Enhancing behavioral intervention science: using community-based participatory research principles with the multiphase optimization strategy

2021 ◽  
Author(s):  
Liliane Cambraia Windsor ◽  
Ellen Benoit ◽  
Rogério M Pinto ◽  
Marya Gwadz ◽  
Warren Thompson
Keyword(s):  
Participatory Research ◽  
Behavioral Interventions ◽  
Intervention Development ◽  
Community Based Participatory Research ◽  
Community Capacity ◽  
Optimization Strategy ◽  
Community Based ◽  
Formerly Incarcerated ◽  
Intervention Science ◽  
Multiphase Optimization Strategy

Abstract Innovative methodological frameworks are needed in intervention science to increase efficiency, potency, and community adoption of behavioral health interventions, as it currently takes 17 years and millions of dollars to test and disseminate interventions. The multiphase optimization strategy (MOST) for developing behavioral interventions was designed to optimize efficiency, efficacy, and sustainability, while community-based participatory research (CBPR) engages community members in all research steps. Classical approaches for developing behavioral interventions include testing against control interventions in randomized controlled trials. MOST adds an optimization phase to assess performance of individual intervention components and their interactions on outcomes. This information is used to engineer interventions that meet specific optimization criteria focused on effectiveness, cost, or time. Combining CBPR and MOST facilitates development of behavioral interventions that effectively address complex health challenges, are acceptable to communities, and sustainable by maximizing resources, building community capacity and acceptance. Herein, we present a case study to illustrate the value of combining MOST and CBPR to optimize a multilevel intervention for reducing substance misuse among formerly incarcerated men, for under $250 per person. This integration merged experiential and cutting-edge scientific knowledge and methods, built community capacity, and promoted the development of efficient interventions. Integrating CBPR and MOST principles yielded a framework of intervention development/testing that is more efficient, faster, cheaper, and rigorous than traditional stage models. Combining MOST and CBPR addressed significant intervention science gaps and speeds up testing and implementation of interventions.

scholarly journals The preparation phase in the multiphase optimization strategy (MOST): a systematic review and introduction of a reporting checklist

2021 ◽  
Author(s):  
Ryan R Landoll ◽  
Sara E Vargas ◽  
Kristen B Samardzic ◽  
Madison F Clark ◽  
Kate Guastaferro
Keyword(s):  
Systematic Review ◽  
Behavioral Interventions ◽  
Intervention Development ◽  
Future Research ◽  
Optimization Strategy ◽  
Design Elements ◽  
Alternative Intervention ◽  
Multiphase Optimization Strategy ◽  
Preparation Phase ◽  
Almost All

Abstract Multicomponent behavioral interventions developed using the multiphase optimization strategy (MOST) framework offer important advantages over alternative intervention development models by focusing on outcomes within constraints relevant for effective dissemination. MOST consists of three phases: preparation, optimization, and evaluation. The preparation phase is critical to establishing the foundation for the optimization and evaluation phases; thus, detailed reporting is critical to enhancing rigor and reproducibility. A systematic review of published research using the MOST framework was conducted. A structured framework was used to describe and summarize the use of MOST terminology (i.e., preparation phase and optimization objective) and the presentation of preparation work, the conceptual model, and the optimization. Fifty-eight articles were reviewed and the majority focused on either describing the methodology or presenting results of an optimization trial (n = 38, 66%). Although almost all articles identified intervention components (96%), there was considerable variability in the degree to which authors fully described other elements of MOST. In particular, there was less consistency in use of MOST terminology. Reporting on the MOST preparation phase is varied, and there is a need for increased focus on explicit articulation of key design elements and rationale of the preparation phase. The proposed checklist for reporting MOST studies would significantly advance the use of this emerging methodology and improve implementation and dissemination of MOST. Accurate reporting is essential to reproducibility and rigor of scientific trials as it ensures future research fully understands not only the methodology, but the rationale for intervention and optimization decisions.

