25 Years of Complex Intervention Trials: Reflections on Lived and Scientific Experiences Kelli Komro, Emory University
25 Years of Complex Intervention Trials: Reflections on Lived and Scientific Experiences Kelli Komro, Emory University Journal Title: Research on Social Work Practice Volume: Volume 28, Number 5 Publisher: SAGE Publications (UK and US) | 2018-07-01, Pages 523-531 Type of Work: Article | Post-print: After Peer Review Publisher DOI: 10.1177/1049731517718939 Permanent URL: https://pid.emory.edu/ark:/25593/t0ktw Final published version: http://dx.doi.org/10.1177/1049731517718939 Copyright information: © 2017, The Author(s) 2017. Accessed October 3, 2021 9:20 AM EDT HHS Public Access Author manuscript Author ManuscriptAuthor Manuscript Author Res Soc Manuscript Author Work Pract. Author Manuscript Author manuscript; available in PMC 2018 June 28. Published in final edited form as: Res Soc Work Pract. 2018 ; 28(5): 523–531. doi:10.1177/1049731517718939. 25 Years of Complex Intervention Trials: Reflections on Lived and Scientific Experiences Kelli A. Komro1,2 1Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, GA, USA 2Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA Abstract For the past 25 years, I have led multiple group-randomized trials, each focused on a specific underserved population of youth and each one evaluated health effects of complex interventions designed to prevent high-risk behaviors. I share my reflections on issues of intervention and research design, as well as how research results fostered my evolution toward addressing fundamental social determinants of health and well-being. Reflections related to intervention design emphasize the importance of careful consideration of theory of causes and theory of change, theoretical comprehensiveness versus fundamental determinants of population health, how high to reach, and health in all policies.
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