Why don't we see more translation of health promotion research to practice? Rethinking the efficacy-to- effectiveness transition

被引:1351
作者
Glasgow, RE
Lichtenstein, E
Marcus, AC
机构
[1] AMC Canc Res Ctr, Denver, CO USA
[2] Oregon Res Inst, Eugene, OR USA
关键词
D O I
10.2105/AJPH.93.8.1261
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The gap between research and practice is well documented. We address one of the underlying reasons for this gap: the assumption that effectiveness research naturally and logically follows from successful efficacy research. These 2 research traditions have evolved different methods and values: consequently, there are inherent differences between the characteristics of a successful efficacy intervention versus those of an effectiveness one. Moderating factors that limit robustness across settings, populations. and intervention staff need to be addressed in efficacy studies, as well as in effectiveness trials. Greater attention needs to be paid to documenting intervention reach. adoption. implementation, and maintenance. Recommendations are offered to help close the gap between efficacy and effectiveness research and to guide evaluation and possible adoption of new programs.
引用
收藏
页码:1261 / 1267
页数:7
相关论文
共 57 条
  • [1] ABRAMS DB, 1994, INTERVENTIONS SMOKER, P137
  • [2] [Anonymous], HLTH BEH CHANG MAN C
  • [3] Axelrod R., 2000, HARNESSING COMPLEXIT
  • [4] AVOIDING TYPE-III ERRORS IN HEALTH-EDUCATION PROGRAM EVALUATIONS - A CASE-STUDY
    BASCH, CE
    SLIEPCEVICH, EM
    GOLD, RS
    DUNCAN, DF
    KOLBE, LJ
    [J]. HEALTH EDUCATION QUARTERLY, 1985, 12 (04): : 315 - 331
  • [5] THE NEED FOR A SCIENCE OF LARGER SOCIAL UNITS - A CONTEXTUAL APPROACH
    BIGLAN, A
    GLASGOW, RE
    SINGER, G
    [J]. BEHAVIOR THERAPY, 1990, 21 (02) : 195 - 215
  • [6] Brewer MB., 2000, Handbook of research methods in social and personality psychology, P3
  • [7] Developing an evidence-based Guide to Community Preventive Services -: Methods
    Briss, PA
    Zaza, S
    Pappaioanou, M
    Fielding, J
    Wright-De Agüero, L
    Truman, BI
    Hopkins, DP
    Mullen, PD
    Thompson, RS
    Woolf, SH
    Carande-Kulis, VG
    Anderson, L
    Hinman, AR
    McQueen, DV
    Teutsch, SM
    Harris, JR
    [J]. AMERICAN JOURNAL OF PREVENTIVE MEDICINE, 2000, 18 (01) : 35 - 43
  • [8] IN DEFENSE OF PROBABILISTIC FUNCTIONALISM - A REPLY
    BRUNSWIK, E
    [J]. PSYCHOLOGICAL REVIEW, 1955, 62 (03) : 236 - 242
  • [9] BULL SS, IN PRESS HLTH ED BEH
  • [10] *CDCP, 2002, GUID COMM PREV SERV