Rimer B K, Glanz K, Rasband G
National Cancer Institute, Bethesda, Maryland, USA.
Health Educ Behav. 2001 Apr;28(2):231-48. doi: 10.1177/109019810102800208.
Evidence is fundamental to science, but finding the right evidence in health education and health behavior (HEHB) is often a challenge. The authors discuss some of the controversies about the types of evidence that should be considered acceptable in HEHB, the tension between the use of qualitative versus quantitative data, the need for measures of important but neglected constructs, and interpretation of data from experimental and nonexperimental research. This article discusses some of the challenges to the use of evidence and describes a number of strategies and some forces encouraging the use of evidence-based interventions. Finally, the authors suggest ways to improve the practice and dissemination of evidence-based HEHB. Ultimately, if evidence-based interventions are not disseminated, the interventions will not achieve their potential. The goal should be to develop more effective interventions and disseminate them to improve the public's health.
证据是科学的基础,但在健康教育与健康行为(HEHB)领域找到恰当的证据往往是一项挑战。作者们探讨了一些关于在HEHB中应被视为可接受的证据类型的争议、定性数据与定量数据使用之间的矛盾、对重要但被忽视的结构进行测量的必要性,以及对来自实验性和非实验性研究的数据的解读。本文讨论了证据使用方面的一些挑战,并描述了一些策略以及一些鼓励使用循证干预措施的力量。最后,作者们提出了改进循证HEHB的实践与传播的方法。归根结底,如果循证干预措施得不到传播,这些干预措施就无法发挥其潜力。目标应该是开发更有效的干预措施并加以传播,以改善公众健康。