Borst Robert A J, Kok Maarten Olivier, O'Shea Alison J, Pokhrel Subhash, Jones Teresa H, Boaz Annette
Erasmus School of Health Policy & Management, Erasmus University Rotterdam, P.O. Box 1738, 3000 DR, Rotterdam, the Netherlands.
Erasmus School of Health Policy & Management, Erasmus University Rotterdam, P.O. Box 1738, 3000 DR, Rotterdam, the Netherlands; Amsterdam Public Health research institute, Department of Health Sciences, Faculty of Science, Vrije Universiteit Amsterdam, De Boelelaan 1085, 1081 HV, Amsterdam, the Netherlands.
Health Policy. 2019 Oct;123(10):917-923. doi: 10.1016/j.healthpol.2019.07.012. Epub 2019 Jul 20.
Stakeholder engagement in health policy research is often said to increase 'research impact', but the active role of stakeholders in creating impact remains underexplored. We explored how stakeholders shaped the translation of health policy research into action. Our comparative case-study tracked a European research project that aimed to transfer an existing tobacco control return on investment tool. That project also aimed to increase its impact by engaging with stakeholders in further developing the tool. We conducted semi-structured interviews, using an actor-scenario mapping approach. Actor-scenarios can be seen as relational descriptions of a future world. We mapped the scenarios by asking stakeholders to describe who and what would play a role in the tool's utilisation. Our results show that stakeholders envisioned disparate futures for the tool. Some scenarios were specific, whereas most were generic projections of abstract potential users and responsibilities. We show how stakeholders mobilised elements of context, such as legislative support and agricultural practice, that would affect the tool's use. We conclude that stakeholders shape knowledge translation processes by continuously putting forth explicit or implicit scenarios about the future. Mapping actor-scenarios may help in aligning knowledge production with utilisation. Insights into potential roles and responsibilities could be fed back in research projects with the aim of increasing the likelihood that the study results may be used.
利益相关者参与卫生政策研究通常被认为会增加“研究影响力”，但利益相关者在产生影响力方面的积极作用仍未得到充分探索。我们探讨了利益相关者如何将卫生政策研究转化为行动。我们的比较案例研究追踪了一个欧洲研究项目，该项目旨在推广一种现有的烟草控制投资回报工具。该项目还旨在通过与利益相关者合作进一步开发该工具来提高其影响力。我们采用参与者情景映射方法进行了半结构化访谈。参与者情景可以被视为对未来世界的关系描述。我们通过要求利益相关者描述谁以及什么将在该工具的使用中发挥作用来绘制情景。我们的结果表明，利益相关者设想了该工具截然不同的未来。一些情景是具体的，而大多数是对抽象潜在用户和责任的一般预测。我们展示了利益相关者如何调动背景因素，如立法支持和农业实践，这些因素将影响该工具的使用。我们得出结论，利益相关者通过不断提出关于未来的明确或隐含情景来塑造知识转化过程。绘制参与者情景可能有助于使知识生产与利用保持一致。对潜在角色和责任的洞察可以反馈到研究项目中，以提高研究结果被使用的可能性。
