Department of Global Health and Development, Faculty of Public Health and Policy, London Schoolo f Hygiene & Tropical Medicine, 15-17 Tavistock Place, London WC1H 9SH, UK.
Health Promot Int. 2013 Sep;28(3):418-30. doi: 10.1093/heapro/das026. Epub 2012 Jul 2.
Determining whether research findings from one setting are relevant to another is complex and poorly understood. This study aimed to explore the factors affecting whether research from other settings was perceived to be of potential use to those working in or researching maternal health in Ghana. Semi-structured interviews were conducted with 69 purposively sampled government decision-makers, researchers and other stakeholders working in maternal health in Ghana in 2008-09. The most influential factors affecting perceptions of applicability/transferability were the study's congruence with interviewees' previous experiences and beliefs. Interventions' adaptability was also considered crucial (and more important than remaining faithful to the original intervention). However, it was frequently considered a distinct stage in the research use process rather than a consideration of applicability/transferability. More attention was paid to the implementability of the intervention in the new setting, than to whether it would be as effective there. Interpretations of intervention descriptions and evaluation findings varied between interviewees, even when the same information was presented. This study is one of the first to explore perceptions of applicability/transferability of public health research among researchers and potential research users in a low-income setting. The findings suggest that existing frameworks of applicability/transferability do not reflect the factors considered to be most important in Ghana.
确定一个环境中的研究结果是否适用于另一个环境是复杂且理解不充分的。本研究旨在探索影响其他环境中的研究是否被认为对在加纳从事或研究孕产妇健康的人有用的因素。2008-2009 年，对加纳孕产妇健康领域的 69 名政府决策者、研究人员和其他利益攸关方进行了半结构式访谈，这些人是通过有目的抽样选择的。影响适用性/可转移性看法的最主要因素是研究与受访者以往经验和信念的一致性。干预措施的适应性也被认为是至关重要的（比忠实于原始干预措施更重要）。然而，它通常被认为是研究使用过程中的一个独特阶段，而不是适用性/可转移性的考虑因素。人们更加关注干预措施在新环境中的实施可行性，而不是关注其在那里的有效性。即使提供了相同的信息，受访者对干预描述和评估结果的解释也存在差异。本研究是第一个探索在低收入环境中，研究人员和潜在研究使用者对公共卫生研究的适用性/可转移性的看法的研究之一。研究结果表明，现有的适用性/可转移性框架并没有反映出在加纳被认为最重要的因素。
