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.

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 Development and acceptability of an educational video about a smoking cessation quitline for use in adult outpatient mental healthcare

2021 ◽  
Author(s):  
Adina S Kazan ◽  
Laura M Perry ◽  
Wasef F Atiya ◽  
Hallie M Voss ◽  
Seowoo Kim ◽  
...  
Keyword(s):  
Mental Health ◽  
Tobacco Use ◽  
Transtheoretical Model ◽  
Mental Healthcare ◽  
Advisory Board ◽  
Future Research ◽  
Educational Video ◽  
Design Elements ◽  
Outpatient Mental Health ◽  
Preparation Phase

Abstract Tobacco use is a leading preventable cause of early mortality and is prevalent among adults with mental health diagnoses, especially in the southern USA. Increasing cessation resources in outpatient mental health care and targeting individuals most receptive to changing their behavior may improve cessation. Drawing on the transtheoretical model, our goals were to develop an educational video about the Louisiana Tobacco Quitline and evaluate its acceptability. We designed the video with knowledge derived from Louisiana-specific data (2016 Louisiana Adult Tobacco Survey, N = 6,469) and stakeholder feedback. Bivariate associations between demographic/tobacco-use characteristics and participants’ stage of quitting (preparation phase vs. nonpreparation phase) were conducted, which informed design elements of the video. Four stakeholder advisory board meetings involving current smokers, mental health clinicians, and public health advocates convened to provide iterative feedback on the intervention. Our stakeholder advisory board (n = 10) and external stakeholders (n = 20) evaluated intervention acceptability. We found that 17.9% of Louisiana adults were current smokers, with 46.9% of them in the preparation phase of quitting. Using insights from data and stakeholders, we succeeded in producing a 2-min video about the Louisiana Tobacco Quitline which incorporated three themes identified as important by stakeholders: positivity, relatability, and approachability. Supporting acceptability, 96.7% of stakeholders rated the video as helpful and engaging. This study demonstrates the acceptability of combining theory, existing data, and iterative stakeholder feedback to develop a quitline educational video. Future research should examine whether the video can be used to reduce tobacco use.

scholarly journals Engineering a Mobile Platform to Promote Sleep in the Pediatric Primary Care Setting

2020 ◽  
Author(s):  
Jonathan A. Mitchell ◽  
Knashawn H. Morales ◽  
Ariel A. Williamson ◽  
Nicholas Huffnagle ◽  
Casey Eck ◽  
...  
Keyword(s):  
Sleep Duration ◽  
Mobile Health ◽  
Care Setting ◽  
Optimization Strategy ◽  
Normative Feedback ◽  
Promising Candidate ◽  
Multiphase Optimization Strategy ◽  
Control Gain ◽  
Preparation Phase ◽  
Control Loss

AbstractBackgroundPediatricians lack tools to support families at home for the promotion of childhood sleep. We are using the Multiphase Optimization Strategy (MOST) framework to guide the development of a mobile health platform for childhood sleep promotion.PurposeUnder the preparation phase of the MOST framework, to demonstrate feasibility of a mobile health platform towards treating children with insufficient sleep.MethodsChildren aged 10-12y were enrolled (Study #1: N=30; Study #2: N=43). Participants wore a sleep tracker to measure sleep duration. Data were retrieved by a mobile health platform, programmed to send introductory messages during run-in (2 weeks) and goal achievement messages during intervention (7 weeks) periods. In study #1, participants were randomized to control, gain-framed incentive or loss-framed incentive arms. In study #2, participants were randomized to control, loss-framed incentive, normative feedback or loss-framed incentive plus normative feedback arms.ResultsIn study #1, 1,514 nights of data were captured (69%) and sleep duration during the intervention was higher by an average of 21 (95% CI: -8, 51) and 34 (95% CI: 7, 61) minutes per night for the gain-framed and loss-framed arms, respectively, compared to controls. In study #2, 2,689 nights of data were captured (81%), with no major differences in average sleep duration between the control and the loss-framed or normative feedback arms.ConclusionWe have developed and deployed a mobile health platform that can capture sleep data and remotely communicate with families. Promising candidate intervention components will be further investigated under the optimization phase of the MOST framework.

