Whitelaw Sandy, Watson Jonathan
University of Glasgow, Rutherford/McCowan Building, Crichton Campus, Bankend Road, Dumfries DG1 4ZL, UK.
Health Educ Res. 2005 Apr;20(2):214-25. doi: 10.1093/her/cyg119. Epub 2004 Sep 14.
This paper reports on a review undertaken for the Health Education Board for Scotland on 'health events'. On the basis of a literature review and interviews with 20 professionals in the UK, it appraised the effectiveness of such activities, assessed their current extent and status, and ultimately considered whether they are useful and relevant within emergent contexts. It suggests that the evidence base for health events is relatively weak, particularly given the scale of such work. At best, all that can be said is that there is some evidence that some of these events have some use within very specific assumptions and values. Consideration is given to possible ways forward. The paper also considers a series of related issues that impinge on the assessment of complex health promotion interventions. From our field interviews, health events are perceived by most to be labour intensive and ineffective. Rather, they are undertaken for a range of pragmatic 'public relations' reasons that exist independent of knowledge, attitudinal or behavioural outcomes. This ambiguity of expectation coupled with a paucity of published high-quality literature led to the use of a judicial approach to evidence appraisal. It considers the ways in which this exercise could be undertaken, ultimately being sceptical of systematic meta-reviews.
本文报告了一项受苏格兰健康教育委员会委托开展的关于“健康活动”的综述。基于文献综述以及对英国20位专业人士的访谈，该综述评估了此类活动的有效性，分析了其当前的规模和现状，并最终探讨了它们在新出现的背景下是否有用且相关。研究表明，健康活动的证据基础相对薄弱，尤其是考虑到此类工作的规模。充其量只能说，有一些证据表明其中一些活动在非常特定的假设和价值观范围内有一定作用。文中还探讨了可能的前进方向。本文还考虑了一系列与评估复杂的健康促进干预措施相关的问题。从我们的实地访谈来看，大多数人认为健康活动既耗费人力又效果不佳。相反，开展这些活动是出于一系列务实的“公共关系”原因，这些原因与知识、态度或行为结果无关。这种期望的模糊性，再加上缺乏已发表的高质量文献，导致采用一种类似司法的方法来评估证据。文章探讨了进行这项工作的方式，最终对系统的元综述持怀疑态度。
