| 739 | 3 | 898 |
| 下载次数 | 被引频次 | 阅读次数 |
围绕体育健康促进研究中的过程性评价展开探讨。作为一种针对复杂系统的干预研究,体育健康促进需要对干预实施的各方面进行测评、理解和调整。过程性评价能够对干预实施情况、影响机制、背景环境等进行深入分析,既支持事后评价,也能实现实时监测。梳理过程性评价的概念和常用框架,指出复杂性科学等外学科的发展以及跨学科交叉融合的需要,使体育健康促进研究引入过程性评价成为必然趋势。通过分析现有案例发现,在学科体系、方法学和研究领域方面,体育健康促进研究已具备引入过程性评价的基础。进一步提出未来应用路径:加强过程数据监控;深化环境背景变量分析;建立项目可推广性的逻辑判断框架。同时强调,引入过程性评价需注意保持评估独立性、确保方法规范性,并辩证地看待和利用评价结果。
Abstract:We explores the application of process evaluation in sport and health promotion research. As an study targeting complex systems, physical activity for health promotion requires comprehensive assessment,understanding and adaptation in its implementation. Process evaluation enables the in-depth analysis of intervention delivery, impact mechanism and contextual factors, supporting both retrospective assessment and realtime monitoring. This study first reviews the conceptual framework of process evaluation, highlighting its growing relevance due to the advances in complexity science and the need for interdisciplinary integration in health promotion research. The analysis of existing cases demonstrates established methodological and disciplinary foundations for adopting process evaluation in this field. Three key pathways for future application are proposed:strengthening process data monitoring, deepening the analysis of contextual variables, and developing logical frameworks to assess program scalability. The study emphasizes the importance of maintaining evaluators' independence, methodological rigor, and a critical perspective when interpreting results.
[1]邱希,杜振巍.“健康中国2030”背景下全民健身与全民健康深度融合发展的基本态势及发展策略[J].武汉体育学院学报,2021,55(11):41-49
[2]彭国强,舒盛芳.美国运动健康促进服务体系及其对健康中国的启示[J].体育与科学,2016,37(5):112-120
[3]褚红玲,曾琳,赵一鸣,等.复杂干预研究的过程评价指南解读[J].中国循证医学杂志,2020,20(11):1353-1358
[4]佘振苏.复杂系统学新框架:融合量子与道的知识体系[M].北京:科学出版社,2012:12
[5]李士勇,田新华.非线性科学与复杂性科学[M].哈尔滨:哈尔滨工业大学出版社,2006:14-16
[6]MRC. Process evaluation of complex interventions-UK Medical Research Council(MRC)guidance[EB/OL].[2023-03-19]. https://www.ukri.org/publications/processevaluation-of-complex-interventions
[7]CRAIG P,DIEPPE P,MACINTYRE S,et al. Developing and evaluating complex interventions:The new medical research council guidance[J]. BMJ,2008,337:a1655
[8]张格,王巍巍,杨智荣,等. AHRQ对于复杂干预系统综述报告的PRISMA-CI声明及其实例解读[J].中华流行病学杂志,2019,40(7):832-838
[9]MORRIS R L, HILL K D, ACKERMAN I N, et al. A mixed methods process evaluation of a person-centred falls prevention program[J]. BMC Health Services Research,2019,19(1):906
[10]LIU H, LINDLEY R, ALIM M, et al. Family-led rehabilitation in India(ATTEND)-Findings from the process evaluation of a randomized controlled trial[J].International Journal of Stroke,2019,14(1):53-60
[11]PARKER A M,MALIK A,HOSEY M. Process evaluation and the development of behavioural interventions to improve psychological distress among survivors of critical illness[J]. Thorax,2019,74(1):7-10
[12]JANUS M, BRINKMAN S. Evaluating early childhood education and care programs[M]//International Encyclopedia of Education. Amsterdam:Elsevier,2010:25-31
[13]BONTEMPI J M B. Book review:Process evaluation for public health interventions and research[J]. INQUIRY,2003,40(1):105-106
[14]MOHER D, LIBERATI A, TETZLAFF J, et al. Preferred reporting items for systematic reviews and meta-analyses:The PRISMA statement[J]. International Journal of Surgery,2010,8(5):336-341
[15]NILSEN P. Making sense of implementation theories,models and frameworks[J]. Implementation Science,2015,10:53
