Chinman Matthew, Hannah Gordon, Wandersman Abraham, Ebener Patricia, Hunter Sarah B, Imm Pamela, Sheldon Jeffrey
RAND, Santa Monica, California 90407, USA.
Am J Community Psychol. 2005 Jun;35(3-4):143-57. doi: 10.1007/s10464-005-3390-6.
Research has shown that prevention programming can improve community health when implemented well. There are examples of successful prevention in local communities, however many continue to face significant challenges, demonstrating a gap between science and practice. Common strategies within the United States to address this gap are available (e.g., trainings), but lack outcomes. Building community capacity to implement high quality prevention can help communities achieve positive health outcomes, thereby narrowing the gap. While there is ample research on the efficacy of evidence-based programs, there is little on how to improve community capacity to improve prevention quality. In order to narrow the gap, a new model of research-one based in Community Science-is suggested that improves the latest theoretical understanding of community capacity and evaluates technologies designed to enhance it. In this article, we describe this model and suggest a research agenda that can lead to improved outcomes at the local level.
研究表明,预防规划若实施得当,可改善社区健康状况。当地社区不乏成功的预防案例,但仍有许多社区面临重大挑战,这表明科学与实践之间存在差距。美国有一些常见的策略来弥合这一差距(如培训),但缺乏成效。建设社区实施高质量预防的能力有助于社区实现积极的健康成果,从而缩小差距。虽然对循证项目的有效性已有大量研究,但关于如何提高社区提高预防质量的能力的研究却很少。为了缩小差距,有人提出了一种新的研究模式——基于社区科学的模式,该模式增进了对社区能力的最新理论理解,并评估旨在增强社区能力的技术。在本文中,我们描述了这一模式,并提出了一个研究议程,该议程可在地方层面带来更好的成果。