The future of health behavior change research: what is needed to improve translation of research into health promotion practice?
BACKGROUND
It is well documented that the results of most behavioral and health promotion studies have not been translated into practice.


OBJECTIVE
In this article, reasons for this gap, focusing on study design characteristics as a central contributing barrier, are discussed.


METHODS
Four reviews of recent controlled studies in work sites, health care, school, and community settings are briefly discussed and summarized. Their implications for future research and for closing the gap between research and practice are then discussed.


RESULTS
These reviews come to consistent conclusions regarding key internal and external validity factors that have and have not been reported. It is very clear that moderating variables and generalization issues have not been included or reported in the majority of investigations, and that as a consequence little is known about the representatives or the robustness of results from current studies.


CONCLUSIONS
To significantly improve the current state of affairs, substantial changes will be required on the part of researchers, funding agencies, and review and editorial boards. In conclusion, recommendations for each of these entities are provided.
Kaiser Permanente Colorado and AMC Cancer Research Center, Denver, Colorado, USA. russg@ris.net
Russell E
RE
Glasgow
Lisa M
LM
Klesges
David A
DA
Dzewaltowski
Sheana S
SS
Bull
Paul
P
Estabrooks
D000465:Algorithms; D001521:Behavior Therapy / Q000639:trends*; D018849:Controlled Clinical Trials as Topic / Q000639:trends; D004059:Diffusion of Innovation; D005544:Forecasting; D015438:Health Behavior; D006293:Health Promotion / Q000639:trends*; D006301:Health Services Needs and Demand / Q000639:trends; D006801:Humans; D012106:Research / Q000639:trends; D012109:Research Support as Topic / Q000639:trends; D016896:Treatment Outcome