Family Practice Advance Access originally published online on September 15, 2008
Family Practice 2008 25(Supplement 1):i20-i24; doi:10.1093/fampra/cmn055
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This article appears in the following Family Practice issue: Creating Supportive Environments for Nutrition Guidance: Towards a Synergy Between Primary Care and Public Health. Proceedings of the Fifth Heelsum International Workshop 10-12 December 2007. [View the issue table of contents]
Making research relevant: if it is an evidence-based practice, where's the practice-based evidence?
Department of Epidemiology and Biostatistics, School of Medicine, University of California at San Francisco, 185 Berry Street, PO Box 0981, San Francisco, CA 9414-0981, USA; email: LGreen{at}cc.ucsf.edu
Received 16 May 2008; Accepted 29 July 2008.
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Abstract |
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The usual search for explanations and solutions for the research-practice gap tends to analyze ways to communicate evidence-based practice guidelines to practitioners more efficiently and effectively from the end of a scientific pipeline. This examination of the pipeline looks upstream for ways in which the research itself is rendered increasingly irrelevant to the circumstances of practice by the process of vetting the research before it can qualify for inclusion in systematic reviews and the practice guidelines derived from them. It suggests a ‘fallacy of the pipeline’ implicit in one-way conceptualizations of translation, dissemination and delivery of research to practitioners. Secondly, it identifies a ‘fallacy of the empty vessel’ implicit in the assumptions underlying common characterizations of the practitioner as a recipient of evidence-based guidelines. Remedies are proposed that put emphasis on participatory approaches and more practice-based production of the research and more attention to external validity in the peer review, funding, publication and systematic reviews of research in producing evidence-based guidelines.
Keywords. External validity, evidence-based practice, dissemination, generalizability.
Green LW. Making research relevant: if it is an evidence-based practice, where's the practice-based evidence? Family Practice 2008; 25: i20–i24.
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