What Does It Mean to Be Pragmatic? Pragmatic Methods, Measures, and Models to Facilitate Research Translation
What Does It Mean to Be Pragmatic? Pragmatic Methods, Measures, and Models to Facilitate Research Translation
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DOI：
10.1177/1090198113486805
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发表时间：
2013-06-01
影响因子：
4.2
通讯作者：
Glasgow, Russell E.
中科院分区：
文献类型：
--
作者：
Glasgow, Russell E.
背景资料。研究转化为实践的缓慢和不确定的原因之一可能是因为科学上强调解释性模型和功效设计，而不是更务实的方法。方法：研究方法。在简要定义了什么是实用主义方法之后，我提供了实用主义方法、措施和模型的例子，以及它们是如何应用的。结果。提供了实用试验和相关设计的描述，包括电子健康记录的患者报告项目的实际措施，以及证据整合三角和RE-AIM实用模型，每个模型都可以帮助增加研究与政策制定者、从业者和患者/消费者的相关性。结论。通过关注利益相关者的视角和应用科学发现的背景，务实的方法可以加速研究、政策和实践的整合。已经取得了进展，特别是在务实的试验方面，但仍然有更多的机会。
Background. One of the reasons for the slow and uncertain translation of research into practice is likely due to the emphasis in science on explanatory models and efficacy designs rather than more pragmatic approaches. Methods. Following a brief definition of what constitutes a pragmatic approach, I provide examples of pragmatic methods, measures, and models and how they have been applied. Results. Descriptions are provided of pragmatic trials and related designs, practical measures including patient-reported items for the electronic health record, and the Evidence Integration Triangle and RE-AIM practical models, each of which can help increase the relevance of research to policy makers, practitioners, and patients/consumers. Conclusions. By focusing on the perspective of stakeholders and the context for application of scientific findings, pragmatic approaches can accelerate the integration of research, policy, and practice. Progress has been made, especially in pragmatic trials but even more opportunities remain.