Exploring refinements in targeted behavioral medicine intervention to advance public health

Ann Behav Med. 2008 Jun;35(3):251-60. doi: 10.1007/s12160-008-9032-0. Epub 2008 Jun 21.

Abstract

Background: Similar to other fields, a targeted behavioral medicine perspective can aid decision-making related to participant-intervention matching.

Purpose: To present one potentially useful definition of intervention targeting activity; describe potential targeting domains of particular relevance to behavioral medicine; discuss different statistical approaches to aid the targeted intervention development process; and discuss the challenges and opportunities accompanying the incorporation of targeted intervention development methods into behavioral randomized clinical trial (RCT) research.

Methods: Drawing from recent conceptual work by the MacArthur group and other scientists in the field, methods and approaches to undertaking moderator analysis are discussed.

Results: Examples of moderator analyses are provided which reflect the different statistical methods and variable domains that may serve as moderators of intervention success.

Conclusions: The recommended exploratory work can help to make the most efficient use of RCTs to identify the best paths for subsequent RCT development in a resource-constrained era.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Behavior Therapy*
  • Behavioral Research / methods*
  • Humans
  • Public Health
  • Randomized Controlled Trials as Topic*
  • Research Design