[16]CARROLL C, PATTERSON M, WOOD S, et al. A conceptual framework for implementation fidelity[J].Implementation Science,2007,2:40
[17]SAUNDERS R P, EVANS M H, JOSHI P. Developing a process-evaluation plan for assessing health promotion program implementation:A how-to guide[J]. Health Promotion Practice,2005,6(2):134-147
[18]GILSON L, Alliance for Health Policy and Systems Research, WHO. Health policy and systems research:A methodology reader[EB/OL].[2023-06-01]. https://iris.who.int/handle/10665/44803
[19]董如豹.社会生态学模型视角下美国和新西兰青少年身体活动促进研究[D].福州:福建师范大学,2016:159-160
[20]RASHID S,MOORE J E,TIMMINGS C,et al. Evaluating implementation of the World Health Organization's Strategic Approach to strengthening sexual and reproductive health policies and programs to address unintended pregnancy and unsafe abortion[J]. Reproductive Health,2017,14(1):153
[21]TAMA E,MOLYNEUX S,WAWERU E,et al. Examining the implementation of the free maternity services policy in Kenya:A mixed methods process evaluation[J]. International Journal of Health Policy and Management, 2018,7(7):603-613
[22]GRIFFIN S F,WILCOX S,ORY M G,et al. Results from the active for life process evaluation:Program delivery fidelity and adaptations[J]. Health Education Research,2010,25(2):325-342
[23]GORELY T,HARRINGTON D M,BODICOAT D H,et al.Process evaluation of the school-based girls active programme[J]. BMC Public Health,2019,19(1):1187
[24]BELLICHA A, KIEUSSEIAN A, FONTVIEILLE A M,et al. A multistage controlled intervention to increase stair climbing at work:Effectiveness and process evaluation[J].The International Journal of Behavioral Nutrition and Physical Activity,2016,13:47
[25]BLAKE H,LAI B,COMAN E,et al. Move-it:A clusterrandomised digital worksite exercise intervention in China:Outcome and process evaluation[J]. International Journal of Environmental Research and Public Health, 2019,16(18):3451
[26]吕森森,蔡毅媛,何文俊,等.基于RE-AIM框架的实施结局指标制订方法[J].中国循证医学杂志,2023,23(6):695-701
[27]GAGLIO B,SHOUP J A,GLASGOW R E. The RE-AIM framework:A systematic review of use over time[J].American Journal of Public Health,2013,103(6):e38-46
[28]GLASGOW R E,HARDEN S M,GAGLIO B,et al. REAIM planning and evaluation framework:Adapting to new science and practice with a 20-year review[J]. Frontiers in Public Health,2019,7:64
[29]HOLTROP J S,RABIN B A,GLASGOW R E. Qualitative approaches to use of the RE-AIM framework:Rationale and methods[J]. BMC Health Services Research,2018,18(1):177
[30]FELDSTEIN A C, GLASGOW R E. A practical, robust implementation and sustainability model(PRISM)for integrating research findings into practice[J]. The Joint Commission Journal on Quality and Patient Safety, 2008,34(4):228-243
[31]GLASGOW R E,VOGT T M,BOLES S M. Evaluating the public health impact of health promotion interventions:The RE-AIM framework[J]. American Journal of Public Health,1999,89(9):1322-1327
[32]MRC. A framework for development and evaluation of RCTs for complex interventions to improve health[EB/OL].[2024-04-01]. https://mrc.ukri.org/documents/pdf/rcts-forcomplex-interventions-to-improve-health/
[33]MOORE G F, AUDREY S, BARKER M, et al. Process evaluation of complex interventions:Medical research council guidance[J]. BMJ,2015,350:h1258
[34]QUASDORF T, CLACK L, LAPORTE URIBE F, et al.Theoretical approaches to process evaluations of complex interventions in health care:A systematic scoping review protocol[J]. Systematic Reviews,2021,10(1):268
