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      Specifying and reporting complex behaviour change interventions: the need for a scientific method

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          Abstract

          Complex behaviour change interventions are not well described; when they are described, the terminology used is inconsistent. This constrains scientific replication, and limits the subsequent introduction of successful interventions. Implementation Science is introducing a policy of initially encouraging and subsequently requiring the scientific reporting of complex behaviour change interventions.

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          Most cited references33

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          Replication as Strategy

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            Identifying and selecting the common elements of evidence based interventions: a distillation and matching model.

            A model is proposed whereby the intervention literature can be empirically factored or distilled to derive profiles from evidence-based approaches. The profiles can then be matched to individual clients based on consideration of their target problems, as well as demographic and contextual factors. Application of the model is illustrated by an analysis of the youth treatment literature. Benefits of the model include its potential to facilitate improved understanding of similarities and differences among treatments, to guide treatment selection and matching to clients, to address gaps in the literature, and to point to possibilities for new interventions based on the current research base.
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              Program integrity in primary and early secondary prevention: are implementation effects out of control?

              We examined the extent to which program integrity (i.e., the degree to which programs were implemented as planned) was verified and promoted in evaluations of primary and early secondary prevention programs published between 1980 and 1994. Only 39 of 162 outcome studies featured specified procedures for the documentation of fidelity. Of these, only 13 considered variations in integrity in analyzing the effects of the program. Lowered adherence to protocol was often associated with poorer outcome. There was mixed evidence of dosage effects. The omission of integrity data, particularly measures of adherence, may compromise the internal validity of outcome studies in the prevention literature. We do not view procedures for integrity verification as inconsistent with the adaptation of interventions to the needs of receiving communities.
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                Author and article information

                Journal
                Implement Sci
                Implementation Science : IS
                BioMed Central
                1748-5908
                2009
                16 July 2009
                : 4
                : 40
                Affiliations
                [1 ]Centre for Outcomes Research and Effectiveness, Department of Clinical, Educational and Health Psychology, University College London, 1-19 Torrington Place, London, WC1E 7HB, UK
                [2 ]FPG Child Development Institute, University of North Carolina–Chapel Hill, 517 S Greensboro Street, Carrboro, NC 27510, USA
                [3 ]Clinical Epidemiology Program, Ottawa Health Research Institute, 1053 Carling Avenue, Room 2-017, Admin Building, University of Ottawa, Ottawa, ON, K1N 6N5, Canada
                [4 ]Institute of Health and Society, Newcastle University, 21 Claremont Place, Newcastle upon Tyne, NE2 4AA, UK
                Article
                1748-5908-4-40
                10.1186/1748-5908-4-40
                2717906
                19607700
                a42e295c-048d-4439-a1d6-30e8a1df44b4
                Copyright © 2009 Michie et al; licensee BioMed Central Ltd.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 17 February 2009
                : 16 July 2009
                Categories
                Editorial

                Medicine
                Medicine

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