在大学校园实施期间,对基于证据的预防干预措施的修改和调整进行定性研究
Chinwendu Duru1, Sarah Kate Bearman2, Paul Rohde3
1Department of Educational Psychology, The University of Texas at Austin, Austin, Texas, USA.
Eating disorders
|April 30, 2025
概括
在大学校园实施身体项目干预饮食障碍,同行教育者进行了修改,改善了不影响忠诚度的适合性. 这种方法提高了年轻成年人获得基于证据的护理的机会.
科学领域:
- 心理学 心理学 心理学
- 公共卫生 公共卫生
- 干预科学 干预科学
背景情况:
- 饮食障碍影响年轻人,在大学校园等环境中,对基于证据的干预措施的获取有限.
- 将任务转移到同行教育者的干预措施可能会改善访问,但可能会对忠诚度产生影响.
- 了解修改对于评估干预适合与忠诚度妥协至关重要.
研究的目的:
- 分析在大学校园由同行教育工作者交付时对身体项目干预措施的修改.
- 确定这些修改是否保持了干预的忠实性或破坏了它的有效性.
- 评估修改是否改善了干预措施与大学生接受者的适应性.
主要方法:
- 与来自63所学院的同行教育监督员进行了半结构化采访.
- 基于证据的饮食障碍预防计划"身体项目"作为随机试验的一部分实施.
- 采访数据使用"扩展报告调整和修改框架" (Framework for Reporting Adaptations and Modifications-Expanded,简称FRAME) 的专题分析.
主要成果:
- 身体项目的修改主要是忠实一致,并坚持原始干预.
- 调整通常是计划和主动的,旨在提高干预措施与目标受众的适应性.
- 尽管进行了修改,但在保真度上没有发现任何重大妥协.
结论:
- 基于证据的饮食障碍干预措施可以适应在大学校园等常规环境中进行交付.
- 微小的修改,当仔细管理,可以改善干预适合接收者,而不会牺牲忠诚度.
- 在适当的监督下,将任务转移给经过培训的同行教育工作者是一种可行的策略,可以增加获得预防干预的机会.
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