Using a modified intervention mapping approach to develop and refine a single-session motivational intervention for methamphetamine-using men who have sex with men.
Using a modified intervention mapping approach to develop and refine a single-session motivational intervention for methamphetamine-using men who have sex with men.
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DOI：
10.2174/1874613601004030132
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发表时间：
2010-05-14
期刊：
影响因子：
--
通讯作者：
Wechsberg WM
中科院分区：
文献类型：
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作者：
Zule WA;Coomes CM;Karg R;Harris JL;Orr A;Wechsberg WM
目前需要制定和调整行为干预措施，以解决与传染病的获得和传播有关的行为以及预防慢性疾病的发生。本文描述了一种已建立的系统方法的应用，以开发一种行为干预措施，以减少男男性行为者和使用甲基苯丙胺的男性感染艾滋病毒的性风险行为。该方法包括六个步骤：(1)需求评估；(2)编制接近规划目标的矩阵；(3)选择基于理论的方法和实践策略；（四）制作程序部件和材料；(5)规划项目的采用、实施和可持续性；(6)评价规划。本文的研究重点是干预的发展过程；因此，本文没有描述步骤5和6。总的来说，这个过程运行良好，尽管它必须适应与资助的研究项目相关的事件顺序。这个项目表明，系统的干预发展方法甚至可以应用于研究项目，其中一些步骤发生在提案写作过程中，而不是在实际项目中。但是，干预开发人员必须保持灵活性，并准备使流程适应实际情况。这包括准备对干预的有效性和可行性做出选择，并愿意选择最好的干预措施，有可能提供可用的资源，而不是一个理想的干预措施，可能不实际。
There is an ongoing need for the development and adaptation of behavioral interventions to address behaviors related to acquisition and transmission of infectious diseases and for preventing the onset of chronic diseases. This paper describes the application of an established systematic approach to the development of a behavioral intervention to reduce sexual risk behaviors for HIV among men who have sex with men and who use methamphetamine. The approach includes six steps: (1) a needs assessment; (2) preparing matrices of proximal program objectives; (3) selecting theory-based methods and practical strategies; (4) producing program components and materials; (5) planning for program adoption, implementation, and sustainability; and (6) planning for evaluation. The focus of this article is on the intervention development process; therefore the article does not describe steps 5 and 6. Overall the process worked well, although it had to be adapted to fit the sequence of events associated with a funded research project. This project demonstrates that systematic approaches to intervention development can be applied even in research projects where some of the steps occur during the proposal writing process rather than during the actual project. However, intervention developers must remain flexible and be prepared to adapt the process to the situation. This includes being ready to make choices regarding intervention efficacy versus feasibility and being willing to select the best intervention that is likely to be delivered with available resources rather than an ideal intervention that may not be practical.