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3
The Use of Research Knowledge:
Current Scholarship
W
ith the arrival of big social science and the growth of the policy
enterprise, the federal investment in social science brought at-
tention to whether the knowledge being produced was being
used. Research on what was labeled "knowledge utilization" got under way.
We address that research under three headings: decisionism and its critique,
the metaphor of two communities (researchers and policy makers), and the
evidence-based policy and practice initiative.
As an introduction to these issues we take brief note of the characteris-
tics of our three central topics--social science, policy, using science--that
challenge any attempt at a comprehensive account for the when, how, and
why of science use in policy.
A CHALLENGING LANDSCAPE
Scholarship on what happens at the interface of science and policy
has to contend with two phenomena--policy making and use--that
are particularly difficult to define. To begin with, investigations of these
phenomena are launched in different disciplines, including anthropology,
political science, psychology, and sociology and their myriad subfields and
cross-fields, from science and technology studies to political psychology,
from behavioral economics to historical sociology. Each of these fields has
its own established principles of evidence and inference. They use different
methods--experimental, analytic, quantitative, and qualitative. They work
35
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36 USING SCIENCE AS EVIDENCE IN PUBLIC POLICY
at different levels of analysis--from individual behavioral decision theory
to systems theory. They focus on different processes: from structural deter-
minism and constrained probabilities at one end of a continuum to willful
effort and chance happenings at the other. They draw on epistemologies as
varied as positivism, critical realism, and postmodernism. Individual social
scientists bring different motivations to their work--from expansion of
theoretical knowledge to practical problem solving, from mapping policy
options to advocacy of particular policies. Social scientists bring their exper-
tise to universities, think tanks, the media, advocacy groups, corporations,
and government agencies. This range--across fields of study and individual
motivations and career lines--produces a lot of variability, which, of course,
determines the way the science-policy nexus is framed.
Complicating matters is the absence of a generally accepted explana-
tory model of policy making. Instead, multiple descriptive policy process
models offer ways to understand how policy is made and how science might
enter into that process. There are, for example, rational models--including
linear, cycle or stage, incrementalism, and interactive. There are models that
question rational model assumptions, including behavioral economics, path
dependency, and bureaucratic inertia. There are political models, including
policy networks, agenda setting, policy narratives, advocacy coalition frame-
works, punctuated equilibrium theory, and deliberative analysis models (see
Baumgartner and Jones, 1993; Hajer and Wagenaar 2003; Kingdon, 1984;
Lindblom, 1968; Neilson, 2001; Sabatier, 2007; Sabatier and Jenkins-
Smith, 1993; Stone, Maxwell, and Keating, 2001).
There are models that focus on different stages of the policy process
and thus on different ways that social science can contribute, including:
descriptive analyses that present conditions needing policy attention, such
as a slowdown in small business start-ups; social indicators that document
long-term trends, such as gender differences in pay scales; social experi-
ments on alternative policy designs, such as school vouchers; and evaluation
research on the effectiveness of a policy, such as neighborhood policing.1
Political science is the discipline that has devoted the most attention to
the policy process. On the issue of use, it has reached a general conclusion
(Henig, in press):
1
For a careful discussion of how evidence is used at different stages of the policy process,
see McDonnell and Weatherford (2012).
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THE USE OF RESEARCH KNOWLEDGE 37
[T]he main thrust of the political science literature serves as a
warning against idealized visions of pure data being applied in
depoliticized arenas. Although generalizations about an entire
discipline inevitably are oversimplifications, the center of gravity
within the field encourages skepticism about proposals for a ratio-
nal, comprehensive, science of public policy making and regards
data and information as sources of power first and foremost.
It is difficult to assess how widely this characterization is accepted
outside of political science, but it is clear that the various models and
frameworks do not coalesce into anything remotely resembling a powerfully
predictive, coherent theory of policy making. Lacking that, it is improb-
able and perhaps impossible to reach a widely agreed-upon understanding
of the use of science in policy making. "Use" itself, consequently, is elusive,
seen differently depending on the perspectives brought to it and the policy
and institutional arenas in which it is investigated (Neilson, 2001; Webber,
1991; Weiss, 1991). A political psychologist at the Central Intelligence
Agency concerned with what transforms an angry, unemployed teenager
into a terrorist uses research evidence very differently from an economist
at the RAND Corporation designing a randomized controlled field
trial (RCFT) on classroom size and school performance. Many researchers
under score the conceptual confusion about use and conclude that different
definitions of use are needed and appropriate for different purposes (e.g.,
Oh, 1997; Rich, 1997; Weiss, 1979).
