Zapka Jane, Goins Karin Valentine, Pbert Lori, Ockene Judith K
Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School, Worcester, Massachusetts, USA.
Health Promot Pract. 2004 Jul;5(3):245-55. doi: 10.1177/1524839904263713.
Researchers and their community partners have been challenged by funders and political entities to translate what is learned in research into practice. Such translation is more challenging than it appears, and it is important to systematically make use of opportunities available to learn about facilitators and barriers to the implementation of effectiveness research in real-world settings. This article presents a case study of the process evaluation undertaken as part of Quit Together, a randomized trial of the effectiveness of an intervention to improve smoking cessation and relapse prevention among low-income pregnant and postpartum women who receive care at community health centers (CHCs). The analysis considers areas of program implementation failure that may need critical rethinking. The article demonstrates the importance of process-monitoring methods to examine context factors of collaborative research, outlines lessons learned and the challenges of research carried out in CHCs, and summarizes implications for researchers and for practitioners.
研究人员及其社区合作伙伴受到资助者和政治实体的挑战，要求他们将研究中获得的知识转化为实际行动。这种转化比表面上看起来更具挑战性，系统地利用现有机会了解在现实环境中实施有效性研究的促进因素和障碍非常重要。本文介绍了一项过程评估的案例研究，该研究是“共同戒烟”项目的一部分，“共同戒烟”是一项随机试验，旨在评估一项干预措施对改善在社区卫生中心（CHC）接受护理的低收入孕妇和产后妇女戒烟及预防复吸效果的有效性。该分析考虑了可能需要进行批判性反思的项目实施失败领域。本文展示了过程监测方法对于审视合作研究背景因素的重要性，概述了所吸取的经验教训以及在社区卫生中心开展研究的挑战，并总结了对研究人员和从业者的启示。
