Evaluating complex interventions: Perspectives and issues for health behaviour change interventions
Evaluating complex interventions: Perspectives and issues for health behaviour change interventions
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DOI：
10.1080/08870446.2014.953530
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发表时间：
2015-01-02
影响因子：
3.3
通讯作者：
Alla, Francois
中科院分区：
文献类型：
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作者：
Tarquinio, Cyril;Kivits, Joelle;Alla, Francois
目的：健康行为改变干预（HBCIs）是一种复杂的干预措施，广泛应用于健康教育、健康促进、患者教育和心理治疗等领域。本文的目的是讨论的价值和局限性，使用随机临床试验（RCT）评估HBCIs.Methods：进行了文献的范围审查，以确定使用随机临床试验评估HBCIs的主要挑战。从我们的多学科team.Results进行的研究中选择的案例研究说明了这些问题：在复杂的干预措施中，不仅通过干预产生效果，而且与背景密切相关。因此，与成果的可转移性有关的问题至关重要，需要对随机对照试验模式进行调整。抽样偏差，偏差有关的实验条件和偏差，由于没有双盲的情况下进行了检查和说明的案例study.Conclusion：结果强调了多学科方法的重要性。他们呼吁适应或替代的评价模型，克服RCT的局限性。
Objective: Health behaviour change interventions (HBCIs), used in health education, health promotion, patient education and psychotherapy areas, are considered complexinterventions. The objective of this article is to discuss the value and limitations of using randomised clinical trials (RCTs) to asses HBCIs.Methods: A scoping review of the literature was conducted to identify the main challenges of using RCTs for evaluating HBCIs. The issues were illustrated by case studies selected from research conducted by our multidisciplinary team.Results: In complex interventions, effects are produced not only by the intervention, but are strongly linked to context. Issues relating to transferability of results are therefore critical, and require adjustments to the RCT model. Sampling bias, biases related to the experimental conditions and biases due to the absence of double-blindness were examined and illustrated by case studies.Conclusion: The results underline the importance of a multidisciplinary approach. They call for adapted or alternative evaluation models that overcome the limitations of RCTs.