This conclusion is consistent with the fact that policy choices are
context dependent. A school district deciding whether to establish charter
schools is less interested in a comparative study of charter and public schools
across the country than in wanting to know how well a charter school will
perform under its conditions, which differ depending on whether the dis-
trict is in the central city or suburb, with a homogenous or diverse popula-
tion, with a historically competent or incompetent school administration.
The usefulness of research is not assessed in terms of variance explained
from a large sample of schools, but whether it is informative about a very
specific choice.
Given the context-dependent nature of the use of science, typologies
are a common way of mapping the landscape (for a summary, see Nutley
et al., 2007; see also Bogenschneider and Corbett, 2010; Renn, 1995). A
frequently cited typology is that of Weiss (1979, 1998; see also Weiss et al.,
2005):
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38 USING SCIENCE AS EVIDENCE IN PUBLIC POLICY
· Instrumental uses occur when research knowledge is directly ap-
plied to decision making to address particular problems.
· Conceptual uses occur when research influences or informs how
policy makers and practitioners think about issues, problems, or
potential solutions.
· Tactical uses involve strategic and symbolic actions, such as call-
ing on research evidence to support or challenge a specific idea or
program, such as a legislative proposal or a reform effort.
· Imposed uses (which is perhaps a variant on instrumental uses) de-
scribe mandates to apply research knowledge, such as a require-
ment that government budgeting be based on whether agencies
have adopted programs backed by evidence.
Other scholars add a fifth category, symbolic or ritualistic use--that is,
the organizational practice of collecting information with no real intent
to take it seriously, except to persuade others of a predetermined position
or even to delay action (Leviton and Hughes, 1981; Shulha and Cousins,
1997). It is a frequent complaint among scientists that policy makers use
scientific evidence as confirmation of prior beliefs. This complaint, however,
overlooks the fact that, when policy makers argue on the basis of evidence,
it is more difficult for their opponents to ignore that evidence, or to leave
it unchallenged. "My science versus your science" has the merit of putting
science in play, and over time opens more space for policy arguments that
include scientific evidence.
Weiss emphasizes that each of the four uses--which also applies to
the fifth use noted--can be found in particular situations, but that no
one of them offers a complete picture. Scholars who debate typologies of
use generally conclude that, although typologies are heuristically valuable,
they are not easily applied empirically. Boundaries are blurred, and access
to users' cognitive processes is unattainable. In fact, it is unlikely that us-
ers themselves can make sharp distinctions in explaining how they use
knowledge (Contandriopoulos et al., 2010). The empirical application of
typologies in research is difficult because use is "a dynamic, complex and
mediated process, which is shaped by formal and informal structures, by
multiple actors and bodies of knowledge, and by the relationships and play
of politics and power that run through the wider policy context" (Nutley
et al., 2007, p. 111).
Typologies of use fail to meet the standard criteria of scientific typolo-
gies in which each category consists of an internally coherent set of variables,
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THE USE OF RESEARCH KNOWLEDGE 39
with the value of each variable predictably correlating with the values of
each of the other variables in that particular category. In the periodic table
of chemical elements, for example, hydrogen is distinguished from other
chemical elements by its atomic weight, its specific gravity, its bonding
properties, the temperature at which it freezes and boils, and other traits.
Each of these traits differs consistently and predictably from those same
traits in helium or in any other chemical element (see Stinchcombe, 1987).
In the social world it is impossible, in any practical sense, to construct
typologies that meet this standard. Typologies of social conflict, ethnic or
racial groups, or government corruption are never going to have categories
with internally coherent variables whose values covary in completely pre-
dictable ways. It is unrealistic to expect a clear and unambiguous typology
for a phenomenon as complex as the use of science in policy.
To address the charge given to this committee--to understand the
use of science in policy--is thus to simultaneously deal with three elusive
phenomena:
· Scientific findings from multiple sources and that are at times
contradictory;
· A policy-making process, that is variable along many dimensions;
and
· A phenomenon, "use," that changes its meaning depending on the
perspective brought to it and one's location in the complex space
where policy is made.
With this challenging landscape in mind, we turn to the recent scholar-
ship on knowledge utilization.
