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首页> 外文期刊>Journal of public health dentistry >Five roles for using theory and evidence in the design and testing of behavior change interventions
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Five roles for using theory and evidence in the design and testing of behavior change interventions

机译：在行为改变干预的设计和测试中使用理论和证据的五个角色

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Objective: The prevailing wisdom in the field of health-related behavior change is that well-designed and effective interventions are guided by theory. Methods: Using the framework of intervention mapping, we describe and provide examples of how investigators can effectively select and use theory to design, test, and report interventions.Results: We propose five roles for theory and evidence about theories: a) identification of behavior and determinants of behavior related to a specified health problem (i.e., the logic model of the problem); b) explication of a causal model that includes theoretical constructs for producing change in the behavior of interest (i.e., the logic model of change); c) selection of intervention methods and delivery of practical applications to achieve changes in health behavior; d) evaluation of the resulting intervention including theoretical mediating variables; and e) reporting of the active ingredients of the intervention together with the evaluation results. Conclusions: In problem-driven applied behavioral or social science, researchers use one or multiple theories, empiric evidence, and new research, both to assess a problem and to solve or prevent a problem. Furthermore, the theories for description of the problem may differ from the theories for its solution. In an applied approach, the main focus is on solving problems regarding health behavior change and improvement of health outcomes, and the criteria for success are formulated in terms of the problem rather than the theory. Resulting contributions to theory development may be quite useful, but they are peripheral to the problem-solving process.
机译：目的：与健康相关行为变化领域的普遍智慧是，设计良好的和有效的干预措施是由理论引导的。方法：使用干预映射的框架，我们描述了调查人员如何有效选择和使用理论来设计，测试和报告干预的例子。结果：我们提出了有关理论和有关理论的有效性的作用：a）识别行为的识别与指定健康问题相关的行为的决定因素（即问题的逻辑模型）; b）解释包括用于产生感兴趣行为的变化的理论构建的因果模型（即，变化的逻辑模型）; c）选择干预方法和交付实际应用以实现健康行为的变化; d）评估所产生的干预，包括理论调解变量; e）与评估结果一起报告干预的活性成分。结论：在问题驱动的行为或社会科学中，研究人员使用一个或多个理论，经验证据和新研究，既可评估问题，并解决问题。此外，用于描述的描述的理论可能与其解决方案的理论不同。在应用方法中，主要重点是解决有关健康行为的问题以及健康结果的改善，以及成功的标准在问题方面而不是该理论制定。由于对理论发展的贡献可能是非常有用的，但它们是解决问题的外围。

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