Using Theory and Technology to Design a Practical and Generalizable Smoking Reduction Intervention
Kaiser Permanente-Colorado, Institute for Health Research, Denver, CO 80237-8066, USA. Health Promotion Practice
(Impact Factor: 0.55).
11/2009; 11(5):675-84. DOI: 10.1177/1524839908324778
The aim of this article is to describe the process of using theory to form strategies for a generalizable smoking reduction intervention delivered through multiple intervention modalities. This report describes the process of integrating theory, data from diverse sources, staff from three different organizations, and different intervention modalities into an efficient, large-scale smoking reduction program featuring automated data from electronic medical records, computer-assisted telephone interviews, and tailored newsletters. The authors successfully developed a program that was consistently implemented as planned for 320 smokers in a managed care organization. The mapping of theory to intervention, data transfer and security procedures, and processes and strategies used to overcome challenges to intervention implementation should provide lessons learned for similar health promotion projects. Few intervention studies discuss details of how they translate theory into practice or how they integrate different modalities and collaborating institutions, but such integration is critical for project success.
Available from: Pilvikki Absetz
- "The need to understand more about the process of “scaling up” of interventions has been highlighted by Gaglio and others: “Few intervention studies discuss details of how they translate theory into practice or how they integrate different modalities and collaborating institutions, but such integration is critical for project success”. Everett Rogers , who originally proposed the theory of diffusion of innovations, which has recently been elaborated by Oldenburg and Glanz , identifies that the spread of innovations is critically influenced by a number of important factors, including (1) relative advantage over the status quo, (2) compatibility with values and behaviors, (3) lack of complexity, and (4) trialability and observable results. Furthermore, in a narrative meta-analysis of how innovations spread throughout health services, Greenhalgh and colleagues concluded that "knowledge depends for its circulation on interpersonal networks, and will only diffuse if these social features are taken into account and barriers overcome." "
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ABSTRACT: Type 2 diabetes is a major public health issue in most countries around the world. Efficacy trials have demonstrated that lifestyle modification programs can significantly reduce the risk of type 2 diabetes. Two key challenges are:  to develop programs that are more feasible for "real world" implementation and  to extend the global reach of such programs, particularly to resource-poor countries where the burden of diabetes is substantial. This paper describes the development, implementation, and evaluation of such "real world" programs in Finland and Australia, the exchange between the two countries, and the wider uptake of such programs. Drawing on the lessons from these linked case studies, we discuss the implications for improving the "spread" of diabetes prevention programs by more effective uptake of lifestyle change programs and related strategies for more resource-poor countries and settings.
Available from: eyes.arizona.edu
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