DECISIONISM AND ITS CRITIQUE
The scholarship on knowledge utilization has, virtually from its begin-
nings, been skeptical of rational models of the relationship between research
and policy. Rational models assume that decisions unfold through five
stages (Nutley and Webb, 2000, p. 25):
1. A policy problem requiring action is identified and goals,
values, and objectives are clearly set forth;
2. All significant ways of addressing the problem and achieving
the goals or objectives are enumerated;
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40 USING SCIENCE AS EVIDENCE IN PUBLIC POLICY
3. The consequences of each alternative are predicted;
4. The consequences are then compared with the goals and ob-
jectives; and
5. A strategy is selected in which consequences most closely
match the goals and objectives.
Weiss and Bucuvalas (1980, p. 263) summarized the essence of this model:
"a decision is pending, research provides information that is lacking, and
with the information in hand the decision maker makes a decision." Ra-
tional models have also been characterized as "decisionism"--"a limited
number of political actors engaged in making calculated choices among
clearly conceived alternatives" (Majone, 1989, p. 12; see also Rein and
White, 1977; Rich, 1997).
Criticisms of this model have focused on several significant defects;
for example, that decisions made are optimal, that is, based on complete
information and an examination of all possible alternative courses of action
(see the work of Simon [1957], who introduced satisficing as a replace-
ment for maximizing); or, that the model is a normative account of policy
making (see the work of Braybrooke and Lindblom [1963] and Lindblom
[1959], authors who substitute incrementalism for rational models). Other
critics argue that rational models underemphasize or ignore the important
role that value judgments play in policy arguments (Brewer and deLeon,
1983); or that linear problem solving is "wildly optimistic," because it "takes
an extraordinary concatenation of circumstances for research to influence
policy decisions directly" (Weiss, 1979, p. 428).
More recent examinations of the relationship between research and
policy making echo these concerns. For example, Gormley (2011, pp. 978-
979) notes:
A hypodermic needle theory of scientific impact on policy, which
anticipates direct, immediate, and powerful effects, is flawed for
several reasons. First, scientific research is one of many inputs into
the policy process. . . . Second, scientific knowledge accumulates
through multiple studies, some of which reach different conclu-
sions. . . . Third, the applicability of a given study to a particular
policy choice is a matter of judgment. . . . Fourth, scientific
research is translated, condensed, repackaged, and reinterpreted
before it is used. Fifth, the use of scientific information by public
officials, when it is occurs, is more likely to involve justification
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THE USE OF RESEARCH KNOWLEDGE 41
(reinforcement of a prior opinion) than persuasion (conversion to
a new opinion).
Although we share Gormley's view, there are situations in which dis-
crete decisions are directly triggered by the use of some specific scientific
knowledge--for example, the direct, even formulaic translation of census
results into congressional apportionment or formula-based fund allocations
that are legislatively required. There also are situations in which a user is
considered sovereign in her or his capacity to mobilize evidence and, con-
sequently, to modify her or his behavior on the basis of that evidence--for
example, the choice of a preferred clinical treatment (Contandriopoulos et
al., 2010). But these examples are exceptions to the rule, and uncommon
at that. It is estimated that evidence-based programs accounted for less than
0.2 percent of nonmilitary discretionary spending in fiscal 2011.2
In almost all decision-making situations, the use of science takes place
in "systems characterized by high levels of interdependency and intercon-
nectedness among participants" (Contandriopoulos et al., 2010, p. 447).
No single decision maker has the independent power to translate and apply
research knowledge. Rather, multiple decision makers are embedded in sys-
temic relations in which use not only depends on the available information,
but also involves coalition building, rhetoric and persuasion, accommoda-
tion of conflicting values, and others' expectations.
In criticizing rational models and decisionist thinking, Weiss and
others suggest that use is less a matter of straightforward application of
scientific findings to discrete decisions and more a matter of framing issues
or influencing debate (Weiss, 1978, p. 77):
Social science research does not so much solve problems as pro-
vide an intellectual setting of concepts, propositions, orientations
and empirical generalizations. . . . Over a span of time and much
research, ideas . . . filter into the consciousness of policy-making
officials and attentive publics. They come to play a part in how
policy makers define problems and the options they examine for
coping with them.
2
The George W. Bush administration piloted a program linking federal financing to clear
demonstration of program effectiveness. These evidence-based programs "accounted for about
$1.2 billion out of a $670 billion budget for nonmilitary discretionary programs in the 2011
fiscal year" (Lowrey, 2011).
