The Prevention of Lower Urinary Tract Symptoms (PLUS) in girls and women: Developing a conceptual framework for a prevention research agenda
The Prevention of Lower Urinary Tract Symptoms (PLUS) in girls and women: Developing a conceptual framework for a prevention research agenda
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DOI：
10.1002/nau.23787
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发表时间：
2018-11-01
影响因子：
2
通讯作者：
Lukacz, Emily S.
中科院分区：
文献类型：
--
作者：
Brady, Sonya S.;Bavendam, Tamara G.;Lukacz, Emily S.
预防下尿路症状（PLUS）研究联盟由美国国立卫生研究院于2015年成立，旨在将研究扩展到下尿路症状（LUTS）的检测和治疗之外，以促进和保护膀胱健康并预防女孩和妇女的LUTS。虽然许多多学科科学网络专注于盆底功能障碍和LUTS，但PLUS联盟在预防方面独树一帜。本文介绍了PLUS的方法来发展一个概念框架，以指导该联盟的初步预防研究议程。概念框架是由传统的社会生态模型的公共卫生，生物心理社会模型的健康，玻璃和麦卡蒂的社会行为生物学的关系，以及世界卫生组织关于健康的社会决定因素的行动概念框架。为制定预防干预措施提供了基础，这些干预措施最有可能促进和保护不同人群的膀胱健康。PLUS联盟的工作是基于这样一种理念，即如果努力所基于的概念基础是全面的，并受到多学科的影响，那么旨在促进健康的计划，实践和政策将产生最佳影响。PLUS概念框架广泛适用于历史上侧重于治疗疾病和症状而不是促进健康的健康领域。它也适用于主要从生物学或社会生态学角度进行审查的健康领域，而没有将这两个角度结合起来。
AimsMethodsThe Prevention of Lower Urinary Tract Symptoms (PLUS) Research Consortium was established by the National Institutes of Health in 2015 to expand research beyond the detection and treatment of lower urinary tract symptoms (LUTS) to the promotion and preservation of bladder health and prevention of LUTS in girls and women. While many multi-disciplinary scientific networks focus on pelvic floor dysfunction and LUTS, the PLUS Consortium stands alone in its focus on prevention. This article describes the PLUS approach to developing a conceptual framework to guide the Consortium's initial prevention research agenda.The conceptual framework was informed by traditional social ecological models of public health, biopsychosocial models of health, Glass and McAtee's Society-Behavior-Biology Nexus, and the World Health Organization's conceptual framework for action on the social determinants of health.ResultsConclusionsThe PLUS conceptual framework provides a foundation for developing prevention interventions that have the greatest likelihood of promoting and preserving bladder health among diverse populations.PLUS Consortium work is premised on the notion that programs, practices, and policies designed to promote health will have optimal impact if the conceptual foundation upon which efforts are based is comprehensive and informed by multiple disciplines. The PLUS conceptual framework is broadly applicable to domains of health that have historically focused on the treatment of illness and symptoms rather than the promotion of health. It is also applicable to domains of health that have been examined from a predominantly biological or social ecological perspective, without integration of both perspectives.