A Model to Translate Evidence-Based Interventions Into Community Practice

Abstract

There is a tension between 2 alternative approaches to implementing community-based interventions. The evidence-based public health movement emphasizes the scientific basis of prevention by disseminating rigorously evaluated interventions from academic and governmental agencies to local communities. Models used by local health departments to incorporate community input into their planning, such as the community health improvement process (CHIP), emphasize community leadership in identifying health problems and developing and implementing health improvement strategies. Each approach has limitations. Modifying CHIP to formally include consideration of evidence-based interventions in both the planning and evaluation phases leads to an evidence-driven community health improvement process that can serve as a useful framework for uniting the different approaches while emphasizing community ownership, priorities, and wisdom.

The geographic distribution of eye care providers in the United States: Implications for a national strategy to improve vision health

“…On average, counties with lower eye care provider availability per capita had fewer physicians per capita, lower population density, and a poorer, less urban, and older population than counties with greater eye care provider availability per capita. These characteristics may exacerbate or moderate the challenges for public health interventions in counties with limited eye care provider availability, although most of these characteristics increase the expected challenge (Gohdes et al, 2005;Layde et al, 2012;Prevent Blindness America and National Association of Chronic Disease Directors, 2005;Prevent Blindness America, 2004;Saadine et al, 2003;US Centers for Disease Control, 2009;Zhang et al, 2007). For example, older individuals are both more likely to need eye care services and to use eye care services (US Centers for Disease Control, 2009;Lee et al, 2009).…”

“…The Vision Health Initiative (VHI) of the US Centers for Disease Control and Prevention has developed a national public health strategy for improving vision health in the US. Since community characteristics such as the local availability of health care providers influence the use of health care services and the effectiveness of public health interventions, one of the recommendations in the VHI strategy is to determine the patterns of local eye care provider availability in the US in order to develop and disseminate public health interventions that are effective in these contexts (Gohdes et al, 2005;Layde et al, 2012;Prevent Blindness America and National Association of Chronic Disease Directors, 2005;Prevent Blindness America, 2004;US Centers for Disease Control, 2009;Zhang et al, 2007Zhang et al, , 2008.…”

The ConNECT Framework: a model for advancing behavioral medicine science and practice to foster health equity

“…These include the aforementioned RE-AIM framework (Glasgow et al, 2003), which informs program development and evaluation, and the Evidence-Driven Community Health Improvement Process model, which incorporates RE-AIM into its evaluation (Layde et al, 2012). Incorporating model-based approaches at all phases of intervention development and testing could increase acceptability and facilitate dissemination as stakeholders would have contributed meaningful perspectives as collaborators from the early stages of the work (Phillips et al, 2014).…”

Planning the diffusion of a neck-injury prevention programme among community rugby union coaches

“…This, in conjunction with a strong researcher–practitioner partnership and a structured method of engaging with the programme end-users, enabled the development of a diffusion plan that might bridge the gap between research (top-down) and community (bottom-up) driven programme implementation processes 33 41. In this case study, the application of the IM Step 5 protocol facilitated an effective working partnership between sports injury prevention scientists and community sports development experts, linking theoretical understandings of implementation and behavioural science with a comprehensive understanding of the programme implementation context.…”