Engaging communities in participatory research and action

2020 ◽  
pp. 218-231
Author(s):  
Meredith Minkler ◽  
Charlotte Chang
Keyword(s):  
Community Health ◽  
Participatory Research ◽  
Community Based Participatory Research ◽  
Community Action ◽  
Community Capacity ◽  
Community Based ◽  
Building Community

After reading this chapter you will be able to: define participatory research and its core principles; describe how engaging communities in participatory research and action can add value to research, while building community capacity and helping achieve action to promote community health; identify some of the challenges that arise in such work and how they may be addressed; describe a case study that started with an important issue in the community and demonstrates core principles of community-based participatory research (CBPR), challenges faced in such work, and subsequent community action for change.

scholarly journals One view of the next decade of research on behavioral and biobehavioral approaches to cancer prevention and control: intervention optimization

2021 ◽  
Vol 11 (11) ◽  
pp. 1998-2008 ◽  
Author(s):  
Linda M Collins ◽  
Jillian C Strayhorn ◽  
David J Vanness
Keyword(s):  
Cancer Prevention ◽  
Prevention And Control ◽  
Positive Impact ◽  
Intervention Development ◽  
Successful Implementation ◽  
Optimization Strategy ◽  
Cancer Prevention And Control ◽  
Intervention Science ◽  
Multiphase Optimization Strategy ◽  
And Control

Abstract As a new decade begins, we propose that the time is right to reexamine current methods and procedures and look for opportunities to accelerate progress in cancer prevention and control. In this article we offer our view of the next decade of research on behavioral and biobehavioral interventions for cancer prevention and control. We begin by discussing and questioning several implicit conventions. We then briefly introduce an alternative research framework: the multiphase optimization strategy (MOST). MOST, a principled framework for intervention development, optimization, and evaluation, stresses not only intervention effectiveness, but also intervention affordability, scalability, and efficiency. We review some current limitations of MOST along with future directions for methodological work in this area, and suggest some changes in the scientific environment we believe would permit wider adoption of intervention optimization. We propose that wider adoption of intervention optimization would have a positive impact on development and successful implementation of interventions for cancer prevention and control and on intervention science more broadly, including accumulation of a coherent base of knowledge about what works and what does not; establishment of an empirical basis for adaptation of interventions to different settings with different levels and types of resources; and, in the long run, acceleration of progress from Stage 0 to Stage V in the National Institutes of Health Model of Stages of Intervention Development.

scholarly journals A structured collaborative approach to intervention design using a modified intervention mapping approach: a case study using the Management and Interventions for Asthma (MIA) project for South Asian children

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Monica Lakhanpaul ◽  
Lorraine Culley ◽  
Noelle Robertson ◽  
Emma C. Alexander ◽  
Deborah Bird ◽  
...  
Keyword(s):  
Participatory Research ◽  
South Asian ◽  
Healthcare Professionals ◽  
Evidence Synthesis ◽  
Intervention Mapping ◽  
Intervention Development ◽  
Community Based Participatory Research ◽  
Community Study ◽  
Service Improvement ◽  
Community Based

Abstract Background To describe how using a combined approach of community-based participatory research and intervention mapping principles could inform the development of a tailored complex intervention to improve management of asthma for South Asian (SA) children; Management and Interventions for Asthma (MIA) study. Methods A qualitative study using interviews, focus groups, workshops, and modified intervention mapping procedures to develop an intervention planning framework in an urban community setting in Leicester, UK. The modified form of intervention mapping (IM) included: systematic evidence synthesis; community study; families and healthcare professionals study; and development of potential collaborative intervention strategies. Participants in the community study were 63 SA community members and 12 key informants; in-depth semi-structured interviews involved 30 SA families, 14 White British (WB) families and 37 Healthcare Professionals (HCPs) treating SA children living with asthma; prioritisation workshops involved 145 SA, 6 WB and 37 HCP participants; 30 participants in finalisation workshops. Results Two key principles were utilised throughout the development of the intervention; community-based participatory research (CBPR) principles and intervention mapping (IM) procedures. The CBPR approach allowed close engagement with stakeholders and generated valuable knowledge to inform intervention development. It accounted for diverse perceptions and experiences with regard to asthma and recognised the priorities of patients and their families/caregivers for service improvement. The ‘ACT on Asthma’ programme was devised, comprising four arms of an intervention strategy: education and training, clinical support, advice centre and raising awareness, to be co-ordinated by a central team. Conclusions The modified IM principles utilised in this study were systematic and informed by theory. The combined IM and participatory approach could be considered when tailoring interventions for other clinical problems within diverse communities. The IM approach to intervention development was however resource intensive. Working in meaningful collaboration with minority communities requires specific resources and a culturally competent methodology.

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