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42 USING SCIENCE AS EVIDENCE IN PUBLIC POLICY
Although Weiss suggested that this enlightenment model is perhaps the
way science is most frequently used in policy making, she did not claim it
was the way it ought to happen. "Many of the social science understandings
that gain currency are partial, oversimplified, inadequate, or wrong. . . . The
indirect diffusion process is vulnerable to oversimplification and distortion,
and it may come to resemble `endarkenment' as much as enlightenment"
(Weiss, 1979, p. 430).
In sum, the research on knowledge utilization reflects a consensus
about what should be ruled out: (1) that the science/policy nexus can be
uniformly understood in terms of rational decision-making models; (2) the
assumption of a specified single actor with freedom to achieve goals formu-
lated through a careful process of rational analysis characterized by a com-
plete, objective study of all relevant information and options; and (3) the
definition of use as problem solving in the sense of a direct application
of evidence from a specific set of studies to a pending decision. Although
evidence may occasionally be used in such narrow ways, these depictions of
"use" do not accurately reflect the full realities of policy making.
Knowledge utilization research, in agreement about what is ruled out,
is less clear about what should be ruled in. It has, however, pointed to the
importance of closing the distance between the "two communities" of sci-
entists and policy makers.
THE TWO COMMUNITIES METAPHOR
Viewing use from the perspective of two communities has been a recur-
ring motif in knowledge utilization studies (see Caplan, 1979). The basic
idea is refreshingly simple. Scientists and policy makers are separated by
their languages, values, norms, reward systems, and social and professional
affiliations. The primary goal of scientists is the systematic search for a reli-
able and accurate understanding of the world; the primary goal of policy
makers is a practical response to a particular public policy issue.
Like any binary distinction, this one oversimplifies, though there is
a crude truth to several distinctions rooted in the different tasks facing
researchers and policy makers. They differ in the outcomes they value--
knowledge about the world in all its complexities versus knowledge helpful
in reaching feasible solutions to pressing problems--and in the incentives,
rewards, and cultural assumptions associated with these different out-
comes. They also differ in habits of expression--probabilistic versus certain
statements about conditions or people. And they differ even in modes of
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THE USE OF RESEARCH KNOWLEDGE 43
thought--deductive and general versus inductive and particular (Szanton,
2001, p. 64). This is described as "research think" and "political think."
The "culture of the researcher tends to add complexity and resist closure.
The culture of the political actor tends to demand straightforward and
easily communicated lessons that will lead to some kind of action" (Henig,
2009, p. 144).
Differences between the two communities are associated with a con-
trasting list of supply-side and demand-side problems (Bogenschneider
and Corbett, 2010; Furhman, 1994; Nutley et al., 2007; Rosenblatt and
Tseng, 2010). On the supply side are researchers who fail to focus on policy-
relevant issues and problems, cannot deliver research in the time frame
generally necessary for effective policy making, do not relate findings from
specific studies to the broad context of a policy issue, ineffectively commu-
nicate their findings, depend on technical arguments that are inaccessible
to policy makers, and lack credibility because of perceived career interests
or even partisan biases. On the demand side are policy makers who fail to
spell out objectives in researchable terms, have few incentives to use science,
and do not take time to understand research findings relevant to pending
policy choices.
This framing of the use problem offers little guidance as to which of the
long list of factors, from either side, best explains variance in use, let alone
how the factors interact and whether they apply only in specific settings or
have general applicability (Bogenschneider and Corbett, 2010; Johnson et
al., 2009). Although the two communities framework has been helpful in
understanding the differing expectations of researchers and policy makers
and problems of communication between them, it has not been able to offer
a systematic explanation of use. Thinking about how best to bridge the gap
between the two communities has, however, led to practices of translation
and brokering and to more intensive interactions between researchers and
policy makers.
Translation
Translation is a supply-side solution to the use problem. It was devel-
oped in clinical diagnostic, preventive, and therapeutic practices. The idea is
simple: basic science is translated into clinical efficacy, efficacy is translated
into clinical effectiveness, and effectiveness is translated into everyday health
care delivery (Drolet and Lorenzi, 2011). The oft-invoked catchphrase is
"bench to bedside." One important sign of the seriousness with which
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44 USING SCIENCE AS EVIDENCE IN PUBLIC POLICY
translation is taken is the U.S. Department of Health and Human Services
initiative, Translating Research into Practice (TRIP) Program, that focuses
on implementation techniques and factors associated with successfully
translating research findings into diverse applied health care settings (see
Agency for Healthcare Research and Quality, 2012).
