More people than ever are living longer with chronic conditions such as obesity, type 2 diabetes, and heart disease. Behavior change for effective self-management can improve health outcomes and quality of life in people living with such chronic illnesses. The science of developing behavior change interventions with impact for patients aims to optimize the reach, effectiveness, adoption, implementation, and maintenance of interventions and rigorous evaluation of outcomes and processes of behavior change. The development of new services and technologies offers opportunities to enhance the scope of delivery of interventions to support behavior change and self-management at scale. Herein, we review key contemporary approaches to intervention development, provide a critical overview, and integrate these approaches into a pragmatic, user-friendly framework to rigorously guide decision-making in behavior change intervention development. Moreover, we highlight novel emerging methods for rapid and agile intervention development. On-going progress in the science of intervention development is needed to remain in step with such new developments and to continue to leverage behavioral science’s capacity to contribute to optimizing interventions, modify behavior, and facilitate self-management in individuals living with chronic illness.

中文翻译：

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发展自我控制的慢性病行为改变干预措施：综合概述。

患有肥胖，2型糖尿病和心脏病等慢性疾病的人比以往更长寿。改变行为以进行有效的自我管理可以改善患有此类慢性疾病的人的健康结果和生活质量。开发对患者有影响的行为改变干预措施的科学旨在优化干预措施的范围，有效性，采用，实施和维护，并对行为改变的结果和过程进行严格评估。新服务和技术的发展为扩大干预措施的提供范围提供了机会，以支持大规模的行为改变和自我管理。在此，我们回顾了当前干预发展的关键方法，提供了重要的概述，并将这些方法整合为务实的，用户友好的框架，可严格指导行为改变干预开发中的决策。此外，我们重点介绍了快速而敏捷的干预开发的新兴方法。干预发展科学需要不断取得进步，以与这种新发展保持同步，并继续利用行为科学的能力为优化干预措施，改变行为并促进慢性病患者的自我管理做出贡献。