Randomized study designs for lifestyle interventions: a tutorial

被引:31
|
作者
Younge, John O. [1 ,2 ]
Kouwenhoven-Pasmooij, Tessa A. [1 ]
Freak-Poli, Rosanne [1 ,3 ]
Roos-Hesselink, Jolien W. [2 ]
Hunink, M. G. Myriam [1 ,4 ,5 ]
机构
[1] Erasmus MC, Dept Epidemiol, Wytemanweg 80,NA 2818, NL-3015 CN Rotterdam, Netherlands
[2] Erasmus MC, Dept Cardiol, NL-3015 CN Rotterdam, Netherlands
[3] Monash Univ, Dept Epidemiol & Prevent Med, Melbourne, Vic 3004, Australia
[4] Erasmus MC, Dept Radiol, NL-3015 CN Rotterdam, Netherlands
[5] Harvard Univ, Harvard TH Chan Sch Publ Hlth, Ctr Hlth Decis Sci, Boston, MA 02115 USA
关键词
Lifestyle intervention; study design; tutorial; randomized controlled trial; CONTROLLED-TRIALS; STEPPED-WEDGE; COMPLEX INTERVENTIONS; PATIENT PREFERENCES; CONSORT STATEMENT; PRAGMATIC TRIALS; CLINICAL-TRIALS; PREVENTION; SELECTION; IMPACT;
D O I
10.1093/ije/dyv183
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Unhealthy lifestyle behaviours are considered modifiable risk factors for many diseases. Lifestyle interventions that target these behaviours need rigorous evaluation to assess their effectiveness. The randomized controlled trial is the study design of choice when it comes to the evaluation of interventions. However, lifestyle interventions are often complex and subject to several important issues, such as patient preference and non-adherence, that may threaten the internal and external validity of studies. There is a strong demand for high-quality randomized controlled trials of interventions that promote healthy lifestyle behaviours. With this tutorial we aim to provide guidance in the choice of an optimal randomized controlled trial design in future trials of lifestyle interventions.
引用
收藏
页码:2006 / 2019
页数:14
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