Labonte R, Robertson A
Department of Behavioural Science, University of Toronto, Canada.
Health Educ Q. 1996 Nov;23(4):431-47. doi: 10.1177/109019819602300404.
This article argues that there has been a tendency to empower the "conventional" positivist paradigm in health promotion research, often at the expense of confounding or ignoring much of health promotion practice. This article argues further that a "constructivist" research paradigm not only has the potential to resolve some of the tensions between research and practice in health promotion but also is inclusive of knowledge generated by the conventional paradigm. The usefulness of a constructivist paradigm is demonstrated through the use of four practice-based case examples drawn from actual community-based health promotion efforts. The congruence of a constructivist paradigm with the health promotion principles of empowerment and community participation are discussed. Finally, this article argues for the acceptance of the legitimacy of knowledge generated from the constructivist paradigm and concludes that this paradigm is more suited to the goals of current health promotion.
本文认为，在健康促进研究中存在一种赋予“传统”实证主义范式权力的倾向，这往往是以混淆或忽视许多健康促进实践为代价的。本文进一步认为，“建构主义”研究范式不仅有可能解决健康促进研究与实践之间的一些矛盾，而且还包含了传统范式所产生的知识。通过使用四个基于实际社区健康促进工作的实践案例，证明了建构主义范式的实用性。讨论了建构主义范式与赋权和社区参与的健康促进原则的一致性。最后，本文主张接受建构主义范式所产生知识的合法性，并得出结论，该范式更适合当前健康促进的目标。
