It's Your Game…Keep It Real: can innovative public health prevention research thrive within a comparative effectiveness research framework?
It's Your Game…Keep It Real: can innovative public health prevention research thrive within a comparative effectiveness research framework?
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DOI：
10.1007/s10935-013-0293-4
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发表时间：
2013-04
影响因子：
1.7
通讯作者：
Tortolero, Susan R.
中科院分区：
文献类型：
--
作者：
Shegog, Ross;Markham, Christine M.;Peskin, Melissa F.;Johnson, Kimberly;Cuccaro, Paula;Tortolero, Susan R.
联邦比较有效性研究 (CER) 计划旨在评估医疗保健环境中的最佳实践，以便传播这些最佳实践以立即造福于患者。 CER 战略框架包括四个类别（研究、人力和科学资本、数据基础设施和传播）以及三个交叉主题（条件、患者群体和干预类型）。公共卫生领域面临的挑战是将 CER 框架纳入预防研究。将基于医学的、从研究到实践的 CER 方法应用于公共卫生预防研究引起了人们对可接受证据的定义（证据挑战）、异质社区内有效干预传播（传播和实施挑战）以及以牺牲其他有前途但高风险方法为代价的最佳实践的奖励（创新挑战）的担忧。本文描述了 CER 框架的动态运作，该框架与创新公共卫生预防干预措施的开发、评估和传播相兼容。有效的艾滋病毒、性传播感染和怀孕预防计划“这是你的游戏……保持真实”提供了该应用程序的案例研究，为 CER 框架可以与创新的、基于社区的公共卫生预防研究兼容共存提供了支持。
The federal comparative effectiveness research (CER) initiative is designed to evaluate best practices in health care settings where they can be disseminated for immediate benefit to patients. The CER strategic framework comprises four categories (research, human and scientific capital, data infrastructure, and dissemination) with three crosscutting themes (conditions, patient populations, and types of intervention). The challenge for the field of public health has been accommodating the CER framework within prevention research. Applying a medicine-based, research-to-practice CER approach to public health prevention research has raised concerns regarding definitions of acceptable evidence (an evidence challenge), effective intervention dissemination within heterogeneous communities (a dissemination and implementation challenge), and rewards for best practice at the cost of other promising but high-risk approaches (an innovation challenge). Herein, a dynamic operationalization of the CER framework is described that is compatible with the development, evaluation, and dissemination of innovative public health prevention interventions. An effective HIV, STI, and pregnancy prevention program, It’s Your Game…Keep It Real, provides a case study of this application, providing support that the CER framework can compatibly coexist with innovative, community-based public health prevention research.
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影响因子：
2.2
作者：
COKER, AL;RICHTER, DL;VINCENT, ML
通讯作者：
VINCENT, ML
影响因子：
7.6
作者：
Evans, AE;Edmundson-Drane, EW;Harris, KK
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影响因子：
4.2
作者：
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影响因子：
12.7
作者：
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通讯作者：
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影响因子：
7.6
作者：
BROWN, LK;DICLEMENTE, RJ;PARK, T
通讯作者：
PARK, T