[35]GAGLIO B,PHILLIPS S M,HEURTIN-ROBERTS S,et al.How pragmatic is it? Lessons learned using PRECIS and RE-AIM for determining pragmatic characteristics of research[J]. Implementation Science,2014,9:96
[36]MOORE G F, EVANS R E, HAWKINS J, et al. From complex social interventions to interventions in complex social systems:Future directions and unresolved questions for intervention development and evaluation[J]. Evaluation,2019,25(1):23-45
[37]HAJI F A,DA SILVA C,DAIGLE D T,et al. From bricks to buildings:Adapting the Medical Research Council framework to develop programs of research in simulation education and training for the health professions[J].Simulation in Healthcare,2014,9(4):249-259
[38]汪波,黄晖明,杨宁.运动是良医(Exercise is Medicine):运动促进健康的新理念:王正珍教授学术访谈录[J].体育与科学,2015,36(1):7-12
[39]张丽军,孙有平.大数据时代青少年体质健康促进的现实困境、路径探寻与未来展望[J].沈阳体育学院学报,2020,39(4):1-8
[40]金晶,李卫东,马莲,等.体育教学实验干预的执行效度:定义、概念框架与测评体系[J].成都体育学院学报,2021,47(3):66-71
[41]王子怡,卢存存,刘文迪,等.应用复杂系统模型进行公共卫生干预措施经济学评价指南的解读[J].中国循证医学杂志,2023,23(12):1365-1372
[42]高淑青,王晓晨,张连成.循证锻炼在大众锻炼实践领域的应用思考[J].体育学刊,2022,29(3):139-144
[43]REED J E, HOWE C, DOYLE C, et al. Simple rules for evidence translation in complex systems:A qualitative study[J]. BMC Medicine,2018,16(1):92
[44]ECCLES M P, MITTMAN B S. Welcome to implementation science[J]. Implementation Science,2006,1(1):1
[45]DAVID H P, NHAN T T, ADAM T. Implementation research in health:A practical guide[EB/OL].[2023-11-11]. https://iris.who.int/handle/10665/91758
[46]鲁春丽,曹卉娟,徐东,等.实施科学产生的背景、概念和国内外发展近况[J].中国中西医结合杂志,2020,40(11):1378-1380
[47]方千华,王润斌,徐建华,等.体育学基本理论与学科体系建构:逻辑进路、研究进展与视域前瞻[J].体育科学,2017,37(6):3-23
[48]李璟圆,梁辰,高璨,等.体医融合的内涵与路径研究:以运动处方门诊为例[J].体育科学,2019,39(7):23-32
[49]汤春雪,李红霞,石丽君.体卫融合靶向攻关:演进逻辑、实践探索与方向前瞻[J].北京体育大学学报,2023,46(6):123-134
[50]齐大路,黄汉升.学科形态演变视角下中国体育学发展的历程、谱系及启示[J].北京体育大学学报,2023,46(1):79-92
[51]王润斌,黄汉升.面向独立学科门类的体育学学理反思与探行方略[J].北京体育大学学报,2022,45(9):1-20
[52]王晓微.成就·经验·反思·构建:中国体育学若干重要议题探骊:黄汉升教授学术访谈[J].北京体育大学学报,2021,44(12):1-23
[53]赵立.方法论与我国的运动训练[J].中国体育科技,1998,34(5):11-17
[54]吴贻刚.制约科学理论向运动训练方法转化的主要因素[J].上海体育学院学报,2001,25(2):6-9
[55]宋会君.从耗散结构理论看运动员竞技能力发展的有序性[J].体育与科学,2003,24(3):49-50
[56]邵桂华.分形学视野中的体育教学复杂性[J].天津体育学院学报,2006,21(2):111-115
[57]傅华.健康教育学[M].北京:人民卫生出版社,2017:191
[58]黄贤达,高绍林.论我国公共数据开放的双重路径与规范重塑[J].江西师范大学学报(哲学社会科学版),2022,55(3):62-74
[59]李博,刘阳,陈思同,等.我国学校体育研究中访谈法运用的问题探析[J].上海体育学院学报,2018,42(1):56-63
[60]黄汉升.体育科学研究的方法学探索:基于中国体育学300篇博士学位论文的调查与分析[J].体育科学,2009,29(9):3-17
[61]胡永红,周登嵩.复杂科学视域下体育学定量和定性研究的差异和整合[J].北京体育大学学报,2010,33(12):15-18
[62]AITTASALO M, RINNE M, PASANEN M, et al.Promoting walking among office employees-evaluation of a randomized controlled intervention with pedometers and e-mail messages[J]. BMC Public Health,2012,12:403
[63]CASEY M M,TELFORD A,MOONEY A,et al. Linking secondary school physical education with community sport and recreation for girls:A process evaluation[J]. BMC Public Health,2014,14:1039
[64]JAGO R, SEBIRE S J, DAVIES B, et al. Increasing children's physical activity through a teaching-assistant led extracurricular intervention:Process evaluation of the action3:30 randomised feasibility trial[J]. BMC Public Health,2015,15:156
[65]HARRIS J,MILNES L J,MOUNTAIN G. How'The Daily Mile?'works in practice:A process evaluation in a UK primary school[J]. Journal of Child Health Care, 2020,24(4):544-559
