Milat Andrew J, Li Ben
NSW Ministry of Health, Sydney, Australia; Sydney Medical School, University of Sydney, NSW, Australia,
McMaster University, Ontario, Canada.
Public Health Res Pract. 2017 Feb 15;27(1):2711704. doi: 10.17061/phrp2711704.
A significant challenge in research translation is that interested parties interpret and apply the associated terms and conceptual frameworks in different ways. The purpose of this review was to: a) examine different research translation frameworks; b) examine the similarities and differences between the frameworks; and c) identify key strengths and weaknesses of the models when they are applied in practice.
The review involved a keyword search of PubMed. The search string was (translational research OR knowledge translation OR evidence to practice) AND (framework OR model OR theory) AND (public health OR health promotion OR medicine). Included studies were published in English between January 1990 and December 2014, and described frameworks, models or theories associated with research translation.
The final review included 98 papers, and 41 different frameworks and models were identified. The most frequently applied knowledge translation framework in the literature was RE-AIM, followed by the knowledge translation continuum or 'T' models, the Knowledge to Action framework, the PARiHS framework, evidence based public health models, and the stages of research and evaluation model.
The models identified in this review stem from different fields, including implementation science, basic and medical sciences, health services research and public health, and propose different but related pathways to closing the research-practice gap.
研究转化中的一个重大挑战是,相关各方以不同方式解释和应用相关术语及概念框架。本综述的目的是:a)审视不同的研究转化框架;b)考察各框架之间的异同;c)确定这些模型在实际应用中的关键优势和劣势。
本综述通过在PubMed中进行关键词搜索。搜索词为(转化研究或知识转化或证据到实践)且(框架或模型或理论)且(公共卫生或健康促进或医学)。纳入的研究发表于1990年1月至2014年12月之间的英文文献,且描述了与研究转化相关的框架、模型或理论。
最终综述纳入98篇论文,识别出41种不同的框架和模型。文献中最常应用的知识转化框架是RE-AIM,其次是知识转化连续体或“T”模型、知识到行动框架、PARiHS框架、循证公共卫生模型以及研究与评估阶段模型。
本综述中识别出的模型源自不同领域,包括实施科学、基础与医学科学、卫生服务研究和公共卫生,并提出了不同但相关的途径来弥合研究与实践之间的差距。