Evidence-Based Intervention (EBI) Mapping: a systematic approach to understanding the components and logic of EBIs.
Evidence-Based Intervention (EBI) Mapping: a systematic approach to understanding the components and logic of EBIs.
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DOI：
10.1186/s12889-022-13692-x
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发表时间：
2022-07-07
影响因子：
4.5
通讯作者：
Fernandez, Maria E.
中科院分区：
文献类型：
--
作者：
Walker, Timothy J.;Foster, Maya;Szeszulski, Jacob;Craig, Derek W.;Mullen, Patricia Dolan;Fernandez, Maria E.
尽管发展了许多循证干预措施（EBI），但许多措施在实践中未得到使用。使用现有EBI的犹豫可能是由于缺乏对EBI组件的理解，以及根据设计调整或实现它需要什么。为了改善EBI的使用，计划规划者需要了解他们的目标，核心组成部分和行动机制。本文介绍了EBI地图，一个系统的方法，干预地图的基础上，可以用来理解和清晰地描述EBI，并帮助规划者把它们付诸实践。我们描述了EBI映射任务，并提供了一个过程的例子。EBI映射使用干预映射的原则，这是一个规划多层次健康促进干预的系统框架。EBI映射回顾性地应用干预映射步骤，以帮助规划者了解现有的EBI（而不是规划新的EBI）。我们解释每个EBI映射任务，并使用VERB夏季记分卡（VSS），一个多层次的社区为基础的干预，以提高青年体育活动的过程中演示。EBI映射任务包括：1）记录EBI材料和活动及其受众，2）确定EBI目标、内容和行动机制，3）确定理论变革方法和这些方法的实际应用，4）描述设计特征和交付渠道，5）描述实施者及其任务、实施策略和所需资源。通过应用EBI映射任务，我们为VSS干预创建了一个逻辑模型。VSS的逻辑模型指定的行为改变方法，实际应用程序之间的联系，并为高危人群和环境变化的代理人的决定因素。该逻辑模型还将相应的决定因素与期望的结果（包括健康行为和环境条件）联系起来，以改善高危人群的健康结果。EBI映射帮助项目规划人员理解EBI的组成部分和逻辑。这些信息对于选择、调整和扩大EBI非常重要。加速和改善现有EBI的使用可以缩小研究与实践之间的差距，改善人口健康。
Despite the development of numerous evidence-based interventions (EBIs), many go unused in practice. Hesitations to use existing EBIs may be due to a lack of understanding about EBI components and what it would take to adapt it or implement it as designed. To improve the use of EBIs, program planners need to understand their goals, core components, and mechanisms of action. This paper presents EBI Mapping, a systematic approach based on Intervention Mapping, that can be used to understand and clearly describe EBIs, and help planners put them into practice. We describe EBI Mapping tasks and provide an example of the process. EBI Mapping uses principles from Intervention Mapping, a systematic framework for planning multilevel health promotion interventions. EBI Mapping applies the Intervention Mapping steps retrospectively to help planners understand an existing EBI (rather than plan a new one). We explain each EBI Mapping task and demonstrate the process using the VERB Summer Scorecard (VSS), a multi-level community-based intervention to improve youth physical activity. EBI Mapping tasks are: 1) document EBI materials and activities, and their audiences, 2) identify the EBI goals, content, and mechanisms of action, 3) identify the theoretical change methods and practical applications of those methods, 4) describe design features and delivery channels, and 5) describe the implementers and their tasks, implementation strategies, and needed resources. By applying the EBI Mapping tasks, we created a logic model for the VSS intervention. The VSS logic model specifies the links between behavior change methods, practical applications, and determinants for both the at-risk population and environmental change agents. The logic model also links the respective determinants to the desired outcomes including the health behavior and environmental conditions to improve the health outcome in the at-risk population. EBI Mapping helps program planners understand the components and logic of an EBI. This information is important for selecting, adapting, and scaling-up EBIs. Accelerating and improving the use of existing EBIs can reduce the research-to-practice gap and improve population health.
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