[66]JONG S T, CROXSON C H D, GUELL C, et al.Adolescents'perspectives on a school-based physical activity intervention:A mixed method study[J]. Journal of Sport and Health Science,2020,9(1):28-40
[67]郑颖,吕晓宁,谢飒飒,等.基于社交媒体的公共卫生执业医师健康生活方式的干预研究[J].中国健康教育,2023,39(7):667-671
[68]LIN Y P,LU S H,MA W F,et al. Process evaluation of a multi-component"sit less, walk more"workplace intervention for office workers[J]. Medicine&Science in Sports&Exercise,2018,50(5S):584
[69]谢润生,徐东,李慧,等.医疗卫生领域中实施科学的研究方法[J].中国循证医学杂志,2020,20(9):1104-1110
[70]BENTON J S, COTTERILL S, ANDERSON J, et al. A natural experimental study of improvements along an urban canal:Impact on canal usage, physical activity and other wellbeing behaviours[J]. The International Journal of Behavioral Nutrition and Physical Activity,2021,18(1):19
[71]SEBIRE S J,KESTEN J M,EDWARDS M J,et al. Using self-determination theory to promote adolescent girls'physical activity:Exploring the theoretical fidelity of the Bristol Girls Dance Project[J]. Psychology of Sport and Exercise,2016,24:100-110
[72]HSU Y T,BUCKWORTH J,FOCHT B C,et al. Feasibility of a Self-Determination Theory-based exercise intervention promoting Healthy at Every Size with sedentary overweight women:Project CHANGE[J]. Psychology of Sport and Exercise,2013,14(2):283-292
[73]O'BRIEN J,SANTNER E,KR?LL J. Moving beyond onesize-fits-all approaches to injury prevention:Evaluating how tailored injury prevention programs are developed and implemented in academy soccer[J]. The Journal of Orthopaedic and Sports Physical Therapy, 2021, 51(9):432-439
[74]彭瑾,李娜.干预研究中保真度的意义、测量及其控制:以“让我们做朋友-陕西”为例[J].社会建设,2020,7(6):30-41
[75]HANKONEN N, HEINO M T J, ARAUJO-SOARES V,et al.'Let's Move It':A school-based multilevel intervention to increase physical activity and reduce sedentary behaviour among older adolescents in vocational secondary schools:A study protocol for a cluster-randomised trial[J]. BMC Public Health,2016,16:451
[76]PARRISH A M, TROST S G, HOWARD S J, et al.Evaluation of an intervention to reduce adolescent sitting time during the school day:The'Stand Up for Health'randomised controlled trial[J]. Journal of Science and Medicine in Sport,2018,21(12):1244-1249
[77]KEEGAN R, STOLJAROVA S, KESSLER L, et al.Psychological support for the talent pathway:Qualitative process evaluation of a state sport academy's psychology service[J]. Journal of Applied Sport Psychology, 2022,34(3):665-690
[78]ABRAMS D B. Applying transdisciplinary research strategies to understanding and eliminating health disparities[J]. Health Education&Behavior,2006,33(4):515-531
[79]世界卫生组织.以人为本的整合型卫生服务(Integrated People-Centered Care)[EB/OL].[2025-06-20]. https://www.who.int/health-topics/integrated-people-centered-care
[80]AVERY L, SNIEHOTTA F F, DENTON S J, et al.Movement as medicine for type 2 diabetes:Protocol for an open pilot study and external pilot clustered randomised controlled trial to assess acceptability, feasibility and fidelity of a multifaceted behavioural intervention targeting physical activity in primary care[J]. Trials,2014,15:46
[81]CHRISTIAN D,TODD C,HILL R,et al. Active children through incentive vouchers-evaluation(ACTIVE):A mixed-method feasibility study[J]. BMC Public Health,2016,16(1):890
[82]陈欢,岗卫娟,欧阳梦璐,等.过程评价及其在针刺临床研究中应用的思考与建议[J].中国针灸,2024,44(3):327-332
基本信息:
DOI:10.16099/j.sus.2023.03.04.0004
中图分类号:G80-05
引用信息:
[1]陈思同,王磊.过程性评价在体育健康促进研究中的应用与审思[J].上海体育大学学报,2025,49(11):11-22.DOI:10.16099/j.sus.2023.03.04.0004.