Pushing the Boundaries of Evidence-Based Research: Enhancing the Application and Sustainability of Health Promotion Programs in Diverse Populations
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abstract
A new science of translational research is emerging, which includes concentrated attention to concepts such as program reach, adaptation (re-invention), diffusion, and sustainability. This paper will build on the growing knowledge-base about effective public health programs for older adults by emphasizing the importance of these less commonly applied concepts for understanding true program impact. Health behaviour research can be conceptualized as involving different types of studies, moving to process studies examining factors influencing health and illness behaviours, and culminating with the development and testing of theory-based interventions. Newer research traditions focus on evaluating public health impacts in real world settings and identifying strategies for enhancing actual adaptation and dissemination. Evidence-based intervention research is often build upon a common set of behavioural principles and understanding of the potential of older adults to engage in recommended lifestyle behaviours. This review will highlight those principles that help facilitate the translational research process for older adults. In addition to sumarization of existing literature, a ase study approach will be utilized to reflect on factors that affect research translation and strategies for improving the public health impact of evidence-based programs. While concepts are generalizable to many health promotion interventions, reported literature and case studies will primarily focus on physical activity and chronic disease management programs.
