Why Don’t We See More Translation of Health Promotion Research to Practice? Rethinking the Efficacy-to-Effectiveness Transition
Tóm tắt
The gap between research and practice is well documented. We address one of the underlying reasons for this gap: the assumption that effectiveness research naturally and logically follows from successful efficacy research. These 2 research traditions have evolved different methods and values; consequently, there are inherent differences between the characteristics of a successful efficacy intervention versus those of an effectiveness one. Moderating factors that limit robustness across settings, populations, and intervention staff need to be addressed in efficacy studies, as well as in effectiveness trials. Greater attention needs to be paid to documenting intervention reach, adoption, implementation, and maintenance. Recommendations are offered to help close the gap between efficacy and effectiveness research and to guide evaluation and possible adoption of new programs.
Từ khóa
Tài liệu tham khảo
Joyner L, McNeeley S, Kahn R. ADA’s provider recognition program. HMO Pract.1997;11:168–170.
Greenwald P, Cullen JW. The new emphasis in cancer control. J Natl Cancer Inst.1985;74:543–551.
Hiatt RA, Rimer BK. A new strategy for cancer control research. Cancer Epidemiol Biomarkers Prev.1999;8:957–964.
Teutsch SM. A framework for assessing the effectiveness of disease and injury prevention. MMWR Recomm Rep.1992;41(RR-3):1–12.
Glasgow RE, Klesges LM, Dzewaltowski DA, Bull SS, Estabrooks P. The future of health behavior change research: what is needed to improve translation of research into health promotion practice? Ann Behav Med. In press.
Brunswik E. Representative design and probabilistic theory in functional psychology. Psychol Rev.1955;62:217.
Zaza S, Lawrence RS, Mahan CS, Fullilove M, et al. Scope and organization of the Guide to Community Preventive Services. Task Force on Community Preventive Services. Am J Prev Med.2000;18(suppl 1):27–34.
Bull SS, Gillette C, Glasgow RE, Estabrooks P. Worksite health promotion research: to what extent can we generalize the results and what is needed to translate research to practice? Health Educ Behav. In press.
Davidson K, Goldstein M, Kaplan R, et al. Evidence-based behavioral medicine: what is it and how do we get there? Ann Behav Med. In press.