A Framework for Valuing Investments in a Nurturing Society: Opportunities for Prevention Research

Crowley, D. Max; Jones, Damon

doi:10.1007/s10567-017-0228-3

Cited by 6 publications

(4 citation statements)

References 48 publications

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“…Research on changing public policy is in its infancy (Crowley & Jones, 2017 ). We need to build a body of evidence that pinpoints how policies can be promoted that reduce the most significant inequities.…”

Section: Building a Comprehensive Research Agendamentioning

confidence: 99%

Prevention Science and Health Equity: A Comprehensive Framework for Preventing Health Inequities and Disparities Associated with Race, Ethnicity, and Social Class

2023

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The ultimate goal of our public health system is to reduce the incidence of disability and premature death. Evidence suggests that, by this standard, the USA falls behind most other developed countries largely as a function of disparities in health outcomes among significant portions of the US population. We present a framework for addressing these disparities that attributes them, not simply to differences in the behavioral and physical risk factors, but to social, environmental, and structural inequities such as poverty, discrimination, toxic physical setting, and the marketing of harmful products. These inequities result from de facto and instituted public policies. An analysis of the NIH research portfolio indicates a relative lack of investment in experimental evaluations of preventive interventions—especially studies targeting disadvantaged populations. Moreover, experimental research on reducing social inequities is almost entirely lacking. A line of research focusing on the drivers of inequities and their dissolution must include experimental evaluation of strategies for getting policies adopted that will reduce inequities. In conclusion, a summary is provided of the types of research that are needed and the challenges involved in conducting the experimental research that is essential for reducing inequities and disparities and, in turn, prolonging life.

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Section: Building a Comprehensive Research Agendamentioning

confidence: 99%

Prevention Science and Health Equity: A Comprehensive Framework for Preventing Health Inequities and Disparities Associated with Race, Ethnicity, and Social Class

2023

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“…Crowley and Jones () propose a new subfield that combines economics with developmental science through the concept of an individual’s ultimate net economic burden to society. They propose to combine information across adult years from the public costs that an individual bears for health care, incarceration, mental health services, and social services and deduct one’s income tax and other contributions to reach a dollar value for each individual’s net economic burden.…”

Section: Important Avenues For Needed Researchmentioning

confidence: 99%

Annual Research Review: Universal and targeted strategies for assigning interventions to achieve population impact

Dodge

2019

Child Psychology Psychiatry

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This article proposes that universal and targeted preventive interventions should be compared and evaluated in terms of their benefit–cost ratio in achieving population‐wide impact on mental disorders and related outcomes. Universal approaches attempt to affect every individual in a population, whereas targeted approaches select candidates for intervention based on screening of demographic or behavioral characteristics. Unique assets and challenges of each approach in achieving population impact in a cost‐efficient way are discussed, along with spillover effects, sensitivity and specificity, developmental processes, timing of intervention, and the relation between severity of risk and plasticity. A general targeted‐efficiency framework is proposed as a heuristic to evaluate the collective merits of universal and targeted approaches in specific cases. A tiered approach that combines universal and targeted identification strategies is proposed, and examples are described. Issues for high‐priority research are identified.

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“…The literature lays out three primary challenges in incorporating into practice what we know works from research. The first is developing a 'culture' that supports a nurturing society (Biglan and Embry, 2013;Biglan et al, 2017;Crowley and Jones, 2017;Wilson et al, 2014). The second is identifying what should be 'translated'.…”

Section: Challenges Of Putting Evidence-based Prevention Intervention...mentioning

confidence: 99%

Normalization of Prevention Principles and Practices to Reduce Substance Use Disorders Through an Integrated Dissemination and Implementation Framework

Sloboda¹,

Johnson

Fishbein

et al. 2023

Prev Sci

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Major research breakthroughs over the past 30 years in the field of psychoactive substance use prevention research have served to: (1) improve understanding of pharmacological effects on the central nervous system and the health and social consequences of the use of these substances, particularly for children and adolescents, (2) delineate the determinants and processes that increase vulnerability to or, conversely, protect from the initiation of psychoactive substance use and progression to substance use disorder (SUD) and based on this understanding, (3) develop effective strategies to prevent the initiation and progression of psychoactive substance use.The challenge we now face is incorporating what we have learned from this research into the mindsets and work of those involved in supporting, planning and delivering prevention programming to populations around the world and integrating these scientific advances into existing service systems and, where applicable, within everyday life, i.e., to normalize them.Dissemination and implementation science provides a framework for this solid prevention research to fully achieve its potential.

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A Framework for Valuing Investments in a Nurturing Society: Opportunities for Prevention Research

Cited by 6 publications

References 48 publications

Prevention Science and Health Equity: A Comprehensive Framework for Preventing Health Inequities and Disparities Associated with Race, Ethnicity, and Social Class

Prevention Science and Health Equity: A Comprehensive Framework for Preventing Health Inequities and Disparities Associated with Race, Ethnicity, and Social Class

Annual Research Review: Universal and targeted strategies for assigning interventions to achieve population impact

Normalization of Prevention Principles and Practices to Reduce Substance Use Disorders Through an Integrated Dissemination and Implementation Framework

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