Rotheram-Borus M J, Rebchook G M, Kelly J A, Adams J, Neumann M S
Center for Community Health, University of California, Los Angeles 90024, USA.
AIDS Educ Prev. 2000;12(5 Suppl):49-61.
Long-term collaborations among researchers, staff and volunteers in community-based agencies, staff in institutional settings, and health advocates present challenges. Each group has different missions, procedures, attributes, and rewards. This article reviews areas of potential conflict and suggests strategies for coping with these challenges. During the replication of five effective HIV prevention interventions, strategies for maintaining mutually beneficial collaborations included selecting agencies with infrastructures that could support research-based interventions; obtaining letters of understanding that clarified roles, responsibilities, and time frames; and setting training schedules with opportunities for observing, practicing, becoming invested in, and repeatedly implementing the intervention. The process of implementing interventions highlighted educating funders of research and public health services about (a) the costs of disseminating interventions, (b) the need for innovation to new modalities and theories for delivering effective interventions, and (c) adopting strategies of marketing research and quality engineering when designing interventions.
研究人员、社区机构的工作人员和志愿者、机构环境中的工作人员以及健康倡导者之间的长期合作面临着挑战。每个群体都有不同的使命、程序、特点和回报。本文回顾了潜在冲突的领域，并提出应对这些挑战的策略。在复制五项有效的艾滋病毒预防干预措施时，维持互利合作的策略包括选择具有能够支持基于研究的干预措施的基础设施的机构；获得明确角色、责任和时间框架的谅解书；制定培训计划，提供观察、实践、参与和反复实施干预措施的机会。实施干预措施的过程突出了对研究资助者和公共卫生服务机构进行教育，内容包括：(a) 传播干预措施的成本；(b) 为提供有效干预措施而创新新的模式和理论的必要性；(c) 在设计干预措施时采用市场研究和质量工程策略。
