Rowling Louise, Jeffreys Vicki
Faculty of Education and Social Work, University of Sydney, Sydney 2006, Australia.
Health Educ Res. 2006 Oct;21(5):705-18. doi: 10.1093/her/cyl089. Epub 2006 Sep 11.
Despite the intersectoral nature of health promotion practice many programs limit their evidence base to health sector research and do not draw on evidence from other sectors' research in program design. To help ensure programs are relevant and acceptable to intersectoral partners and intended outcomes are of value to all sectors involved, utilising evidence from more than one discipline is essential. This article identifies the narrow interpretation of existing evidence for health promoting schools and discusses the challenges faced by practitioners and policy makers when reviewing evidence. These issues include the various perspectives on what is 'quality' evidence and how to ensure multidisciplinary evidence is used to inform practice, particularly with the education sector that has a strong research base of its own. A data extraction tool was developed to help address these issues and assist the design of a health promoting schools program. A description of the tool's elements and two case studies provide examples of how research from two different disciplines can be integrated to inform planning and strengthen partnerships. The tool expands the evidence base for policy and practice decision-making for health promoting schools, acknowledging the practical realities of both sectors.
尽管健康促进实践具有跨部门性质,但许多项目将其证据基础局限于卫生部门的研究,在项目设计中并未借鉴其他部门研究的证据。为了确保项目与跨部门合作伙伴相关且可接受,并且预期成果对所有相关部门都有价值,利用多学科的证据至关重要。本文指出了对健康促进学校现有证据的狭义解读,并讨论了从业者和政策制定者在审查证据时面临的挑战。这些问题包括对“高质量”证据的不同观点,以及如何确保使用多学科证据为实践提供信息,特别是对于拥有自身强大研究基础的教育部门。开发了一种数据提取工具来帮助解决这些问题,并协助设计健康促进学校项目。对该工具要素的描述以及两个案例研究提供了示例,说明如何整合来自两个不同学科的研究以为规划提供信息并加强伙伴关系。该工具扩展了健康促进学校政策和实践决策的证据基础,承认了两个部门的实际情况。