The Clinical Practice Model for Persons with Dementia: Application to Music Therapy

2021 ◽  
Author(s):  
Alaine E Reschke-Hernández
Keyword(s):  
Clinical Practice ◽  
Music Therapy ◽  
Behavioral Interventions ◽  
Clinical Decision Making ◽  
Evidence Based Practice ◽  
Intervention Development ◽  
Well Being ◽  
Future Research ◽  
Evidence Based ◽  
Practice Model

Abstract Currently, no drug can cure or effectively mitigate symptoms for the growing number of individuals who live with Alzheimer’s disease and related dementias. As they experience declines in memory, communication, and thinking—symptoms that undermine social initiative, autonomy, and well-being—these individuals become increasingly dependent on others. Evidence regarding the benefits of music therapy for persons with dementia is growing. Nonetheless, limitations in existing research have hindered knowledge regarding the use and appropriate application of music as a form of treatment with this population. This article describes the development of The Clinical Practice Model for Persons with Dementia, which provides a theoretical framework to inform evidence-based practice, illustrated here in application to music therapy. Specifically, the model is intended to prompt purposeful application of strategies documented within a broad literature base within 6 thematic areas (Cognition, Attention, Familiarity, Audibility, Structure, and Autonomy); facilitate clinical decision-making and intervention development, including music interventions; and encourage discourse regarding relationships between characteristics of the intervention, the therapist, the person with dementia, and their response to intervention. The model comprises a set of testable assumptions to provide direction for future research and to facilitate the description and investigation of mechanisms underlying behavioral interventions with this population. Although the model is likely to evolve as knowledge is gained, it offers a foundation for holistically considering an individual’s needs and strengths, guidance for applying music and nonmusic strategies in evidence-based practice, and direction for future research.

Gamification Research

2020 ◽  
pp. 397-412
Author(s):  
Kingsley Ofosu-Ampong ◽  
Thomas Anning-Dorson
Keyword(s):  
Systematic Review ◽  
Information Technology ◽  
Developing Countries ◽  
Real World ◽  
Game Design ◽  
Future Research ◽  
Agriculture Education ◽  
Design Elements ◽  
Scopus Database ◽  
Education Business

Despite advances in information technology, studies suggest that there is little knowledge of how developing countries are applying gamification in agriculture, education, business, health, and other domains. Thus, from a systematic review, this chapter examines the extent of gamification research in the developing country context. In this chapter, 56 articles were reviewed, and the search was done in the Scopus database. This chapter explains the idea of game design elements in information systems and provides real-world examples of gamified systems outcomes from developing countries. The authors conclude with directions for future research to extend our knowledge of gamification and advance the existing methodologies, domains, and theories.

scholarly journals Do dissatisfied patients have unrealistic expectations? A systematic review and best-evidence synthesis in knee and hip arthroplasty patients

2020 ◽  
Vol 5 (4) ◽  
pp. 226-240 ◽  
Author(s):  
Frederique J. Hafkamp ◽  
Taco Gosens ◽  
Jolanda de Vries ◽  
Brenda L. den Oudsten
Keyword(s):  
Systematic Review ◽  
Study Design ◽  
Clinical Success ◽  
Evidence Synthesis ◽  
Outcome Expectations ◽  
Future Research ◽  
Success Rates ◽  
Best Evidence Synthesis ◽  
Almost All ◽  
The Relationship

End-stage osteoarthritis is commonly treated with joint replacement. Despite high clinical success rates, up to 28% of patients are dissatisfied with the outcome. This best-evidence synthesis aimed to review studies with different forms of study design and methodology that examined the relationship between (fulfilment of) outcome expectations of hip and knee patients and satisfaction with outcome. A literature search was performed in PubMed, Web of Science, PsycInfo, Cochrane, and Google Scholar to identify studies conducted up to November 2017. The methodological quality of studies was assessed using the Newcastle-Ottawa Scale. In this best-evidence synthesis systematic review, the following main results could be seen. In only half of all studies were preoperative expectations associated with level of satisfaction, while in almost all studies (93%), fulfilment of expectations was related to satisfaction. The effect of met expectations did not differ between hip and knee patients or study design. Fulfilment of expectations seems to be consistently associated with patient satisfaction with outcome. Emphasis in future research must be placed on the operationalization and measurement of expectations and satisfaction to determine the (strength of the) influence of these different forms of assessment on the (existence of the) relationship. Cite this article: EFORT Open Rev 2020;5:226-240. DOI: 10.1302/2058-5241.5.190015

scholarly journals Peer-Based Social Media Features in Behavior Change Interventions: Systematic Review (Preprint)

