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Adapting research-tested computerized tailored interventions for broader dissemination and implementation

  • Published:
Translational Behavioral Medicine

Abstract

This paper focuses on the process for adapting existing legacy computerized tailored intervention (CTI) programs and implications for future development of CTI to ensure that interventions can be disseminated and implemented in different settings. A significant amount of work is required to adapt existing CTI for new research applications and public health interventions. Most new CTI are still developed from scratch, with minimal re-use of software or message content, even when there are considerable overlaps in functionality. This is largely a function of the substantial technical, organizational, and content-based barriers to adapting and disseminating CTI. CTI developers should thus consider dissemination and re-use early in the design phase of their systems. This is not intended to be a step-by-step guide on how to adopt or disseminate research-tested CTI, but rather a discussion that highlights issues to be considered for adapting and disseminating evidence-based CTI.

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Author information

Authors and Affiliations

  1. Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, MD, USA

    Cynthia Vinson MPA & Abdul R Shaikh PhD

  2. College of Computer and Information Science, Northeastern University, Boston, MA, USA

    Timothy Bickmore PhD

  3. People Designs, Durham, NC, USA

    David Farrell MPH

  4. Department of Nutrition, School of Public Health, University of North Carolina, Chapel Hill, NC, USA

    Marci Campbell PhD

  5. Division of General Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA

    Larry An MD

  6. Center for Health Communication Research, University of Michigan, Ann Arbor, MI, USA

    Ed Saunders MS & Mike Nowak MILS

  7. University of North Carolina, Chapel Hill, NC, USA

    Betsy Fowler

Authors
  1. Cynthia Vinson MPA
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  2. Timothy Bickmore PhD
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  3. David Farrell MPH
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  4. Marci Campbell PhD
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  5. Larry An MD
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  6. Ed Saunders MS
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  7. Mike Nowak MILS
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  8. Betsy Fowler
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  9. Abdul R Shaikh PhD
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Corresponding author

Correspondence to Cynthia Vinson MPA.

Additional information

This paper is being submitted to TBM for the special section on “Information Technology and Evidence Implementation”.

Implications

Practice: Computerized tailored interventions have been shown to be effective for preventing and controlling chronic disease, yet there has been a failure to translate these interventions from research into practice. This article describes a methodology for adapting these interventions for practice settings.

Policy: Resources should be directed toward efforts that directly address dissemination of computerized tailored interventions. These interventions should also be designed from the outset with eventual dissemination and re-usability in mind.

Research: Further research is needed to develop tools, methodologies, and shared resources, such as computational ontologies, to promote dissemination and re-use of computerized tailored interventions.

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Vinson, C., Bickmore, T., Farrell, D. et al. Adapting research-tested computerized tailored interventions for broader dissemination and implementation. Behav. Med. Pract. Policy Res. 1, 93–102 (2011). https://doi.org/10.1007/s13142-010-0008-9

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  • DOI: https://doi.org/10.1007/s13142-010-0008-9

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