Emshoff James G
Department of Psychology, Georgia State University, Atlanta, GA 30302-5010, USA.
Am J Community Psychol. 2008 Jun;41(3-4):393-403. doi: 10.1007/s10464-008-9168-x.
The worlds of prevention research and practice are largely disconnected. The growing body of scientific knowledge regarding effects of prevention programs is not often disseminated and translated in a manner that leads to wide scale changes in practice. The Centers for Disease Control and Prevention, in collaboration with a team of academic researchers, has developed the Interactive Systems Framework for Dissemination and Implementation to help us understand the roles and interactions of those associated with developing knowledge, those associated with using the knowledge in practice settings, and those acting in the roles of bridge, support, and broker between the research and practice communities. This special issue on the Framework presents a variety of theoretical, practical and empirical issues related to this framework and its subsystems. This compilation of articles discuss the capacity of the Framework's subsystems, provide examples of the generally under-developed prevention support system, describe the additional challenges involved in disseminating a change in culture, discuss the delicate balance and interaction of fidelity and adaptation, present a meta-analysis of the relationships between program implementation and program outcomes, and include examples of how the Framework has been used to guide action. The present commentary on this special issue provides a critical examination of the contributions, implications, and challenges raised by each of these articles. It also includes a discussion of how the Framework relates to the basic values and practice of community psychology and concludes with some suggested future directions and challenges for the continued development and use of the Framework.
预防研究与实践领域在很大程度上相互脱节。关于预防项目效果的科学知识日益丰富，但这些知识的传播和转化方式往往无法促成实践中的大规模变革。疾病控制与预防中心与一组学术研究人员合作，开发了传播与实施互动系统框架，以帮助我们理解与知识开发相关人员、在实践环境中运用知识的相关人员，以及在研究与实践社区之间充当桥梁、提供支持和担任中介角色的人员的作用及相互关系。本期关于该框架的特刊呈现了与该框架及其子系统相关的各种理论、实践和实证问题。这组文章讨论了框架子系统的能力，列举了普遍发展不足的预防支持系统的实例，描述了传播文化变革所涉及的额外挑战，探讨了保真度与适应性之间的微妙平衡及相互作用，对项目实施与项目成果之间的关系进行了荟萃分析，并列举了该框架如何用于指导行动的实例。本期特刊的这篇评论对每篇文章提出的贡献、影响和挑战进行了批判性审视。它还讨论了该框架与社区心理学的基本价值观和实践的关系，并以对该框架持续发展和应用的一些未来方向及挑战的建议作为结语。
