Bartlett Doreen J, Macnab Jennifer, Macarthur Colin, Mandich Angie, Magill-Evans Joyce, Young Nancy L, Beal Deryk, Conti-Becker Angela, Polatajko Helene J
School of Physical Therapy, Faculty of Health Sciences, The University of Western Ontario, London, Ontario, Canada.
Disabil Rehabil. 2006 Oct 15;28(19):1169-76. doi: 10.1080/09638280600551567.
The purpose of this position statement is to propose an interactionist framework to bring together the existing literature and provide a unifying direction for rehabilitation research. The framework comprises three components: the conceptual model, the research question, and the research design. The interactionist conceptual model has been adapted from the World Health Organization International Classification of Functioning, Disability, and Health. The model forms the starting point that guides the specification of the research question, which, in turn, guides the selection of research design. This approach demands that the question takes precedence and that there be an extensive repertoire of research designs, each of which is valued for its 'goodness-of-fit' with the question, rather than an a priori, single hierarchical ordering of designs. Research designs must be appropriate for questions that examine the disability experience, development over the lifespan, multifaceted interventions, low incidence conditions, and development of new interventions. Analytical challenges include dealing with confounding, mediating, and moderating variables. Rehabilitation researchers--and those who fund their work--should consider and value the use of diverse research methods to best answer the questions posed from the interactionist perspective.
本立场声明的目的是提出一个互动主义框架，以整合现有文献，并为康复研究提供一个统一的方向。该框架由三个部分组成：概念模型、研究问题和研究设计。互动主义概念模型改编自世界卫生组织的《国际功能、残疾和健康分类》。该模型构成了指导研究问题具体化的起点，而研究问题又反过来指导研究设计的选择。这种方法要求问题优先，并拥有广泛的研究设计库，每个设计因其与问题的 “契合度” 而受到重视，而不是对设计进行先验的单一层次排序。研究设计必须适合于那些考察残疾体验、生命周期发展、多方面干预、低发病率情况以及新干预措施开发的问题。分析方面的挑战包括处理混杂变量、中介变量和调节变量。康复研究人员以及为他们的工作提供资金的人，应该考虑并重视使用多样化的研究方法，以便从互动主义角度最好地回答所提出的问题。
