The efficacy of tailored interventions
The efficacy of tailored interventions
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DOI：
10.1111/j.1547-5069.2002.00331.x
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发表时间：
2002-01-01
影响因子：
3.4
通讯作者：
Lauver, DR
中科院分区：
文献类型：
--
作者：
Ryan, P;Lauver, DR
目的：比较定制信息干预(TIS)和标准信息干预(SIS)的有效性，并确定有效性是否因行为类型、反馈的使用、传递渠道的类型、干预的剂量或时间而异。方法：采用Cooper的文献整合方法(Cooper，1989；Cooper&Hedge，1994)。85篇文章在标题或摘要中包含裁剪一词；20篇符合纳入标准。结果：参与者更喜欢裁剪而不是SIS，认为裁剪是个人的，阅读并记住了更多的裁剪信息。在50%的病例中，TIS比SIS更有效。研究的成果。在其余50%的研究中，量身定制和标准干预的效果是模棱两可的。与SIS相比，TIS的效应大小略有增加。TIS的疗效因行为类型不同而不同。当将ipsative反馈(比较当前和过去的行为)作为干预的一部分纳入时，TIS具有比不包括此类反馈的干预更好的效果。与单次给药相比，重复给药不会影响健康行为。在一些研究中，TIS的疗效随着时间的推移而变化，但变化的模式并不一致。结论：通过(A)确定需要定制的最显著的特征，(B)进一步描述TIS的基本成分，(C)确定不同递送渠道的有效性，(D)确定缓和TIS效果的因素，以及(E)澄清TIS的有效性是否随时间变化，可以改进定制干预。
Purpose: To evaluate the efficacy of Tailored Informational Interventions (TIs) compared to Standard Informational Interventions (SIs) and to determine whether efficacy varies by type of behavior, use of feedback, type of delivery channel, dose of the intervention, or time.Methods: Cooper's method of literature integration (Cooper, 1989; Cooper & Hedges, 1994) was used. Eighty-five articles were located that contained the word tailoring in the title or abstract; 20 met criteria for inclusion.Findings: Participants preferred TIs to SIs, perceived that the TIs were personal, and read and remembered more of the TI information. TIs were more effective than were SIs in 50%. of studies. The effects of tailored and standard interventions were equivocal in the remaining 50% of studies. TIs had small increases in effect sizes compared to SIs. The efficacy of TIs differed by type of behavior. TIs had greater efficacy when ipsative feedback (comparing current to past behavior) was included as part of the intervention than when the intervention did not include such feedback. Repeated versus single administration of TIs did not affect health behaviors. The efficacy of TIs changed over time in some studies, but the pattern of change was not consistent.Conclusions: Tailored interventions could be improved by (a) identifying the most salient characteristics to be tailored, (b) further delineating essential components of TIs, (c) determining the efficacy of different delivery channels, (d) determining factors that moderate effects of TIs, and (e) clarifying whether the efficacy of TIs changes over time.