Document Type
Article
Publication Date
9-1-2015
Abstract
The U.S. Preventive Services Task Force (USPTF) recognizes that behaviors have a major impact on health and well-being. Currently, the USPSTF has 11 behavioral counseling intervention (BCI) recommendations. These BCIs can be delivered in a primary care setting or patients can be referred to other clinical or community programs. Unfortunately, many recommended BCIs are infrequently and ineffectually delivered, suggesting that more evidence is needed to understand which BCIs are feasible and referable. In response, the USPSTF convened an expert forum in 2013 to inform the evaluation of BCI feasibility. This manuscript reports on findings from the forum and proposes that researchers use several frameworks to help clinicians and the USPSTF evaluate which BCIs work under usual conditions. A key recommendation for BCI researchers is to use frameworks whose components can support dissemination and implementation efforts. These frameworks include the Template for Intervention Description and Replication (TIDieR), which helps describe the essential components of an intervention, and pragmatic frameworks like Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) or Pragmatic-Explanatory Continuum Indicator Summary (PRECIS), which help to report study design elements and outcomes. These frameworks can both guide the design of more-feasible BCIs and produce clearer feasibility evidence. Critical evidence gaps include a better understanding of which patients will benefit from a BCI, how flexible interventions can be without compromising effectiveness, required clinician expertise, necessary intervention intensity and follow-up, impact of patient and clinician intervention adherence, optimal conditions for BCI delivery, and how new care models will influence BCI feasibility.
Language
English
Publication Title
American Journal of Preventive Medicine
Grant
HHSA290-2010-00004i
Rights
© 2015 American Journal of Preventive Medicine. This is an open access work distributed under the terms of the Creative Commons Attribution-Non-Commercial-ShareALike (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits non-commercial reuse, distribution, and reproduction in any medium, provided the original work is properly cited and any derivative works are distributed under the same license as the original.
Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-Share Alike 4.0 International License.
Recommended Citation
Evaluating Feasible and Referable Behavioral Counseling Interventions Krist, Alex H. et al. American Journal of Preventive Medicine, Volume 49, Issue 3, S138 - S149
Manuscript Version
Final Publisher Version