健康促进研究：困境与挑战。
Health promotion research: dilemmas and challenges.
作者信息
Koelen M A, Vaandrager L, Colomér C
机构信息
Department of Social Sciences, Group Communication and Innovation Studies, Wageningen University, Hollandseweg 1, 6706 KN, Wageningen, the Netherlands.
出版信息
J Epidemiol Community Health. 2001 Apr;55(4):257-62. doi: 10.1136/jech.55.4.257.
OBJECTIVE
To analyse dilemmas and challenges in health promotion research, and to generate ideas for future development.
METHOD
The analysis is based on authors' experiences in working in the field of research and action in health promotion and on experiences of others as found in literature.
RESULTS
The assumptions underlying scientific research as based in the biomedical design are difficult to meet in community-based health promotion research. Dilemmas are identified in relation to the possibility of defining the independent and dependent variables beforehand and the intermingling of these variables (the intervention and outcome dilemma), the difficulty in quantifying the desired outcomes (the number dilemma), and the problem of diffusion of the programme to the control group (the control group dilemma).
CONCLUSION
Research in health promotion has specific reasons to reconsider the approach towards research, the selection of outcome variables, and research techniques. Strategies and methods to make activities and their outcomes clear are discussed and criteria to judge confidence and applicability of research findings are presented.
目的
分析健康促进研究中的困境与挑战，并为未来发展提出思路。
方法
该分析基于作者在健康促进研究与行动领域的工作经验以及文献中所发现的其他人的经验。
结果
基于生物医学设计的科学研究的基本假设在基于社区的健康促进研究中难以满足。在预先定义自变量和因变量的可能性以及这些变量的相互交织（干预与结果困境）、量化期望结果的困难（数量困境）以及项目向对照组扩散的问题（对照组困境）方面发现了困境。
结论
健康促进研究有特定理由重新考虑研究方法、结果变量的选择和研究技术。讨论了使活动及其结果清晰明了的策略和方法，并提出了判断研究结果的可信度和适用性的标准。
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