Given that the processes for developing behavioral interventions are more complex and iterative than that portrayed by a linear conceptualization of a pipeline, recent efforts have been directed at its reconstruction. Various models are emerging suggesting spiral, iterative, interacting stages, social design, and nonsequential strategies for advancing interventions (Moore et al., 2015; Nieman et al., 2014; Onken, Carroll, Shoham, Cuthbert, & Riddle, 2014). In this respect, the field of behavioral intervention research is in fluidity. New conceptualizations need to be tested to evaluate whether they can lead to effective and efficient behavioral interventions more rapidly.

We suggest that the six strategies described above provide an opportunity to promote a more dynamic approach to generating interventions and one that connects development and evaluation phases with implementation and sustainability goals in an iterative fashion. As suggested in Figure 2.3, this iterative reconstruction of the pipeline highlights the interconnectivity of phases and suggests that keeping the end user and context in mind upfront when developing interventions may change the paradigm of this form of research.

Iterative overlapping phase process for developing behavioral interventions

Figure 2.3 Iterative overlapping phase process for developing behavioral interventions.

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