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响应式反馈:迈向提高干预效果的新范式。

Responsive feedback: Towards a new paradigm to enhance intervention effectiveness.

作者信息

Viswanath K, Synowiec Christina, Agha Sohail

机构信息

Harvard T. H. Chan School of Public Health (HSPH), Dana-Farber Cancer Institute (DFCI), Boston, MA, 02215-5450, USA.

Results for Development, Washington, DC, 20036, USA.

出版信息

Gates Open Res. 2019 May 28;3:781. doi: 10.12688/gatesopenres.12937.2. eCollection 2019.

Abstract

The current dominant models of intervention design in the development sector do not account for the complexity and unpredictability of implementation challenges. Decision makers and implementers need timely feedback during implementation to respond to field realities and to course-correct. This letter calls for a new approach of "responsive feedback" or "feedback loops" that promotes interactions between project designers, implementers, researchers and decision-makers to enable course corrections needed to achieve intended outcomes. A responsive feedback approach, in theory, should be agile, flexible, adaptive, iterative, and actionable. There can be multiple challenges associated with incorporating this approach into practice including donor requirements, organizational structure and culture, concerns about the additional time required to adopt such an approach, resource and operational constraints, the absence of skill sets needed for such an approach within smaller organizations and inadequate inter-departmental communication. However, these barriers to adaptation can be overcome. For responsive feedback to become a part of the culture of development organizations, commitment is needed from donors, decision-makers, project designers and implementers. We believe that, to generate opportunities for learning and adaptation, donors should provide the stimulus to break down silos between implementers and researchers.

摘要

发展领域当前占主导地位的干预设计模式没有考虑到实施挑战的复杂性和不可预测性。决策者和实施者在实施过程中需要及时反馈,以应对实际情况并进行纠正。本文呼吁采用一种新的“响应式反馈”或“反馈循环”方法,促进项目设计者、实施者、研究人员和决策者之间的互动,以实现预期成果所需的纠正措施。从理论上讲,响应式反馈方法应该是敏捷、灵活、适应性强、迭代且可操作的。将这种方法纳入实践可能会面临多重挑战,包括捐助方要求、组织结构和文化、对采用这种方法所需额外时间的担忧、资源和运营限制、较小组织缺乏这种方法所需的技能组合以及部门间沟通不足。然而,这些适应障碍是可以克服的。为使响应式反馈成为发展组织文化的一部分,捐助方、决策者、项目设计者和实施者都需要做出承诺。我们认为,为了创造学习和适应的机会,捐助方应提供动力,打破实施者和研究人员之间的壁垒。

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