设计一种行为改变干预措施,以解决死产的行为风险因素:研究方案
Tamara Escañuela Sánchez1,2, Karen Matvienko-Sikar3, Richard A Greene1
1National Perinatal Epidemiology Centre, Department of Obstetric and Gynaecology, University College Cork, Cork, County Cork, Ireland.
HRB open research
|February 10, 2025
概括
这项研究设计了一种行为改变干预措施,通过解决吸烟和睡眠位置等可修改的风险因素来减少死产. 该干预使用COM-B模型和行为变化轮框架来制定有效的预防策略.
科学领域:
- 公共卫生 公共卫生
- 行为科学 行为科学
- 孕产妇健康 孕产妇健康
背景情况:
- 死产是一个重要的不良妊娠结果,具有可预防的危险因素.
- 可修改的危险因素包括吸烟,酒精,药物使用,母亲的体重,产前护理出席率和睡眠位置.
研究的目的:
- 设计一种行为改变干预措施,针对死胎的可修改行为风险因素.
- 使用COM-B模型和行为变化轮 (BCW) 框架进行干预设计.
主要方法:
- 在三个阶段采用BCW框架:定义问题,确定干预功能和政策类别,并选择行为改变技术 (BCT) 和交付模式.
- 利用现有研究,包括系统的文献评论,怀孕妇女的定性访谈和与医疗保健专业人员的调查.
- 在整个干预设计过程中,纳入利益相关者团体的意见.
主要成果:
- 研究协议概述了一种系统的,基于证据的干预设计方法.
- 干预设计将通过系统审查,定性数据和专家共识来告知.
- 计划中的干预措施将考虑孕妇,医疗保健专业人员和利益相关者的需求和偏好.
结论:
- 系统方法确保基于证据和利益相关者的需求进行干预.
- 设计的干预措施有可能在不同的环境中进行调整和实施.
- 这项工作旨在为高风险人群的死产预防做出贡献.
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