Translating Basic Behavioral and Social Science Research to Clinical Application: The EVOLVE Mixed Methods Approach

Autor/inn/en	Peterson, Janey C.; Czajkowski, Susan; Charlson, Mary E.; Link, Alissa R.; Wells, Martin T.; Isen, Alice M.; Mancuso, Carol A.; Allegrante, John P.; Boutin-Foster, Carla; Ogedegbe, Gbenga; Jobe, Jared B.
Titel	Translating Basic Behavioral and Social Science Research to Clinical Application: The EVOLVE Mixed Methods Approach
Quelle	In: Journal of Consulting and Clinical Psychology, 81 (2013) 2, S.217-230 (14 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0022-006X
DOI	10.1037/a0029909
Schlagwörter	Social Science Research; Behavioral Science Research; Mixed Methods Research; Intervention; Behavior Change; Health Behavior; Chronic Illness; Heart Disorders; Diseases; Physical Activity Level; Adults; African Americans; Drug Therapy; Pilot Projects; Program Effectiveness; New York + Suchen Sie Ihr Suchwort? Social scientific research; Sozialwissenschaftliche Forschung; Health behaviour; Gesundheitsverhalten; Chronic disease; Chronische Krankheit; Herzkrankheit; Disease; Krankheit; Afroamerikaner; Pilot project; Modellversuch; Pilotprojekt
Abstract	Objective: To describe a mixed-methods approach to develop and test a basic behavioral science-informed intervention to motivate behavior change in 3 high-risk clinical populations. Our theoretically derived intervention comprised a combination of positive affect and self-affirmation (PA/SA), which we applied to 3 clinical chronic disease populations. Method: We employed a sequential mixed methods model (EVOLVE) to design and test the PA/SA intervention in order to increase physical activity in people with coronary artery disease (post-percutaneous coronary intervention [PCI]) or asthma (ASM) and to improve medication adherence in African Americans with hypertension (HTN). In an initial qualitative phase, we explored participant values and beliefs. We next pilot tested and refined the intervention and then conducted 3 randomized controlled trials with parallel study design. Participants were randomized to combined PA/SA versus an informational control and were followed bimonthly for 12 months, assessing for health behaviors and interval medical events. Results: Over 4.5 years, we enrolled 1,056 participants. Changes were sequentially made to the intervention during the qualitative and pilot phases. The 3 randomized controlled trials enrolled 242 participants who had undergone PCI, 258 with ASM, and 256 with HTN (n = 756). Overall, 45.1% of PA/SA participants versus 33.6% of informational control participants achieved successful behavior change (p = 0.001). In multivariate analysis, PA/SA intervention remained a significant predictor of achieving behavior change (p less than 0.002, odds ratio = 1.66), 95% CI [1.22, 2.27], controlling for baseline negative affect, comorbidity, gender, race/ethnicity, medical events, smoking, and age. Conclusions: The EVOLVE method is a means by which basic behavioral science research can be translated into efficacious interventions for chronic disease populations. (Contains 4 figures and 6 tables.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10