An evidence-based, multidisciplinary approach on risk zoning, personal and transmission risk assessment in near real-time, and risk communication would support the optimized decisions to minimize the impact of coronavirus on our lives. This interdisciplinary paper , pubished today in Scientific Reports, offers a framework to assess the individual and regional risk of COVID-19 along with risk communication tools and mechanisms. Relative risk scores on a scale of 100 represent the integrated risk of influential factors. The personal risk model incorporates age, exposure history, symptoms, local risk and existing health condition, whereas regional risk is computed through the actual cases of COVID-19, public health risk factors, socioeconomic condition of the region, and immigration statistics. A web application tool (http://www.covira.info) has been developed, where anyone can assess their risk and find the guided information links primarily for Nepal. This study provides regional risk for Nepal, but the framework is scalable across the world.
The authors comprised researchers from the University of Bristol, Science Hub (Nepal), University of the West of England, Public Health Perspective Nepal, Nepal Open University, Center for Molecular Dynamics Nepal, Mid Yorkshire Hospitals NHS Trust, the University of Huddersfield and Bournemouth University.
- Parajuli, R.R., Mishra, B., Banstola, A. Multidisciplinary approach to COVID-19 risk communication: a framework and tool for individual and regional risk assessment. 21650 (2020). https://doi.org/10.1038/s41598-020-78779-0
For those of you interested in health education, applied psychology or physical activity promotion, read on.
Last week I attended the annual Intervention Mapping course at Maastricht University, which provides a framework for decision-making when planning, conducting and evaluating complex interventions. As a physiologist and early career researcher the course introduced me to using a theory-led, systematic approach when devising multidisciplinary interventions. From my perspective, what to consider when planning an exercise/physical activity programme to improve mobility (and holistically quality of life) for frail older adults living in care home residences. Intervention Mapping comprises the following steps:
- Needs assessments (or logic model of the problem)
- Specifying the ‘change objectives’
- Programme design
- themes and components
- theory- and evidence-based methods for change
- practical application
- Programme production
- Implementation plan
- Evaluation plan
It should be noted that this framework relates mainly to collaborative healthcare projects, involving multidisciplinary team-working with individuals that may include: behavioural scientists, physiologists, Allied health professionals, care home staff and council officials.
As a ‘cog in a wheel’ (i.e. physiologist working within healthcare teams), personally Intervention Mapping has influenced my methodological perspective and will inform my long-term research, but will have little impact in the short-term for laboratory-based studies. For the behavioural scientist or applied psychologist interested in health promotion, the course would be a great benefit. For everyone else considering healthcare projects incorporating behaviour change I wholeheartedly recommend. Plus, Maastricht is a cultural and gastronomical delight.
If you would like further information on the course and framework, let me know.
Dr James Gavin
Department of Sport and Physical Activity