Translational strategies have now moved beyond health care, intro-
ducing additional and somewhat differently focused activities. One is evi-
dence-based registries, a compilation of scientifically proven interventions.
They are considered tools to improve practice in various fields, including
social services, criminal justice, and education. A different initiative is the
Campbell Collaboration,3 an international organization conducting system-
atic reviews of the effects of social interventions.
The translation strategy is well institutionalized in education. The U.S.
Department of Education's Institute of Education Sciences (IES) was estab-
lished in part to develop the science that could be translated into strategies
to change education practice in public schools. The What Works Clearing-
house of the IES aims to provide educators, policy makers, and the public
with an independent, and trusted source of scientific knowledge relevant to
education policies and practices.4 IES also supports 10 regional educational
laboratories, the role of which is similar to that of extension agents in the
agricultural field: taking research results and putting them into practice in
school districts and classrooms (see U.S. Department of Education, 2012).
The movement toward evidence-based approaches in practice settings
began more than 40 years ago in medical practice. Archibald Cochrane
(1972) railed against ineffective and sometimes harmful therapies despite
randomized clinical trials showing that better treatments were available.
In response to his call for systematic reviews of such trials, the Cochrane
Collaboration5 was established. Its rigorous model of research synthesis
has been adopted in other fields, including the above-noted Campbell
Collaboration and the What Works Clearinghouse.
Although translation strategies have largely been applied to practices,
the logic of translation is applicable to questions of using science in policy.
Begin with a dependable, valid scientific base that provides evidence about
3
See the Campbell Collaboration: What Helps? What Harms? Based on What Evidence?,
available: http://www.campbellcollaboration.org/ [August 2012].
4
For example, see the IES guides in education, such as "Turning Around Chronically
Low-Performing Schools" (May 2008): available: http://ies.ed.gov/ncee/wwc/practiceguide.
aspx?sid=7 [July 2012].
5
See the Cochrane Collaboration: available: http://www.cochrane.org/index.htm [August
2012].
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THE USE OF RESEARCH KNOWLEDGE 45
what works so that policy makers can readily grasp its relevance to the deci-
sion or task at hand, and make that science available in the form of research
summaries or lists of demonstrably effective social interventions. The re-
search record, however, is far from clear on whether translation (of either
social or medical science research) works and is an effective strategy for
enhancing use (see, e.g., Glasgow and Emmons, 2007; Green and Seifert,
2005; Lavis, 2006; Slavin, 2006).
Brokering
While translation is primarily a matter of repackaging technical find-
ings in terms more readily consumable by policy makers, brokering is a
two-way conversation aided or mediated by a third party. Brokering involves
filtering, synthesizing, summarizing, and disseminating research findings in
user-friendly packages. It is generally seen as the task of intermediary orga-
nizations, such as think tanks, evaluation firms, and policy-oriented organi-
zations, including those focusing on specific target populations or specific
social issues as well as those organized around particular political persuasions.
These organizations (Bogenschneider and Corbett, 2010, p. 94):
do research and evaluation, but they also have one foot in the
policy world. They see policymakers as their primary clients. In
addition to producing knowledge, they also see their role as trans-
lating extant research and analysis in ways that enhance their utility
for those doing public policy. . . . To greater and lesser degrees,
these firms bridge the knowledge-producing and knowledge-
consuming worlds.
Science and technology studies describe brokering as occurring in
boundary organizations occupying a territory between research and policy
making (Guston, 2000).6 In contrast to translation strategies that gener-
ally are one-way efforts in dissemination, brokering involves interaction
and two-way communication. Intermediary organizations and knowledge
brokers are increasingly being viewed as critical in promoting the capacity
for evidence-based, or evidence-informed, decision making (e.g., Dobbins
et al., 2009a).
6
In this view, the National Research Council can be viewed as a brokering organization,
synthesizing research in a consensus-based process and then presenting it in a form intended
to contribute to improved policy making.
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46 USING SCIENCE AS EVIDENCE IN PUBLIC POLICY
If brokering occurs, use is not something that happens when experts
"here" hand off research to policy makers "there." A brokering model
views use as emerging from multidirectional communication and ongoing
negotiation among researchers, policy makers, planners, managers, service
providers, and even the public. Often this interactive process will involve
consideration of more than one stream of research as relevant to a given
policy (e.g., Sudsawad, 2007).
