Unleashing the Power of Prevention

Hawkins, J. David; Jenson, Jeffrey M.; Catalano, Richard F.; Fraser, Mark W.; Botvin, Gilbert J.; Shapiro, Valerie B.; Brown, C. Hendricks; Beardslee, William A.; Brent, David A.; Leslie, Laurel K.; Rotheram‐Borus, Mary Jane; Shea, Pat; Shih, Andy; Anthony, Elizabeth K.; Haggerty, Kevin P.; Bender, Kimberly; Gorman‐Smith, Deborah; Casey, Erin A.; Stone, Susan

doi:10.31478/201506c

Cited by 78 publications

(58 citation statements)

References 118 publications

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“…The Institute of Medicine’s (IOM) 2015 report, Unleashing the Power of Prevention , calls for “reducing the incidence and prevalence of behavioral health problems in the population of young people from birth through age 24 by 20% over the next decade” (Hawkins et al 2015 , pg. 12) by having practitioners use evidence-based prevention programs.…”

Section: Introductionmentioning

confidence: 99%

Technical Assistance to Enhance Prevention Capacity: a Research Synthesis of the Evidence Base

2016

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Despite the availability of many evidence-based prevention interventions (EBIs), gaps exist in bringing these programs into widespread practice. Technical assistance (TA) is a strategy for enhancing the readiness of practitioners to implement EBIs. Although many millions of dollars are spent on TA each year, there is little consensus about what the essential features of TA are and how to provide TA with quality. A broad-based research synthesis methodology was used for analyzing the current evidence base for TA using three frames: (1) applying the Getting To Outcomes (GTO) model for categorizing evidence on TA that specifies tasks for planning, implementing, and evaluating TA; (2) understanding the relevance of a successful relationship between the TA provider and TA recipient; and (3) considering the extent to which TA fits the life cycle needs of the preventive intervention. Results indicated that an explicit model or organizing framework is rarely used to plan, implement, and/or evaluate TA; specific TA tasks performed vary widely across studies; TA is rarely delivered to recipients who are seeking to sustain innovations subsequent to adoption and implementation; however, there is systematic attention to relationships and relationship-building. Overall, this synthesis indicates that the extent to which TA is being delivered systematically is limited. We suggest that funders and other stakeholders develop and implement standards for TA quality in order to ensure that many of these limitations are addressed.Electronic supplementary materialThe online version of this article (doi:10.1007/s11121-016-0636-5) contains supplementary material, which is available to authorized users.

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Section: Introductionmentioning

confidence: 99%

Technical Assistance to Enhance Prevention Capacity: a Research Synthesis of the Evidence Base

2016

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“…For most of the past 40 years, national trends in prevalence of adolescent marijuana use and perceived harmfulness of marijuana use have mirrored one another [1], which has made low perceived harm a target in a risk factor-based approach to prevention [2, 3]. Recently, however, trends in perceived harm and marijuana use have diverged.…”

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confidence: 99%

Examination of the Divergence in Trends for Adolescent Marijuana Use and Marijuana-Specific Risk Factors in Washington State

Fleming

Guttmannova

Cambron

et al. 2016

Journal of Adolescent Health

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Purpose As marijuana laws have become more permissive, survey data on adolescents in the United States have shown an increase in marijuana-specific risk factors, particularly in the proportion of youth who do not perceive marijuana use as harmful. Prevalence of marijuana use among youth, however, has changed little. Using representative data from Washington State, which has legalized medical and nonmedical marijuana for adults, we examined two competing hypotheses to account for this divergence in population trends. Methods Data were from 2000 – 2014 biennial Washington State surveys of 10th-grade students. First, we assessed whether associations between marijuana use and marijuana-specific risk factors have weakened over time. Second, we examined whether decreases in alcohol and cigarette use can account for the lack of expected increase in marijuana use prevalence. Results Despite stability in marijuana use prevalence, there were increases in marijuana-specific risk factors of low perceived harm, youth favorable attitudes about use, and perceived community attitudes favorable to use. Associations between marijuana use and marijuana-use predictors varied little across time; if anything, the positive association between low perceived harm and marijuana use grew stronger. Decreases in prevalence of alcohol and cigarette use largely accounted for stability in marijuana use during a period when marijuana risk factors increased. Conclusions Decreases in other types of substance use or in the underlying, common risk for substance use may have mitigated effects of increases in marijuana-specific risk factors.

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“…Delivery through primary care settings is an actionable goal (Hawkins et al, 2015) that uses existing infrastructure to support high-quality implementation of evidence-based interventions. This capitalizes on the understanding that pediatric care is a critical intervention point, in which acute care can shift to a culture of prevention (IOM, 2011).…”

Section: Discussionmentioning

confidence: 99%

Rationale and design for eHealth Familias Unidas Primary Care: A drug use, sexual risk behavior, and STI preventive intervention for hispanic youth in pediatric primary care clinics

Prado

Estrada

Rojas

et al. 2019

Contemporary Clinical Trials

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Family-based behavioral interventions are efficacious and effective in preventing drug use and sexual risk behaviors; unfortunately, they have not been evaluated and disseminated in pediatric primary care practice, where they can have a significant impact. There is an increased focus on integrating parenting interventions into primary care to reduce health disparities among ethnic minorities such as Hispanics. Although Hispanic youth demonstrate higher levels of drug use and sexual risk behaviors than their non-Hispanic counterparts, few parenting interventions are available for Hispanic youth, and none have been delivered specifically to Hispanic adolescents in primary care. Therefore, this manuscript describes the rationale and design of an Internet-based, family-centered, Hispanic-specific, evidence-based prevention intervention, eHealth Familias Unidas Primary Care. Hispanic adolescents (n = 456) and their care givers will be recruited from pediatric primary care clinics in South Florida and randomized to: eHealth Familias Unidas Primary Care or prevention as usual. The intervention will be delivered by trained interns, clinic volunteers, social workers, mental health counselors, students, and nurses. Outcomes will be measured at baseline and 6, 12, 24, and 36 months post-baseline. This study will determine whether the intervention, compared to prevention as usual, is effective in reducing drug use, unprotected sex, and STI incidence in Hispanic youth through the improvement of family functioning. Additionally, we will determine the cost effectiveness of delivering eHealth Familias Unidas within primary care settings. The effectiveness of eHealth Familias Unidas Primary Care will further inform the need to integrate effective behavioral health interventions into primary care settings.

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Unleashing the Power of Prevention

Cited by 78 publications

References 118 publications

Technical Assistance to Enhance Prevention Capacity: a Research Synthesis of the Evidence Base

Technical Assistance to Enhance Prevention Capacity: a Research Synthesis of the Evidence Base

Examination of the Divergence in Trends for Adolescent Marijuana Use and Marijuana-Specific Risk Factors in Washington State

Rationale and design for eHealth Familias Unidas Primary Care: A drug use, sexual risk behavior, and STI preventive intervention for hispanic youth in pediatric primary care clinics

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