Hebert James R, Brandt Heather M, Armstead Cheryl A, Adams Swann A, Steck Susan E
Department of Epidemiology and Biostatistics, University of South Carolina, Columbia, SC 29208, USA.
Cancer Epidemiol Biomarkers Prev. 2009 Apr;18(4):1213-7. doi: 10.1158/1055-9965.EPI-08-1166. Epub 2009 Mar 31.
Preventing cancer, downstaging disease at diagnosis, and reducing mortality require that relevant research findings be translated across scientific disciplines and into clinical and public health practice. Interdisciplinary research focuses on using the languages of different scientific disciplines to share techniques and philosophical perspectives to enhance discovery and development of innovations; (i.e., from the "left end" of the research continuum). Community-based participatory research (CBPR), whose relevance often is relegated to the "right end" (i.e., delivery and dissemination) of the research continuum, represents an important means for understanding how many cancers are caused as well as for ensuring that basic science research findings affect cancer outcomes in materially important ways. Effective interdisciplinary research and CBPR both require an ability to communicate effectively across groups that often start out neither understanding each other's worldviews nor even speaking the same language. Both demand an ability and willingness to treat individuals from other communities with respect and understanding. We describe the similarities between CBPR and both translational and interdisciplinary research, and then illustrate our points using squamous cell carcinoma of the esophagus as an example of how to deepen understanding and increase relevance by applying techniques of CBPR and interdisciplinary engagement.
预防癌症、在诊断时降低疾病分期以及降低死亡率,需要将相关研究成果跨科学学科转化为临床和公共卫生实践。跨学科研究专注于运用不同科学学科的语言来分享技术和哲学观点,以加强创新的发现与开发;(即从研究连续体的“左端”)。基于社区的参与性研究(CBPR),其相关性往往被归为研究连续体的“右端”(即实施与传播),它是了解多种癌症成因以及确保基础科学研究成果以重要方式影响癌症结局的重要手段。有效的跨学科研究和CBPR都需要具备在不同群体间有效沟通的能力,而这些群体通常一开始既不理解彼此的世界观,甚至也不说同一种语言。两者都需要有能力且愿意以尊重和理解的态度对待来自其他群体的个体。我们描述了CBPR与转化研究及跨学科研究之间的相似之处,然后以食管鳞状细胞癌为例说明我们的观点,展示如何通过应用CBPR技术和跨学科合作来加深理解并提高相关性。