Maintaining Rigor in Patient-Centered Interventions: Issues of Efficacy and Effectiveness

2.50
Hdl Handle:
http://hdl.handle.net/10755/160092
Type:
Presentation
Title:
Maintaining Rigor in Patient-Centered Interventions: Issues of Efficacy and Effectiveness
Abstract:
Maintaining Rigor in Patient-Centered Interventions: Issues of Efficacy and Effectiveness
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2006
Author:Pletsch, Pamela, PhD, MS, BSN, RN
P.I. Institution Name:University of North Carolina at Chapel Hill
Title:Associate Professor
Contact Address:School of Nursing, CB#7460, Chapel Hill, NC, 27599-7460, USA
Contact Telephone:(919) 966-4864
The purpose of this paper is to discuss strategies for balancing issues related to efficacy and effectiveness in the development of patient-centered, including tailored, interventions. The ôgold standardö for intervention efficacy studies is to deliver the same intervention in the same way to all participants in the treatment arm. However, effectiveness studies have demonstrated that clinicians require more flexibility to be successful in adopting interventions into practice. The strength and challenge of patient-centered interventions is to bridge this gap and produce more powerful and useful interventions. In this paper we will describe the development of a smoking resumption-prevention intervention for pregnant women that is based on a stepped-care and matching model. The efficacy aspects of the intervention are enhanced by use of systematic assessment of women on bio-behavioral, pregnancy-specific, and co-condition dimensions. A risk profile is created for each woman based on the assessment. The effectiveness aspects of the intervention are enhanced by varying the intensity of the intervention and matching strategies to each woman's profile. The intervention intensity is based on women's risk profiles which are used to determine both the number and timing of intervention contacts. Intervention strategies are then matched to the characteristics of women's risk profiles. Quantitative and qualitative findings from a pilot study will be presented. Issues and solutions for balancing intervention efficacy and effectiveness will be discussed. Our ability to articulate strong designs that address both the efficacy and effectiveness of patient-centered interventions will greatly enhance the science of health behaviors.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleMaintaining Rigor in Patient-Centered Interventions: Issues of Efficacy and Effectivenessen_GB
dc.identifier.urihttp://hdl.handle.net/10755/160092-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Maintaining Rigor in Patient-Centered Interventions: Issues of Efficacy and Effectiveness</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Pletsch, Pamela, PhD, MS, BSN, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of North Carolina at Chapel Hill</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">School of Nursing, CB#7460, Chapel Hill, NC, 27599-7460, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">(919) 966-4864</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">ppletsch@email.unc.edu</td></tr><tr><td colspan="2" class="item-abstract">The purpose of this paper is to discuss strategies for balancing issues related to efficacy and effectiveness in the development of patient-centered, including tailored, interventions. The &ocirc;gold standard&ouml; for intervention efficacy studies is to deliver the same intervention in the same way to all participants in the treatment arm. However, effectiveness studies have demonstrated that clinicians require more flexibility to be successful in adopting interventions into practice. The strength and challenge of patient-centered interventions is to bridge this gap and produce more powerful and useful interventions. In this paper we will describe the development of a smoking resumption-prevention intervention for pregnant women that is based on a stepped-care and matching model. The efficacy aspects of the intervention are enhanced by use of systematic assessment of women on bio-behavioral, pregnancy-specific, and co-condition dimensions. A risk profile is created for each woman based on the assessment. The effectiveness aspects of the intervention are enhanced by varying the intensity of the intervention and matching strategies to each woman's profile. The intervention intensity is based on women's risk profiles which are used to determine both the number and timing of intervention contacts. Intervention strategies are then matched to the characteristics of women's risk profiles. Quantitative and qualitative findings from a pilot study will be presented. Issues and solutions for balancing intervention efficacy and effectiveness will be discussed. Our ability to articulate strong designs that address both the efficacy and effectiveness of patient-centered interventions will greatly enhance the science of health behaviors.</td></tr></table>en_GB
dc.date.available2011-10-26T22:37:08Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T22:37:08Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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