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Modes of Delivery in Preventive Intervention Studies: A Rapid Review.
MedLine Citation:
PMID:  24828885     Owner:  NLM     Status:  Publisher    
BACKGROUND: This review was commissioned to generate broad discussion about how to select intervention delivery modes when designing a complex, preventive intervention aimed at chronic disease through the promotion of physical activity, healthy diet, and/or medication adherence. In this context, we asked, what are the delivery modes? What are the important design considerations? And how do these compare (e.g., strengths, limitations)?
MATERIALS AND METHODS: This review ulitized the methods of rapid review, an emerging methodology arising from health technology assessment. The search strategy was applied in Embase and Medline. A qualitative, narrative synthesis was performed on included articles.
RESULTS: After screening, 21 articles remained for synthesis (10 systematic reviews, including 1 review of reviews; 4 trials or studies; 3 commentaries or conference proceedings; and 2 were scoping projects). Our synthesis determined that major categories of design considerations when selecting intervention delivery modes include attention to the (i) candidate mode types, (ii) settings and social environment, (iii) intensity and timing, (iv) provider, (v) study population and participants; (vi) cost; (vii) behavior change technique; and (viii) theoretical basis.
CONCLUSION: An array of modes of delivery are available for each of the intervention strategies under consideration (i.e., physical activity, dietary change, and medication adherence). No single delivery mode was clearly more appropriate or more effective than another, each having unique strengths and limitations. Delivery mode decisions that take the above factors (i-viii) into account will be more fit-for-purpose than those that do not. This article is protected by copyright. All rights reserved.
Reed F Beall; Neill Baskerville; Mohammad Golfam; Sara Saeed; Julian Little
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-5-14
Journal Detail:
Title:  European journal of clinical investigation     Volume:  -     ISSN:  1365-2362     ISO Abbreviation:  Eur. J. Clin. Invest.     Publication Date:  2014 May 
Date Detail:
Created Date:  2014-5-15     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0245331     Medline TA:  Eur J Clin Invest     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
This article is protected by copyright. All rights reserved.
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