To bridge the gap between the differing cultures of the producers and
consumers of scientific knowledge will require, according to some s cholars,
cultural changes in each community. Bogenschneider and Corbett (2010,
pp. 299 ff.) write that the culture of research should change, perhaps through
education and training on how to do more policy-relevant research, devel-
oping incentives for doing such research and developing opportunities to
work with policy makers. The user or consumer culture should also change,
perhaps by institutional innovations that improve policy makers' access to
research, helping them communicate their policy needs to researchers, and
providing forums to discuss research agendas. In more ambitious formula-
tions, research literacy of the general public should be improved through
education (see also Carr et al., 2007; Gigerenzer et al., 2008).
An Interaction Model
Closing the distance between the two communities has taken an ad-
ditional step in what is labeled the interaction model (Contandriopoulos
et al., 2010; Greenhalgh et al., 2004). This model goes beyond transfer,
diffusion, and dissemination and even beyond translation and brokering.
The interaction label covers a family of ideas directed to systemic changes
in the means and opportunities for relationships between researchers and
policy makers (Bogenschneider and Corbett, 2010). It holds that the rela-
tion between researchers and users is not only not linear it is iterative and
even "disorderly" (Landry et al., 2001, p. 335).
One source for an interest in interaction is science and technology studies
documenting the co-evolution of social and technological systems (Jasanoff,
2004; Jasanoff et al., 1995). Another source is the use of systems thinking
to better understand the complex adaptive systems involved in diagnosing
and solving public health problems and the interactions among the design
of prevention interventions, testing their efficacy and effectiveness, and dis-
seminating innovations in community practices. A third is the emphasis on
practical reasoning, the argumentative turn in policy analysis discussed in
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THE USE OF RESEARCH KNOWLEDGE 47
the next chapter (Fischer and Forester, 1993; Hajer and Wagenaar, 2003;
Hoppe, 1999).
Research that works in close proximity to practice settings illustrates the
interaction framework. First noted in corporate research (Pelz and Andrews,
1976), and later in the life sciences (Louis et al., 1989), the publication of
Pasteur's Quadrant (Stokes, 1997), with its emphasis on use-inspired research,
increased its visibility. This research influenced how the National Academy of
Education (1999) set research priorities and its interest in how to hold policy
specialists, researchers, and professional educators, program developers, and
curriculum specialists collectively accountable for educational outcomes.
Collaborations of this kind formed the basic design concept for the Strategic
Education Research Partnership. These involved connecting researchers to
teachers, bringing in research communities, school administrations, and edu-
cational policy makers (see National Research Council, 1999a; Smith and
Smith, 2009). The Carnegie Foundation for the Advancement of Teaching
and Learning is also promoting a framework for research and development
labeled improvement research (Bryk et al., 2011), which synthesizes the work
of researchers and practitioners.
In this spirit, the Institute of Medicine (IOM) created a Roundtable on
Evidence-Based Medicine, which then became the Roundtable on Value &
Science-Driven Health Care, to foster interaction among stakeholders
interested in building a continuously learning health care system in which
science, information technology, incentives, and culture are aligned to bring
together evidence-based practice and practice-based evidence (see Green,
2006). This effort and its attendant workshops (Institute of Medicine,
2007, 2010b, 2011a, 2011b) stress the importance of rigorous science and
applying the best evidence available. The goal is understanding how health
care can be restructured to develop knowledge from science and from the
health care process and to then apply it on many fronts: health care delivery
and health improvement, patient and public engagement, health profes-
sional training, infrastructure development, measurement, costs and incen-
tives, and policy. The IOM's reports on these activities draw attention to
active collaboration, exchange, and appraisal of research and policy and to
what is known by researchers and users of research about practice--drawn
from the life-cycle of therapies, their development, testing, introduction,
and evaluation.
As attractive as these initiatives are, there are cautionary voices. There is
a difference across political time, policy time, and research time. One should
take care not to mistake one for another (Henig 2009, p. 153):
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48 USING SCIENCE AS EVIDENCE IN PUBLIC POLICY
The pressure for fast, simple, and confident conclusions, however,
is generated by the needs of politicians--not necessarily the needs
of the policy. Political time is defined by election cycles, scheduled
reauthorization debates, and the need to respond to short-term
crises or sudden shifts in public attention. But a consideration of
the history of public policy suggests that societal learning about
complex problems and large-scale policy responses takes place on
a much more gradual curve.
