So much research, so little application: Barriers to dissemination and practical implementation of Tai Ji Quan.
So much research, so little application: Barriers to dissemination and practical implementation of Tai Ji Quan.
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DOI：
10.1016/j.jshs.2013.10.005
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发表时间：
2014-03-01
影响因子：
11.7
通讯作者：
Harmer, Peter A.
中科院分区：
文献类型：
--
作者：
Harmer, Peter A.
尽管在医学文献中发表了大量的文章，倡导使用太极拳来获得与健康相关的各种结果，但这些计划很少有系统的大规模实施。有人可能会认为，缺乏来自有能力实施和监督大规模项目的组织的资金，如政府卫生机构或关注老年人医疗保健的国家非政府组织，是罪魁祸首。然而，由于在确定太极拳的效力和效力方面的优先顺序和标准相互冲突，这些组织需要证明为此类项目提供担保的证据不足。通过可接受的设计(如随机对照试验)建立疗效需要严格的方案来确保有意义的内部有效性，但需要不同的方法来证明研究环境之外的有意义的有效性(外部有效性)。通过检查医学文献中报道的随机对照试验、系统评价和传播研究的质量、数量和相对比例，本文强调了功效和有效性研究之间的重点差距，这阻碍了关于太极拳的连贯文献的发展，并得出结论，在更多的研究人员制定出系统的、长期的承诺来调查其与健康相关的好处之前，相关研究将仍然是支离破碎和零星的，限制了大型资助机构支持其广泛使用的动机。
Despite the large number of articles published in the medical literature advocating the use of Tai Ji Quan for a wide variety of health-related outcomes, there has been little systematic broad-scale implementation of these programs. It may be argued that the lack of funding from organizations capable of implementing and overseeing large-scale programs, such as governmental health agencies or national non-governmental organizations concerned with healthcare for older adults, is to blame. However, the evidence these organizations need to justify underwriting such programs is in short supply because of conflicting priorities and standards related to determining the efficacy and effectiveness of Tai Ji Quan. Establishing efficacy through acceptable designs such as randomized controlled trials involves strict protocols to ensure meaningful internal validity but different approaches are needed to demonstrate meaningful effectiveness (external validity) outside the study setting. By examining the quality, quantity, and relative proportions of the randomized controlled trials, systematic reviews, and dissemination studies reported in the medical literature, this paper highlights the disparity in emphasis between efficacy and effectiveness research that has impeded the development of a cohesive literature on Tai Ji Quan and concludes that until more researchers develop a systematic, long-range commitment to investigating its health-related benefits, the research related will remain fractured and sporadic, limiting the incentive of large funding agencies to support its wide-spread use.
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影响因子：
12.7
作者：
Glasgow, RE;Vogt, TM;Boles, SM
通讯作者：
Boles, SM
影响因子：
4.1
作者：
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通讯作者：
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影响因子：
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作者：
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通讯作者：
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DOI：
10.1111/j.1532-5415.2004.52255.x
发表时间：
2004-06-01
影响因子：
6.3
作者：
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通讯作者：
Weimer, C
影响因子：
12.7
作者：
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通讯作者：
Tompkins, Yvaughn