Jane Brandt Sørensen, K S Kylie Lee, Andrew Dawson, Angela Dawson, Lalith Senarathna, P H G Janaka Pushpakumara, Thilini Rajapakse, Flemming Konradsen, Nick Glozier, Katherine M Conigrave, Prabash Siriwardhana, David Hansen, Alexandra Buhl, Chamill Priyadhasana, Kamal Senawirathna, Malith Herath, Sudesh Mantillake, Priyantha Fonseka, Melissa Pearson
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引用次数: 0
Abstract
Risky alcohol use is a major public health problem globally and in Sri Lanka. While a reduction in alcohol consumption can result in physical, mental, and social benefits, behaviour change is difficult to achieve. Effective, context-adapted interventions are required to minimise alcohol-related harm at a community level. THEATRE is a complex, community-based intervention evaluating whether a promising Sri Lankan pilot study that utilised arts-based research to moderate alcohol use can be scaled up. While the scaled-up pilot study protocol is presented elsewhere, the aim of this protocol paper is to describe the intervention programme theory and evaluation design, and modifications made to the study resulting from COVID-19 and the financial crisis. Drawing on the Behaviour Change Wheel (BCW) and Theoretical Domains Framework, behaviour change theories are presented with potential pathways to guide implementation and evaluation. Alcohol consumption patterns and context of drinking is detailed. The multifaceted intervention targets individuals and communities using arts-based interventions. Four of nine BCW functions are employed in the design of the intervention: education, persuasion, modelling and enablement, and training. Modifications made to the study due to COVID-19 and the financial crisis are described. Ethical approval was obtained from the Ethics Review Committee, Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka (ERC/2018/21-July 2018 and Feb 2022) and the University of Sydney (2019/006). Findings will be disseminated locally to community members and key stakeholders and via international peer-reviewed publications.
危险饮酒是全球和斯里兰卡的一个重大公共卫生问题。虽然减少酒精消费可以带来身体、精神和社会效益,但行为改变很难实现。要在社区一级尽量减少与酒精有关的危害,需要采取有效的、适应具体情况的干预措施。THEATRE是一项复杂的、以社区为基础的干预措施,评估是否可以扩大一项有前途的斯里兰卡试点研究,该研究利用基于艺术的研究来适度饮酒。虽然在其他地方提出了扩大的试点研究方案,但本方案文件的目的是描述干预规划理论和评估设计,以及因COVID-19和金融危机而对研究进行的修改。利用行为改变轮(BCW)和理论领域框架,行为改变理论提出了指导实施和评估的潜在途径。详细介绍了酒精消费模式和饮酒背景。多方面的干预针对个人和社区,采用基于艺术的干预措施。在干预的设计中采用了九种BCW功能中的四种:教育、说服、建模和实施以及培训。描述了由于COVID-19和金融危机对研究进行的修改。获得了斯里兰卡拉贾拉塔大学医学与相关科学学院伦理审查委员会(ERC/2018/21- july 2018 and Feb 2022)和悉尼大学(2019/006)的伦理批准。调查结果将在当地传播给社区成员和主要利益攸关方,并通过国际同行评议出版物进行传播。
期刊介绍:
Global Health Action is an international peer-reviewed Open Access journal affiliated with the Unit of Epidemiology and Global Health, Department of Public Health and Clinical Medicine at Umeå University, Sweden. The Unit hosts the Umeå International School of Public Health and the Umeå Centre for Global Health Research.
Vision: Our vision is to be a leading journal in the global health field, narrowing health information gaps and contributing to the implementation of policies and actions that lead to improved global health.
Aim: The widening gap between the winners and losers of globalisation presents major public health challenges. To meet these challenges, it is crucial to generate new knowledge and evidence in the field and in settings where the evidence is lacking, as well as to bridge the gaps between existing knowledge and implementation of relevant findings. Thus, the aim of Global Health Action is to contribute to fuelling a more concrete, hands-on approach to addressing global health challenges. Manuscripts suggesting strategies for practical interventions and research implementations where none already exist are specifically welcomed. Further, the journal encourages articles from low- and middle-income countries, while also welcoming articles originated from South-South and South-North collaborations. All articles are expected to address a global agenda and include a strong implementation or policy component.