Six steps in quality intervention development (6SQuID)

Abstract

Improving the effectiveness of public health interventions relies as much on the attention paid to their design and feasibility as to their evaluation. Yet, compared to the vast literature on how to evaluate interventions, there is little to guide researchers or practitioners on how best to develop such interventions in practical, logical, evidence based ways to maximise likely effectiveness. Existing models for the development of public health interventions tend to have a strong social-psychological, individual behaviour change orientation and some take years to implement. This paper presents a pragmatic guide to six essential Steps for Quality Intervention Development (6SQuID). The focus is on public health interventions but the model should have wider applicability. Once a problem has been identified as needing intervention, the process of designing an intervention can be broken down into six crucial steps: (1) defining and understanding the problem and its causes; (2) identifying which causal or contextual factors are modifiable: which have the greatest scope for change and who would benefit most; (3) deciding on the mechanisms of change; (4) clarifying how these will be delivered; (5) testing and adapting the intervention; and (6) collecting sufficient evidence of effectiveness to proceed to a rigorous evaluation. If each of these steps is carefully addressed, better use will be made of scarce public resources by avoiding the costly evaluation, or implementation, of unpromising interventions.

Translating Developmental Origins: Improving the Health of Women and Their Children Using a Sustainable Approach to Behaviour Change

“…Recent detailed classification of behaviour change techniques employed in behavioural interventions has produced a taxonomy of approximately a hundred documented techniques, and a method of identifying which of these works best in supporting change in which behaviours and in which populations [14,15]. These techniques can be incorporated into interventions designed using current frameworks that systematically address influences on behaviour at the individual, social and environmental levels using a range of these techniques, accessing both conscious and unconscious cognitive processes [16,17,18,19]. What is missing from both the taxonomy and these frameworks is an effective method of engaging individuals in behaviour change interventions.…”

Alcohol use and breast cancer risk: A qualitative study of women’s perspectives to inform the development of a preventative intervention in breast clinics

“…To enhance the acceptability and feasibility of an intervention, it needs to be tailored to the context and needs of the target population (Yardley, Morrison, Bradbury, & Muller, ). Consideration of patient perspectives during the feasibility phase of intervention development can maximise effectiveness and protect against the development of inappropriate or unacceptable interventions (Craig et al, ; Wight, Wimbush, Jepson, & Doi, ). The UK Medical Research Council provided funding to undertake the formative work needed to design and develop a prototype for a brief alcohol intervention, for women attending breast clinics.…”

La importancia de la investigación de enfermería en enfermedades crónicas

“…El profesional de enfermería se centra en proporcionar Intervenciones de Enfermería (IE) efectivas para producir bienestar en la parte receptora (6) . Las intervenciones constituyen un componente esencial en la disciplina de enfermería, esto permite caracterizar y distinguir la profesión de enfermería de otras disciplinas del mismo campo (Medicina, Psicología, Nutrición, etc.).…”

“…Se ha hecho relevante el desarrollo de Investigación en Salud (IS) orientada a este grupo de problemas prioritarios en la población y se tienen que desarrollar intervenciones efectivas que contribuyan a prevenir y controlar las EC, para asegurar el bienestar en las personas que la padecen (4) . Las Intervenciones en Salud son complejas, ya que van dirigidas a modificar comportamientos, tienen que ser diseñadas y evaluadas, utilizando una metodología (Ensayo Clínico Aleatorizado) que permita comprobar el efecto en las personas que reciben dicha intervención (5) .El profesional de enfermería se centra en proporcionar Intervenciones de Enfermería (IE) efectivas para producir bienestar en la parte receptora (6) . Las intervenciones constituyen un componente esencial en la disciplina de enfermería, esto permite caracterizar y distinguir la profesión de enfermería de otras disciplinas del mismo campo (Medicina, Psicología, Nutrición, etc.).…”