Expanding the scope and relevance of health interventions: Moving beyond clinical trials and behavior change models

Khary K. Rigg, Hilary H. Cook, John W. Murphy

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

An overemphasis on clinical trials and behavior change models has narrowed the knowledge base that can be used to design interventions. The overarching point is that the process of overanalyzing variables is impeding the process of gaining insight into the everyday experiences that shape how people define health and seek treatment. This claim is especially important to health decision-making and behavior change because subtle interpretations often influence the decisions that people make. This manuscript provides a critique of traditional approaches to developing health interventions, and theoretically justifies what and why changes are warranted. The limited scope of these models is also discussed, and an argument is made to adopt a strategy that includes the perceptions of people as necessary for understanding health and health-related decisionmaking. Three practical strategies are suggested to be used with the more standard approaches to assessing the effectiveness and relevance of health interventions.

Original languageEnglish (US)
Article number24743
JournalInternational Journal of Qualitative Studies on Health and Well-being
Volume9
Issue number1
DOIs
StatePublished - Jul 21 2014

Keywords

  • Behavior change models
  • Clinical trials
  • Ethnography
  • Health interventions
  • Narratives
  • Photovoice
  • Public health
  • Theory

ASJC Scopus subject areas

  • Health Policy
  • Fundamentals and skills
  • Gerontology
  • Issues, ethics and legal aspects

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