2017 ◽  
Author(s):  
Sheik Mohammad Roushdat Ally Elaheebocus ◽  
Mark Weal ◽  
Leanne Morrison ◽  
Lucy Yardley
Keyword(s):  
Systematic Review ◽  
Social Media ◽  
Behavior Change ◽  
Behavioral Interventions ◽  
Selection Process ◽  
Future Research ◽  
Behavioral Risk ◽  
Lack Of Information ◽  
Behavior Change Interventions ◽  
High Level

BACKGROUND Incorporating social media features into digital behavior change interventions (DBCIs) has the potential to contribute positively to their success. However, the lack of clear design principles to describe and guide the use of these features in behavioral interventions limits cross-study comparisons of their uses and effects. OBJECTIVE The aim of this study was to provide a systematic review of DBCIs targeting modifiable behavioral risk factors that have included social media features as part of their intervention infrastructure. A taxonomy of social media features is presented to inform the development, description, and evaluation of behavioral interventions. METHODS Search terms were used in 8 databases to identify DBCIs that incorporated social media features and targeted tobacco smoking, diet and nutrition, physical activities, or alcohol consumption. The screening and review process was performed by 2 independent researchers. RESULTS A total of 5264 articles were screened, and 143 articles describing a total of 134 studies were retained for full review. The majority of studies (70%) reported positive outcomes, followed by 28% finding no effects with regard to their respective objectives and hypothesis, and 2% of the studies found that their interventions had negative outcomes. Few studies reported on the association between the inclusion of social media features and intervention effect. A taxonomy of social media features used in behavioral interventions has been presented with 36 social media features organized under 7 high-level categories. The taxonomy has been used to guide the analysis of this review. CONCLUSIONS Although social media features are commonly included in DBCIs, there is an acute lack of information with respect to their effect on outcomes and a lack of clear guidance to inform the selection process based on the features’ suitability for the different behaviors. The proposed taxonomy along with the set of recommendations included in this review will support future research aimed at isolating and reporting the effects of social media features on DBCIs, cross-study comparisons, and evaluations.

scholarly journals Developing a Psychological–Behavioral Intervention in Cardiac Patients Using the Multiphase Optimization Strategy: Lessons Learned From the Field

2019 ◽  
Vol 54 (3) ◽  
pp. 151-163
Author(s):  
Jeff C Huffman ◽  
Rachel A Millstein ◽  
Christopher M Celano ◽  
Brian C Healy ◽  
Elyse R Park ◽  
...  
Keyword(s):  
Physical Activity ◽  
Decision Making ◽  
Behavioral Intervention ◽  
Development Program ◽  
Intervention Development ◽  
Development Project ◽  
Lessons Learned ◽  
Optimization Strategy ◽  
Coronary Syndrome ◽  
Multiphase Optimization Strategy

Abstract Background The Multiphase Optimization Strategy (MOST) is an approach to systematically and efficiently developing a behavioral intervention using a sequence of experiments to prepare and optimize the intervention. Purpose Using a 6 year MOST-based behavioral intervention development project as an example, we outline the results—and resulting decision-making process—related to experiments at each step to display the practical challenges present at each stage. Methods To develop a positive psychology (PP) based intervention to promote physical activity after an acute coronary syndrome (N = 255 across four phases), we utilized qualitative, proof-of-concept, factorial design, and randomized pilot experiments, with iterative modification of intervention content and delivery. Results Through this multiphase approach, we ultimately developed a 12 week, phone-delivered, combined PP-motivational interviewing intervention to promote physical activity. Across stages, we learned several important lessons: (a) participant and interventionist feedback is important, even in later optimization stages; (b) a thoughtful and systematic approach using all information sources is required when conflicting results in experiments make next steps unclear; and (3) new approaches in the field over a multiyear project should be integrated into the development process. Conclusions A MOST-based behavioral intervention development program can be efficient and effective in developing optimized new interventions, and it may require complex and nuanced decision-making at each phase.

