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Design and development of a film-based intervention about teenage men and unintended pregnancy: Applying the Medical Research Council framework in practice

机译：基于电影的关于青少年和意外怀孕的干预措施的设计和开发：在实践中应用医学研究理事会框架

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Following the UK Medical Research Council's (MRC) guidelines for the development and evaluation of complex interventions, this study aimed to design, develop and optimise an educational intervention about young men and unintended teenage pregnancy based around an interactive film. The process involved identification of the relevant evidence base, development of a theoretical understanding of the phenomenon of unintended teenage pregnancy in relation to young men, and exploratory mixed methods research. The result was an evidence-based, theory-informed, user-endorsed intervention designed to meet the much neglected pregnancy education needs of teenage men and intended to increase both boys' and girls' intentions to avoid an unplanned pregnancy during adolescence. In prioritising the development phase, this paper addresses a gap in the literature on the processes of research-informed intervention design. It illustrates the application of the MRC guidelines in practice while offering a critique and additional guidance to programme developers on the MRC prescribed processes of developing interventions. Key lessons learned were: (1) know and engage the target population and engage gatekeepers in addressing contextual complexities; (2) know the targeted behaviours and model a process of change; and (3) look beyond development to evaluation and implementation. (C) 2014 The Authors. Published by Elsevier Ltd.
机译：遵循英国医学研究理事会（MRC）制定和评估复杂干预措施的指南，本研究旨在基于互动电影设计，开发和优化有关年轻人和意外怀孕的教育干预措施。该过程涉及相关证据的确定，对与年轻人有关的意外怀孕现象的理论理解的发展以及探索性混合方法研究。结果是基于证据的，有理论根据的，用户认可的干预措施，旨在满足被忽视的青少年怀孕教育的需求，并旨在增强男孩和女孩的意愿，以避免在青春期意外怀孕。在确定开发阶段的优先级时，本文解决了研究型干预设计过程的文献空白。它说明了MRC准则在实践中的应用，同时就MRC规定的干预措施制定流程向程序开发人员提供了批评和其他指导。汲取的主要经验教训是：（1）了解并吸引目标人群，并让看门人解决情境的复杂性； （2）了解目标行为并模拟变化过程； （3）从发展到评估和实施。 （C）2014作者。由Elsevier Ltd.发布

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