为什么我们没有看到更多将健康促进研究转化为实践的案例？重新思考从有效性到实效性的转变。
Why don't we see more translation of health promotion research to practice? Rethinking the efficacy-to-effectiveness transition.
作者信息
Glasgow Russell E, Lichtenstein Edward, Marcus Alfred C
机构信息
Kaiser Permanente Colorado, USA.
出版信息
Am J Public Health. 2003 Aug;93(8):1261-7. doi: 10.2105/ajph.93.8.1261.
Abstract
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.
摘要
研究与实践之间的差距已有充分记载。我们探讨造成这一差距的一个根本原因：即认为有效性研究自然且逻辑地源自成功的疗效研究这一假设。这两种研究传统发展出了不同的方法和价值观；因此，成功的疗效干预与有效性干预的特征存在内在差异。在疗效研究以及有效性试验中，都需要考虑限制跨环境、人群和干预人员稳健性的调节因素。需要更加关注记录干预的覆盖范围、采用情况、实施情况和维持情况。本文提出了一些建议，以帮助缩小疗效研究与有效性研究之间的差距，并指导对新方案的评估及可能的采用。
相似文献
1
Why don't we see more translation of health promotion research to practice? Rethinking the efficacy-to-effectiveness transition.为什么我们没有看到更多将健康促进研究转化为实践的案例？重新思考从有效性到实效性的转变。
Am J Public Health. 2003 Aug;93(8):1261-7. doi: 10.2105/ajph.93.8.1261.
2
Disseminating effective cancer screening interventions.传播有效的癌症筛查干预措施。
Cancer. 2004 Sep 1;101(5 Suppl):1239-50. doi: 10.1002/cncr.20509.
3
A practical, robust implementation and sustainability model (PRISM) for integrating research findings into practice.一种将研究结果整合到实践中的实用、稳健的实施与可持续性模型（PRISM）。
Jt Comm J Qual Patient Saf. 2008 Apr;34(4):228-43. doi: 10.1016/s1553-7250(08)34030-6.
4
Folic acid supplementation and malaria susceptibility and severity among people taking antifolate antimalarial drugs in endemic areas.在流行地区，服用抗叶酸抗疟药物的人群中，叶酸补充剂与疟疾易感性和严重程度的关系。
Cochrane Database Syst Rev. 2022 Feb 1;2(2022):CD014217. doi: 10.1002/14651858.CD014217.
5
Integrating research, practice, and policy: what we see depends on where we stand.整合研究、实践与政策：我们之所见取决于我们所处的立场。
J Public Health Manag Pract. 2008 Mar-Apr;14(2):193-8. doi: 10.1097/01.PHH.0000311899.11197.db.
6
Diffusion of innovation theory for clinical change.临床变革的创新扩散理论
Med J Aust. 2004 Mar 15;180(S6):S55-6. doi: 10.5694/j.1326-5377.2004.tb05947.x.
7
Addressing the research-practice gap in healthcare management.弥合医疗保健管理领域的研究与实践差距。
J Public Health Manag Pract. 2008 Mar-Apr;14(2):155-9. doi: 10.1097/01.PHH.0000311894.57831.4b.
8
The future of physical activity behavior change research: what is needed to improve translation of research into health promotion practice?身体活动行为改变研究的未来：将研究转化为健康促进实践需要什么？
Exerc Sport Sci Rev. 2004 Apr;32(2):57-63. doi: 10.1097/00003677-200404000-00004.
9
Translating science to practice: community and academic perspectives.将科学转化为实践：社区与学术视角
J Public Health Manag Pract. 2008 Mar-Apr;14(2):144-9. doi: 10.1097/01.PHH.0000311892.73078.8b.
10
Strategies for promoting organizational and practice change by advancing implementation research.通过推进实施研究促进组织和实践变革的策略。
J Gen Intern Med. 2006 Feb;21 Suppl 2(Suppl 2):S58-64. doi: 10.1111/j.1525-1497.2006.00364.x.
引用本文的文献
1
One-on-one and group-based physical activity intervention compared to a waitlist control for post-secondary student mental health and social well-being: A 3-arm parallel randomized controlled trial protocol.与等待名单对照组相比，一对一和基于小组的体育活动干预对大专学生心理健康和社会幸福感的影响：一项三臂平行随机对照试验方案。
PLoS One. 2025 Aug 29;20(8):e0330851. doi: 10.1371/journal.pone.0330851. eCollection 2025.
2
Tempering implementation optimism: distinguishing between efficacy and effectiveness in implementation research.调整实施乐观情绪：区分实施研究中的效果与效用。
Implement Sci Commun. 2025 Aug 23;6(1):90. doi: 10.1186/s43058-025-00781-2.
3
How to measure the effectiveness of recovery community centers: insights gained from a nationwide survey of directors of RCCs.如何衡量康复社区中心的成效：从一项针对康复社区中心主任的全国性调查中获得的见解
Front Public Health. 2025 Jul 23;13:1532812. doi: 10.3389/fpubh.2025.1532812. eCollection 2025.
