n = 4）。1条记录评估了现有方法，6条提出了新方法，10条描述了现有方法。常用方法包括行为改变轮；能力、机会和动机行为模型；以及社会认同理论。3条记录讨论了与目标受众的联合生产以及对不同人群的考虑。4条记录纳入了快速测试、评估或验证方法。6条记录表明其方法旨在快速实施。没有记录涵盖ACE的所有组成部分。
我们建议未来的研究探索如何制定涉及快速实施、与患者或公众联合生产（包括纳入来自不同社区的罕有声音）以及评估的指南。
