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The European Journal of Public Health Advance Access originally published online on September 11, 2008
The European Journal of Public Health 2008 18(6):548-549; doi:10.1093/eurpub/ckn082
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© The Author 2008. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

Commentaries

Contextual evidence in clinical medicine and health promotion

A. R. Aro1, J. Smith2 and J. Dekker3

1 Unit for Health Promotion Research, Faculty of Health Sciences, University of Southern Denmark, Esbjerg, Denmark, Niels Bohrs Vej 9, 6700 Esbjerg, Denmark
2 Department of Paramedic and Social Health Sciences, School of Medicine, Flinders University, GPO Box 2100, Adelaide 5001, South Australia
3 Department of Rehabilitation Medicine, EMCO Institute, VU University Medical Centre, P.O. Box 7057, 1007 MB, Amsterdam, The Netherlands

Correspondence: Arja R Aro, Unit for Health Promotion Research, Faculty of Health Sciences, University of Southern Denmark, Niels Bohrs Vej 9, 6700 Esbjerg, Denmark, tel: +45 6550 4157, fax: +445 6550 4283, e-mail: araro@health.sdu.dk

Received May 27, 2008, accepted August 14, 2008

The first 10% of the full text of this article appears below.


   Introduction
 
The randomized clinical trial (RCT) and systematic review underpin evidence-based medicine. They are perceived to provide the strongest evidence on interventions—when viewed as part of an evidence hierarchy, and are generally accepted as such, in clinical medicine. Yet, they are perceived to have limited currency in health promotion practice.1 Those trying to build bridges across these fields have often been challenged as to whether or not the RCT is the design for both.2 We argue that ‘real life’, including decision making and practice both in clinical medicine and health promotion, requires contextualized evidence; that integrated research on outcome and context is feasible and desirable, both in clinical medicine and health promotion; and that these fields could learn from each other's approaches towards contextualization of evidence.


   Clinical medicine
 
Evidence-based medicine is . . . [Full Text of this Article]


   Health promotion and analogies to clinical medicine
 

   Research on outcome and context
 

   Sharing experience
 

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