The Integrated Screening Action Model (I-SAM): a theory-based approach to inform intervention development

Robb, K. A. (2021) The Integrated Screening Action Model (I-SAM): a theory-based approach to inform intervention development. Preventive Medicine Reports, 23, 101427. (doi: 10.1016/j.pmedr.2021.101427) (PMID:34189020) (PMCID:PMC8220376)

Abstract

Screening can reduce deaths if the people invited participate. However, good uptake is hard to achieve, and our current approaches are failing to engage the most vulnerable. A coherent model of screening behaviour to guide our understanding and intervention development is yet to be established. The present aim was to propose an Integrated Screening Action Model (I-SAM) to improve screening access. The I-SAM synthesises existing models of health behaviour and empirical evidence. The I-SAM was developed following: i) an appraisal of the predominant models used within the screening literature; ii) the integration of the latest knowledge on behaviour change; with iii) the empirical literature, to inform the development of a theory-based approach to intervention development. There are three key aspects to the I-SAM: i) a sequence of stages that people pass through in engaging in screening behaviour (based on the Precaution Adoption Process Model); ii) screening behaviour is shaped by the interaction between participant and environmental influences (drawing from the Access Framework); and iii) targets for intervention should focus on the sources of behaviour - ‘capability’, ‘opportunity’, and ‘motivation’ (based on the COM-B Model). The I-SAM proposes an integrated model to support our understanding of screening behaviour and to identify targets for intervention. It will be an iterative process to test and refine the I-SAM and establish its value in supporting effective interventions to improve screening for all.

• Item Type: Articles
• Status: Published
• Refereed: Yes
• Glasgow Author(s) Enlighten ID: Robb, Professor Katie

Creator Roles

Robb, K. A.: Conceptualization, Methodology, Investigation, Writing – original draft, Writing – review and editing, Visualization

• Authors: Robb, K. A.
• College/School: College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > Mental Health and Wellbeing
• Journal Name: Preventive Medicine Reports
• Publisher: Elsevier
• ISSN: 2211-3355
• ISSN (Online): 2211-3355
• Published Online: 31 May 2021
• Copyright Holders: Copyright © 2021 The Author
• First Published: First published in Preventive Medicine Reports 23: 101427
• Publisher Policy: Reproduced under a Creative Commons License