Morrison Diane M, Hoppe Marilyn J, Gillmore Mary Rogers, Kluver Carisa, Higa Darrel, Wells Elizabeth A
School of Social Work, University of Washington, Seattle, WA 98105-6299, USA.
AIDS Educ Prev. 2009 Apr;21(2):128-40. doi: 10.1521/aeap.2009.21.2.128.
Increased awareness of the importance of tailoring interventions to participants' cultures has focused attention on the limited generalizability of a single test of an intervention to determine efficacy. Adaptation is often necessary to replicate interventions across cultures. This produces a tension between fidelity to the original intervention and adaptations necessary to make the intervention relevant to the culture and circumstances of participants. This article discusses issues that arise during the course of replication, with illustrations from a replication to test the efficacy of an HIV prevention intervention for youth, using a randomized controlled design. Analysis of the issues raised leads us to suggest that a "science of replication" needs to be developed.
人们越来越意识到根据参与者的文化量身定制干预措施的重要性，这使得人们将注意力集中在单一干预测试以确定疗效的普遍适用性有限这一问题上。为了在不同文化中复制干预措施，调整往往是必要的。这就产生了一种矛盾，即既要忠实于原始干预措施，又要进行必要的调整以使干预措施与参与者的文化和情况相关。本文讨论了在复制过程中出现的问题，并以一项使用随机对照设计来测试针对青少年的艾滋病毒预防干预措施疗效的复制研究为例进行说明。对所提出问题的分析使我们建议需要发展一门“复制科学”。