Interaction models offer an insight into what the use of science means
in practice. Evidence from science is not simply there for the taking. It
emerges and is made sense of in the particular circumstances that give rise to
a policy argument (see Chapter 4 for discussion of policy argument). "Mak-
ing sense" is iterative. It involves negotiating what kind of situation-specific
knowledge is relevant to a policy choice, whether it is firmly established
and available under the constraints of time and budget, and what political
consequences might follow from using it. In this framework, formal link-
ages and frequent exchanges among researchers, policy makers, and service
providers occur at all steps between knowledge production and knowledge
use (Huberman and Cox, 1990). What emerges is a social as well as a techni-
cal exercise. Conklin et al. (2008, p. 7) explain this framework:
Strategic interactions (between human actors within and between
organizations) therefore address both sides of the research-policy
interface. On the one hand, decision-makers highlight policy
relevant research priorities; on the other hand, researchers can in-
terpret research findings in local contexts. In so doing, a common
understanding of a policy problem, and its possible solutions, is
built between different actors in the two communities. . . .
Spillane and Miele (2007) underscore the point in observing that
what information is noticed in a particular decision-making environment,
whether it is understood as evidence pertaining to some problem, and how
it is eventually used all depend on the cognitions of the individuals operat-
ing in that environment. Furthermore, what these actors notice and make
sense of is determined in part by the circumstances of their practice environ-
ment. Examining use, then, also requires examining "the practice of sense
making, viewing it as distributed across an interactive web of actors and
key aspects of their situation--including tools and organizational routines"
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THE USE OF RESEARCH KNOWLEDGE 49
(p. 49). It also introduces the idea that research might "be interpreted and
reconstructed--alongside other forms of knowledge--in the process of its
use" (Nutley et al., 2007, p. 304).
Focusing on understanding institutional arrangements--how the
agencies, departments, and political institutions involved in policy making
operate and relate to one another--may be what matters most in improving
the connection between science and policy making. For example, a study
of drug misuse in government agencies in Scotland and England (Nutley
et al., 2002) suggests that three aspects of microinstitutional arrangements
within and between the agencies mattered a great deal in understanding
how research evidence was (or was not) used:
1. How different agencies integrated research with other forms
of evidence,
2. How agencies collectively dealt with the fragmentation of
research evidence resulting from different agencies produc-
ing different types of evidence given their respective research
cultures, and
3. What mechanisms were in place to integrate evidence and
policy making (co-location of research and policy staff, cross-
government work groups, establishment of quasi-policy bodies
that specialize in the substance of a policy domain, etc.)?
Nutley et al. (2007, pp. 319-320) conclude
[T]here is now at least some credible evidence to underpin [their
view] . . . that interactive, social, and interpretive models of re-
search use--models that acknowledge and engage with context,
models that admit roles for other types of knowledge, and models
that see research use being more than just about individual behav-
ior--are more likely to help us when it comes to understanding
how research actually gets used, and to assist us in intervening to
get research used more. . . .
If this conclusion holds up, it is a step toward accumulating what the
committee believes is lacking: understanding institutional arrangements
that facilitate the use of science in policy.
There is an important cautionary observation about efforts to overcome
the "two communities" challenge. There are tensions between scientific
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50 USING SCIENCE AS EVIDENCE IN PUBLIC POLICY
engagement with practical policy problems and the long-standing assump-
tion that science maintains its authority by virtue of its independence from
politics (Jasanoff, 1990; Jasanoff et al., 1995). Persons working to bring sci-
entists and policy makers closer need to be mindful that this tension is never
far from how scientists think about and engage the policy uses of their work.
EVIDENCE-BASED POLICY AND PRACTICE
Current discussions about the use of research knowledge are heavily
influenced by "evidence-based policy and practice." The goal is realizing
better and more defensible policy decisions by grounding them in the
conscientious, explicit, and judicious use of the best available scientific evi-
dence ( Davies et al., 2000). The initiative explicitly rejects habit, tradition,
ideology, and personal experience as a basis for policy choices: they are to be
replaced with a more dependable foundation of "what works," that is, what
the evidence shows about the consequences of a proposed policy or practice.
With access to an evidence base, argue the proponents, policy makers will
make better decisions about the direction, adoption, continuation, modi-
fication, or termination of policies and practices. Dunworth et al. (2008,
p. 7) note:
[W]hile scientific evidence cannot help solve every problem or fix
every program, it can illuminate the path to more effective public
policy. . . . [T]he costs and lost opportunities of running public
programs without rigorous monitoring and disinterested evalua-
tion are high . . . without objective measurements of reach, impact,
cost effectiveness, and unplanned side effects, how can government
know when it's time to pull the plug, regroup, or, in business lingo,
"ramp up?"
