Interventions to change health behaviours: Evidence-based or evidence-inspired?
Interventions to change health behaviours: Evidence-based or evidence-inspired?
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DOI：
10.1080/0887044031000141199
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发表时间：
2004-02-01
影响因子：
3.3
通讯作者：
Abraham, C
中科院分区：
文献类型：
--
作者：
Michie, S;Abraham, C
这篇批判性的综述评估了评估研究能否回答有关行为改变干预的三个关键问题：它们是否有效？它们的效果如何？它们是如何发挥作用的？审查了干预评估，特别是那些涉及减少无保护措施的性行为和吸烟的评估。讨论了结果度量的选择和影响大小的计算。文章还考虑了评估报告具体说明(I)离散干预技术和(Ii)解释观察到的行为变化的心理机制的程度。结论是，干预描述往往不是关于所使用的技术的具体描述，并且在理论灵感和采用特定的改变技术之间没有明确的对应关系。这项审查要求对具体的基于理论的技术进行单独和组合的实验测试。
This critical review assesses whether evaluation studies can answer three key questions about behaviour change interventions: 'Do they work? How well do they work? How do they work?' Reviews of intervention evaluations are examined, particularly those addressing decreasing unprotected sexual intercourse and smoking. Selection of outcome measures and calculation of effect sizes are discussed. The article also considers the extent to which evaluation reports specify (i) discrete intervention techniques and (ii) psychological mechanisms that account for observed behavioural change. It is concluded that intervention descriptions are often not specific about the techniques employed and that there is no clear correspondence between theoretical inspiration and adoption of particular change techniques. The review calls for experimental testing of specific theory-based techniques, separately and in combination.