Developing mHealth Interventions with Implementation in Mind: Application of the Multiphase Optimization Strategy (MOST) Preparation Phase to Diabetes Prevention Programming (Preprint)

2022 ◽  
Author(s):  
Megan MacPherson ◽  
Kohle Merry ◽  
Sean Locke ◽  
Mary Jung
Keyword(s):  
Phase I ◽  
Conceptual Model ◽  
Diabetes Prevention ◽  
Healthcare Providers ◽  
Intervention Development ◽  
Diabetes Prevention Program ◽  
Optimization Strategy ◽  
Mhealth Intervention ◽  
Multiphase Optimization Strategy ◽  
The Impact

UNSTRUCTURED With thousands of mHealth solutions on the market, patients and healthcare providers struggle to identify which solution to use/prescribe. The lack of evidence-based mHealth solutions may be due to limited research on intervention development and continued use of traditional research methods for mHealth evaluation. The Multiphase Optimization Strategy (MOST) is a framework which aids in developing interventions which are economical, affordable, scalable, and effective (EASE). MOST Phase I highlights the importance of formative intervention development, a stage often overlooked and rarely published. The aim of MOST Phase I is to identify candidate intervention components, create a conceptual model, and define the optimization objective. While MOST sets these three targets, the framework itself does not provide robust guidance on how to conduct quality research within Phase I, and what steps can be taken to identify potential intervention components, develop the conceptual model, and achieve intervention EASE with the implementation context in mind. To advance the applicability of MOST within the field of implementation science, this paper provides an account of the methods used to develop an mHealth intervention. Specifically, we provide a comprehensive example of how to achieve the goals of MOST Phase I by outlining the formative development of an mHealth prompting intervention within a diabetes prevention program. Additionally, recommendations are proposed for future researchers to conduct formative research on mHealth interventions with implementation in mind. Given its considerable reach, mHealth has the potential to positively impact public health by decreasing implementation costs and improving accessibility. MOST is well-suited for the efficient development and optimization of mHealth interventions. By using an implementation-focused lens and outlining the steps in developing an mHealth intervention using MOST Phase I, this work can may guide future intervention developers towards maximizing the impact of mHealth outside of the research laboratory.

scholarly journals A systematic review of stigma in sexual and gender minority health interventions

2020 ◽  
Vol 10 (5) ◽  
pp. 1200-1210 ◽  
Author(s):  
Eric K Layland ◽  
Joseph A Carter ◽  
Nicholas S Perry ◽  
Jorge Cienfuegos-Szalay ◽  
Kimberly M Nelson ◽  
...  
Keyword(s):  
Systematic Review ◽  
Behavioral Interventions ◽  
Health Interventions ◽  
Future Research ◽  
Sexual And Gender Minorities ◽  
Gender Minority ◽  
Gender Minorities ◽  
Intervention Efficacy ◽  
Sexual And Gender Minority ◽  
And Gender

Abstract Stigma against sexual and gender minorities is a major driver of health disparities. Psychological and behavioral interventions that do not address the stigma experienced by sexual and gender minorities may be less efficacious. We conducted a systematic review of existing psychological and behavioral health interventions for sexual and gender minorities to investigate how interventions target sexual and gender minority stigma and consider how stigma could affect intervention efficacy. Preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines were followed. Eligible studies were peer reviewed and published in English between January 2003 and July 2019 and reported empirical results of behavioral or psychological interventions implemented among sexual and gender minorities. All interventions addressed stigma. We identified 37 eligible interventions. Most interventions targeted sexual minority men. Interventions were frequently developed or adapted for implementation among sexual and gender minorities and addressed multiple levels and types of stigma. Interventions most frequently targeted proximal stressors, including internalized and anticipated stigma. HIV and mental health were the most commonly targeted health outcomes. A limited number of studies investigated the moderating or mediating effects of stigma on intervention efficacy. The application of an intersectional framework was frequently absent and rarely amounted to addressing sources of stigma beyond sexual and gender minority identities. A growing number of interventions address sexual and gender minority stigma in an effort to prevent deleterious health effects. Future research is needed to assess whether stigma modifies the effectiveness of existing psychological and behavioral interventions among sexual and gender minorities. Further, the application of intersectional frameworks is needed to more comprehensively intervene on multiple, intersecting sources of stigma faced by the diverse sexual and gender minority community.

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