State-of-the-Art and Future Directions in Multilevel Interventions Across the Cancer Control Continuum
State-of-the-Art and Future Directions in Multilevel Interventions Across the Cancer Control Continuum
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DOI：
10.1093/jncimonographs/lgs006
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发表时间：
2012-01-01
期刊：
影响因子：
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通讯作者：
Glasgow, Russell E.
中科院分区：
文献类型：
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作者：
Stange, Kurt C.;Breslau, Erica S.;Glasgow, Russell E.
我们进行了文献检索和分析，以描述多层次干预（MLI）研究的现状，并确定推进癌症控制和预防的机会。我们发现了考虑其他背景重要水平的单水平研究，以及多层次医疗保健系统研究和社区范围的研究。该文献的特点是有限的报告理论，上下文，时间和实施因素。大多数多边机构侧重于预防和筛查，而不是诊断，治疗或生存。机会涉及1）动态的，适应性的紧急干预和研究设计，随着时间的推移，通过参加上下文因素和跨层次的相互作用而发展; 2）分析，包括模拟建模，或集成定量和定性方法的多方法方法;和3）翻译和干预方法，在不同的背景下本地重新发明MLI。多边机构有很大的潜力，以减少癌症负担，通过使用理论和整合定量，定性，参与性和跨学科的方法，不断寻求跨干预水平的对齐，注意上下文，并随着时间的推移而适应。
We conducted literature searches and analyses to describe the current state of multilevel intervention (MLI) research and to identify opportunities to advance cancer control and prevention. We found single-level studies that considered other contextually important levels, and multilevel health-care systems research and community-wide studies. This literature is characterized by limited reporting of theoretical, contextual, temporal, and implementation factors. Most MLIs focus on prevention and screening, rather than diagnosis, treatment, or survivorship. Opportunities relate to 1) dynamic, adaptive emergent interventions and research designs that evolve over time by attending to contextual factors and interactions across levels; 2) analyses that include simulation modeling, or multimethod approaches that integrate quantitative and qualitative methods; and 3) translation and intervention approaches that locally reinvent MLIs in different contexts. MLIs have great potential to reduce cancer burden by using theory and integrating quantitative, qualitative, participatory, and transdisciplinary methods that continually seek alignment across intervention levels, pay attention to context, and adapt over time.