A call to action: More collaborative implementation research is needed to prevent chronic disease
A call to action: More collaborative implementation research is needed to prevent chronic disease
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行动呼吁：需要更多的合作实施研究来预防慢性病
DOI：
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发表时间：
2022
影响因子：
3.5
通讯作者：
J. Wiggers
中科院分区：
文献类型：
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作者：
L. Wolfenden;P. Hawe;L. Rychetnik;R. Sutherland;Courtney Barnes;Serene Yoong;B. Giles;Jo Mitchell;Adrian Bauman;A. Milat;L. K. Chai;S. Mayfield;Nadia Mastersson;L. Freebairn;G. Sacks;Andrew Wilson;A. Wright;J. Wiggers
澳大利亚和新西兰公共卫生杂志549 © 2022作者作者声明他们没有利益冲突。这是一个开放获取的条款下的知识共享署名-非商业性-非衍生许可证，允许使用和分发在任何媒体，只要原作品是正确引用，使用是非商业性的，没有修改或改编。所有已知的健康风险因素中有50%可以通过已知的有效预防政策或做法加以纠正。2缺乏预防方面的项目资金可能是错失机会的一个原因。3另一个关键障碍是，没有足够的实地证据表明如何扩大-在更广泛的人群中增加干预措施，并在不丧失忠诚度的情况下适应不同的环境。实施研究旨在解决这一重要的证据差距，超越研究，以描述，理解和测试预防干预措施对社区卫生措施的有效性，而是描述，理解和测试有效的预防干预措施是如何实施的整合和适应临床和社区系统。例如，审查表明，干预措施的效果可以提高2至12倍，适当的，相对于穷人，实施。5然而，如图1所示，干预研究中的证据生成仍然倾向于研究功效，或“什么有效”，而不是研究我们如何在实践中应用这些知识并最大限度地提高效益。
Australian and New Zealand Journal of Public Health 549 © 2022 The Authors The authors have stated they have no conflicts of interest. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made. Fifty per cent of all known health risk factors could be redressed with known, effective preventive policies or practices.1 Yet, widespread uptake of effective prevention is uncommon.2 Lack of program funding in prevention may be one reason why opportunities are missed.3 Another critical impediment is that there is insufficient field-level evidence on how to scale-up interventions across wider populations and adapt to different contexts without loss of fidelity. Implementation research seeks to address this important evidence gap, moving beyond research to describe, understand and test the effectiveness of prevention interventions on measures of community health, to instead describe, understand and test how effective prevention interventions are implemented integrated and adapted into clinical and community systems.4 Implementation research has considerable potential to improve public health. For example, reviews suggest that effects of interventions could be enhanced by two to 12 times with appropriate, relative to poor, implementation.5 However, as shown in Figure 1, evidence generation in intervention research remains skewed towards studies of efficacy, or ‘what works,’ in contrast to studies of how we can apply that knowledge in practice and maximise benefits.
通过多组织伙伴关系提高公共卫生系统绩效。
影响因子：
5.5
作者：
Mays,GlenP;Scutchfield,FDouglas
通讯作者：
Scutchfield,FDouglas