在营养支持领域使用理论领域框架和行为变化轮框架
Sharon Carey1,2, Sophie Hogan2,3
1Department of Nutrition and Dietetics, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.
概括
本研究概述了使用理论领域框架 (TDF) 和行为改变轮 (BCW) 来设计行为改变干预措施. 这些框架系统地解决有效实施战略的障碍和推动因素.
科学领域:
- 行为科学
- 医疗服务研究
- 实施科学
背景情况:
- 当行为变化干预以实施框架为指导时,它们更有效.
- 理论领域框架 (TDF) 和行为变化轮 (BCW) 提供了系统的方法来识别和解决障碍和推动因素.
- 医疗保健的证据和实践缺陷,特别是营养支持,需要有效的策略来改变临床医生的行为.
研究的目的:
- 概述使用TDF和BCW设计和评估干预的步骤.
- 用现实世界的例子展示TDF和BCW框架的应用.
- 强调TDF和BCW对改善营养支持实践的有用性.
主要方法:
- 使用TDF识别行为改变的障碍和促进因素.
- 地图确定了能力,机遇和动机 (COM-B) 模型的障碍和推动因素.
- 选择关键干预功能和具体策略,由BCW提供信息.
主要成果:
- 对于干预设计,TDF和BCW提供了一个结构化的方法.
- 该框架的应用可以有效地解决营养不良查和预康复等领域的落实差距.
- 该COM-B模型是确定障碍和干预选择之间的关键纽带.
结论:
- TDF和BCW框架非常适合设计针对临床医生的行为干预措施.
- 这种方法有助于将证据转化为实践,特别是在营养支持方面.
- 系统地应用TDF和BCW可以有效地弥补证据与实践的差距.
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