4
Using community engagement to adapt anxiety cognitive behavioural therapy for autistic youth receiving services in Michigan community-based organisations: protocol for a mixed methods study.利用社区参与来调整针对在密歇根州社区组织接受服务的自闭症青少年的焦虑认知行为疗法：一项混合方法研究的方案
BMJ Open. 2025 Jul 22;15(7):e095564. doi: 10.1136/bmjopen-2024-095564.
5
Growing CAPITOL (Critical Age Periods Impacting the Trajectory of Obesogenic Lifestyles) 4 Life.成长中的“影响致胖生活方式轨迹的关键年龄期”（CAPITOL）4生活。
J Multidiscip Healthc. 2025 Jul 14;18:3999-4012. doi: 10.2147/JMDH.S532058. eCollection 2025.
6
An Ongoing Process: The Implementation of an Intervention for People With Profound Intellectual and Multiple Disabilities Over Time.一个持续的过程：随着时间推移对重度智力残疾和多重残疾人士实施干预措施。
J Appl Res Intellect Disabil. 2025 Jul;38(4):e70098. doi: 10.1111/jar.70098.
7
Accelerating research to practice by designing rigorous type 1 hybrid efficacy and effectiveness-implementation studies.通过设计严格的1型混合疗效与有效性-实施性研究来加速研究成果向实践的转化。
J Clin Transl Sci. 2025 Jun 3;9(1):e132. doi: 10.1017/cts.2025.10048. eCollection 2025.
8
Implementation of diabetes prevention programs into clinical practice and community settings: a systematic search and review.将糖尿病预防项目纳入临床实践和社区环境：系统检索与综述
Implement Sci Commun. 2025 Jul 9;6(1):74. doi: 10.1186/s43058-025-00757-2.
9
Early Effects of Communities That Care on the Adoption and Implementation Fidelity of Evidence-Based Prevention Programs in Communities: Results from a Quasi-experimental Study.关爱社区对社区中循证预防项目采用与实施保真度的早期影响：一项准实验研究的结果
Prev Sci. 2025 Jul 1. doi: 10.1007/s11121-025-01823-w.
10
Characterisation of At-Scale Community Health Interventions Aimed to Improve Healthy Eating Behaviour in Australia: A Rapid Review.旨在改善澳大利亚健康饮食行为的大规模社区健康干预措施的特征：一项快速综述。
Health Promot J Austr. 2025 Jul;36(3):e70061. doi: 10.1002/hpja.70061.
本文引用的文献
1
The future of health behavior change research: what is needed to improve translation of research into health promotion practice?健康行为改变研究的未来：将研究转化为健康促进实践需要什么？
Ann Behav Med. 2004 Feb;27(1):3-12. doi: 10.1207/s15324796abm2701_2.
2
Work site health promotion research: to what extent can we generalize the results and what is needed to translate research to practice?工作场所健康促进研究：我们能在多大程度上推广研究结果，以及将研究转化为实践需要什么？
Health Educ Behav. 2003 Oct;30(5):537-49. doi: 10.1177/1090198103254340.
3
Representative design and probabilistic theory in a functional psychology.机能心理学中的代表性设计与概率论
Psychol Rev. 1955 May;62(3):193-217. doi: 10.1037/h0047470.
4
Implementation, generalization and long-term results of the "choosing well" diabetes self-management intervention.“明智选择”糖尿病自我管理干预措施的实施、推广及长期效果
Patient Educ Couns. 2002 Oct-Nov;48(2):115-22. doi: 10.1016/s0738-3991(02)00025-3.
5
Behavior change intervention research in healthcare settings: a review of recent reports with emphasis on external validity.医疗环境中的行为改变干预研究：近期报告综述，重点关注外部效度。
Am J Prev Med. 2002 Jul;23(1):62-9. doi: 10.1016/s0749-3797(02)00437-3.
6
Evaluating primary care behavioral counseling interventions: an evidence-based approach.评估初级保健行为咨询干预措施：一种基于证据的方法。
Am J Prev Med. 2002 May;22(4):267-84. doi: 10.1016/s0749-3797(02)00415-4.
7
The coming of age of behavioral research in physical activity.体育活动行为研究的成熟
Ann Behav Med. 2001 Fall;23(4):227-8. doi: 10.1207/S15324796ABM2304_1.
8
The integration of health behavior counseling into routine medical care.将健康行为咨询纳入常规医疗护理。
Rev Panam Salud Publica. 2001 Jun;9(6):413-9.
9
The RE-AIM framework for evaluating interventions: what can it tell us about approaches to chronic illness management?用于评估干预措施的RE-AIM框架：它能告诉我们关于慢性病管理方法的哪些信息？
Patient Educ Couns. 2001 Aug;44(2):119-27. doi: 10.1016/s0738-3991(00)00186-5.
10
Evaluating a population-based recruitment approach and a stage-based expert system intervention for smoking cessation.评估一种基于人群的招募方法和一种基于阶段的专家系统戒烟干预措施。
Addict Behav. 2001 Jul-Aug;26(4):583-602. doi: 10.1016/s0306-4603(00)00151-9.
Zotero 插件