Changing the home visiting research paradigm: models' perspectives on behavioral pathways and intervention techniques to promote good birth outcomes.
Changing the home visiting research paradigm: models' perspectives on behavioral pathways and intervention techniques to promote good birth outcomes.
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DOI：
10.1186/s12889-022-13010-5
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发表时间：
2022-05-21
影响因子：
4.5
通讯作者：
Thorland, William
中科院分区：
文献类型：
--
作者：
Duggan, Anne K.;Bower, Kelly M.;Spinosa, Ciara Z.;O'Neill, Kay;Daro, Deborah;Harding, Kathryn;Ingalls, Allison;Kemner, Allison;Marchesseault, Crista;Thorland, William
美国正在扩大以证据为基础的家访，以促进孕妇家庭和有幼儿的家庭的健康公平。完整模型的持续小平均效应要求一个新的研究范式，以了解模型中的哪些干预措施最有效，对哪些家庭，在哪些背景下，为什么，以及如何。从历史上看，大多数基于证据的模型的复杂性和专有性质一直是此类研究的障碍。为了解决这个问题，利益相关者正在构建精确范式，这是一种共同的框架和语言，用于定义和测试干预措施及其中介和调节者。这项观察性研究使用了精确度范式的早期版本的部分内容来描述模型的预期行为途径，以获得良好的生育结果，以及他们对家访者使用特定干预技术类别以促进家庭沿着预期途径取得进展的立场。五种循证家访模式参与。模型代表独立完成了三个结构化调查，重点关注41种潜在的行为途径，以良好的出生结果，以及23种行为改变技术类别。调查数据用于描述和比较模型的预期行为路径、对行为改变技术类别的明确认可、对家访者相对强调使用认可技术类别的期望，以及在预期路径中认可技术类别的一致性。模型几乎在所有方面都存在实质性差异：它们预期的良好生育结果途径（范围16-41）；他们在任何预期途径中认可的技术类别数量（范围12-23）；他们认可的每个预期途径的平均技术类别数量（范围1.5-20.0）；以及他们在预期途径中认可技术类别的一致性（22%-100%一致性）。模型在评价几乎所有的行为改变技术类别方面是相似的，至少与他们的模型兼容，即使没有明确认可。模型成功地使用了精确范式的组成部分来定义和区分他们预期的行为路径，以及他们对家访者使用特定技术类别以促进家庭在预期路径上取得进展的期望。使用精确范式可以加速创新的跨模型研究，以描述当前的模型，并了解家访中的哪些干预措施对哪些家庭最有效，在哪些背景下，为什么以及如何。在线版本包含补充材料，下载地址：10.1186/s12889-022-13010-5。
The US is scaling up evidence-based home visiting to promote health equity in expectant families and families with young children. Persistently small average effects for full models argue for a new research paradigm to understand what interventions within models work best, for which families, in which contexts, why, and how. Historically, the complexity and proprietary nature of most evidence-based models have been barriers to such research. To address this, stakeholders are building the Precision Paradigm, a common framework and language to define and test interventions and their mediators and moderators. This observational study used portions of an early version of the Precision Paradigm to describe models’ intended behavioral pathways to good birth outcomes and their stance on home visitors’ use of specific intervention technique categories to promote families’ progress along intended pathways. Five evidence-based home visiting models participated. Model representatives independently completed three structured surveys focused on 41 potential behavioral pathways to good birth outcomes, and 23 behavior change technique categories. Survey data were used to describe and compare models’ intended behavioral pathways, explicit endorsement of behavior change technique categories, expectations for home visitors’ relative emphasis in using endorsed technique categories, and consistency in endorsing technique categories across intended pathways. Models differed substantially in nearly all respects: their intended pathways to good birth outcomes (range 16–41); the number of technique categories they endorsed in any intended pathway (range 12–23); the mean number of technique categories they endorsed per intended pathway (range 1.5–20.0); and their consistency in endorsing technique categories across intended pathways (22%-100% consistency). Models were similar in rating nearly all behavior change technique categories as at least compatible with their model, even if not explicitly endorsed. Models successfully used components of the Precision Paradigm to define and differentiate their intended behavioral pathways and their expectations for home visitors’ use of specific technique categories to promote family progress on intended pathways. Use of the Precision Paradigm can accelerate innovative cross-model research to describe current models and to learn which interventions within home visiting work best for which families, in which contexts, why and how. The online version contains supplementary material available at 10.1186/s12889-022-13010-5.
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影响因子：
5.5
作者：
Khoury MJ;Iademarco MF;Riley WT
通讯作者：
Riley WT
影响因子：
8
作者：
Filene JH;Kaminski JW;Valle LA;Cachat P
通讯作者：
Cachat P
影响因子：
3.5
作者：
Supplee, Lauren H;Ammerman, Robert T;Duggan, Anne K;List, John A;Suskind, Dana
通讯作者：
Suskind, Dana
影响因子：
3.5
作者：
Del Piccolo, Lidia;de Haes, Hanneke;Finset, Arnstein
通讯作者：
Finset, Arnstein
DOI：
10.1093/abm/kay078
发表时间：
2019-07-17
期刊：
Annals of behavioral medicine : a publication of the Society of Behavioral Medicine
影响因子：
--
作者：
Carey RN;Connell LE;Johnston M;Rothman AJ;de Bruin M;Kelly MP;Michie S
通讯作者：
Michie S