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Open Access Multiple Intervention Research Programs in Community Health

Les programmes de recherche sur les interventions multiples en santé communautaire

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The authors describe an organizing framework for multiple interventions in community health.The framework provides a foundation for programmatic research on multiple interventions and poses critical questions that need to be addressed in the next generation of research in this field. Multiple intervention programs are characterized by the use of multiple strategies targeted at multiple levels of the socio-ecological system and delivered to multiple target audiences. Consequently,they complement the growing literature on the broad determinants of health and health promotion.The authors describe a 4-stage framework and identify gaps and challenges in this field of research.There are 5 key research areas requiring concerted action; researchers must: examine nested determinants, develop integrated conceptual frameworks, examine ways to optimize synergies among interventions, describe spin-offs from multiple intervention programs, and monitor the sustainability of their impact.

Les auteures présentent un cadre organisationnel destiné aux interventions multiples en santé communautaire et à servir de fondement aux programmes de recherche sur les interventions multiples. Ce cadre soulève certaines questions critiques qui devront être examinées au cours de recherches futures. Les programmes de ce type se caractérisent par le recours à des stratégies multiples, axées vers plusieurs niveaux du système socioécologique et des publics-cibles variés. De ce fait, ils complémentent les études de plus en plus nombreuses sur les facteurs globaux influant sur la santé et la promotion de celle-ci. Les auteures décrivent un cadre en quatre étapes et cernent les lacunes et les difficultés caractérisant ce domaine de recherche. Elles cernent aussi cinq aspects déterminants exigeant une action concertée en recherche : les chercheuses et les chercheurs doivent étudier les déterminants nichés, élaborer des cadres conceptuels intégrés, étudier les moyens à prendre pour maximiser la synergie entre les interventions, décrire les retombées des programmes d'interventions multiples et étudier leur durabilité.


Document Type: Research Article

Publication date: 2004-03-01

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