The use of science is, of course, not a logical or inevitable outcome of having
the science. In fact, the normative claim that policy should be grounded in
an evidence base "is itself based on surprisingly weak evidence" (Sutherland
et al., 2012, p. 4).
The approach of evidence-based policy and practice assumes that there
is an agreement among policy makers and researchers on what the desired
ends of policy should be. "The main contribution of social science research
is to help identify and select the appropriate means to reach the goal" (Weiss
1979, p. 427). This, in turn, depends on the quality of the science providing
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THE USE OF RESEARCH KNOWLEDGE 51
evidence to the policy maker, and thus the evidence-based approach places
a premium on improving policy-relevant research, often through the use
of RCFTs.
In the settings in which they are carried out, RCFTs provide a strong,
if not the strongest, form of scientific evidence of cause and effect. Circum-
stances may permit such experiments in a desired setting, such as when
scarce resources are allocated by lottery, for example with admission to
magnet schools or charter schools or the allocation of health care resources.
An example of the latter is the Oregon Health Insurance Experiment in
which names were drawn by lottery for the state's Medicaid program for
low-income, uninsured adults (Finkelstein et al., 2012).
Even when RCFTs are conducted in one setting, inference from them
may be applied to other settings or contexts with concurrent collection of
information on other variables or factors that differ in different settings and
that may influence the results. So-called substitutes for randomized trials,
however, such as "natural" experiments and "quasi-experiments," as Sims
(2010) argues, are not actually experiments. They are often invoked as a way
to avoid confronting "the complexities and ambiguities that inevitably arise
in nonexperimental inference." For these situations and even in conjunc-
tion with randomized experiments, there are nonexperimental methods of
drawing causal inferences and model-based methods for adjusting experi-
mental results for inherent biases. Appendix A provides a review of some of
these research methods and sets them in the context of the varied statistical
methods for research and evaluation.
The active debate regarding the appropriate methodology for a given
research question promotes attention in the policy community to the
desirability of producing the best possible evidence under a given set of
circumstances, especially the strongest evidence that bears on policy imple-
mentation and policy consequences. Bringing attention to the importance
of strong evidence in policy making advances the goal of using science even
though the specific formulation of an evidence-based policy approach offers
little insight into the conditions that bring about its use.
CONCLUSION
Despite their considerable value in other respects, studies of knowledge
utilization have not advanced understanding of the use of evidence in the
policy process much beyond the decades-old National Research Council
(1978) report. The family of suggestive concepts, typologies, and frame-
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52 USING SCIENCE AS EVIDENCE IN PUBLIC POLICY
works has yet to show with any reasonable certainty what changes have oc-
curred in the nature, scope, and magnitude of the use of science as a result
of different communication strategies or different forms of researcher-user
collaborations (Dobbins et al., 2009b; Mitton et al., 2007). There is little
assessment of whether innovations said to increase the use of science in
policy have had or are having their desired effects.
A recent study reporting the results of a collaborative procedure among
52 participants covering a range of experiences in both science and policy
identified 40 (!) key unanswered questions on the relationship between sci-
ence and policy--this despite nearly four decades of research on the ques-
tion of "use" (Sutherland et al., 2012). One extensive review of the literature
reaches the striking conclusion that knowledge use is "so deeply embedded
in organizational, policy, and institutional contexts that externally valid
evidence pertaining to the efficacy of specific knowledge exchange strate-
gies is unlikely to be forthcoming" (Contandriopoulos et al., 2010, p. 468
[italics added]).
Our conclusion is not that pessimistic. If "use" is broadly understood
to mean that science--or, more specifically, in the language of evidence-
based policy and practice, scientific evidence of the effectiveness of
interventions--is incorporated into policy arguments, we agree that there
probably will never be a definitive explanation of what strategies best facili-
tate or ensure that incorporation. But this conclusion does not rule out that
the possibility that new approaches in the study of the science-policy nexus
might reveal factors or conditions that have thus far been missed. Perhaps
the preoccupation with defining use, identifying factors that influence it,
and determining how to increase it has detracted from the search for alter-
native ways in which social science can contribute to understanding the use
of science in policy. That possibility is the subject of Chapter 4.