McQueen D V
Rev Epidemiol Sante Publique. 1987;35(1):28-35.
Traditionally, research in health behaviour has been dominated by research ideologies and methods which developed in the health sciences and the social sciences. To a great extent these subjects have followed "classical" research designs propounded by the natural sciences. The result has been a marked dependency on survey research, quasi-experimental designs, case-control studies and other "static" designs. This research has been characterised by brief periods of intensive "data-collection", followed by long periods of analysis and report writing. These research endeavours often constitute an extensive, elaborate, and usually accurate picture of health attitudes, opinions and behaviours at the point of data collection. But they are simply "snapshots" of a group, culture, nation, etc. at one moment in time. This research is not "dynamic" and it is not surprising that despite the considerable amount of health behaviour research which exists, we still know relatively little about the process and dynamics of health behaviour change. Fortunately there is increasing concern, both theoretical and methodological, with the problem of behavioural change over time. On balance, the theoretical arguments are not well developed, however the methodological techniques for exploring continuous data are becoming available. This paper presents one model for an emerging research programme in lifestyle and health which attempts to address some of the theoretical and methodological issues discussed.
传统上,健康行为研究一直受健康科学和社会科学中发展起来的研究理念和方法所主导。在很大程度上,这些学科遵循了自然科学提出的“经典”研究设计。结果是对调查研究、准实验设计、病例对照研究和其他“静态”设计有明显的依赖。这类研究的特点是进行短暂的密集“数据收集”阶段,随后是长时间的分析和报告撰写阶段。这些研究工作往往能在数据收集时,对健康态度、观点和行为构成一幅广泛、详尽且通常准确的图景。但它们不过是某个群体、文化、国家等在某一时刻的“快照”。这类研究并非“动态的”,而且尽管存在大量的健康行为研究,我们对健康行为改变的过程和动态仍知之甚少,这也就不足为奇了。幸运的是,无论是在理论还是方法层面,人们对行为随时间变化的问题越来越关注。不过总体而言,理论论证并不完善,然而用于探索连续数据的方法技术正逐渐出现。本文提出了一个针对生活方式与健康领域新兴研究项目的模型,该模型试图解决所讨论的一些理论和方法问题。