Implementing Evidence-Based Prevention by Communities to Promote Cognitive, Affective, and Behavioral Health in Children Proceedings of a Workshop (2017) / Chapter Skim
Currently Skimming:
4 Taking Advantage of Cutting-Edge Methodologies
4 Taking Advantage of Cutting-Edge Methodologies
Pages 23-32
The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.
From page 23... ...
• Innovative experimental designs make it possible to tailor inter ventions over time based on assessments of ongoing responses or provide individuals an opportunity to choose interventions. (August)
|
From page 24... ...
Both interventions have been studied through efficacy trials, noted Linda Caldwell, distinguished professor of recreation, park, and tourism management and of human development and family studies at Pennsylvania State University. The HealthWise intervention also has been adapted for use in South Africa, where teachers provided feedback in pilot tests and where an efficacy test was conducted in 56 schools.
|
From page 25... ...
PRECISION PREVENTIVE INTERVENTIONS FOR YOUTH AT HIGH RISK FOR CONDUCT DISORDER Evaluative methodologies drawn from other fields have much to offer evaluations of community-based interventions. For example, the National
|
From page 26... ...
The advantage of precision prevention is that it can respond to the wide heterogeneity and variable intervention response that exists among highrisk populations, August observed. It reduces negative effects associated with burden, iatrogenic consequences, and ineffectiveness and can increase adherence with interventions.
|
From page 27... ...
Brief EP-Extended Non- RandomizaƟon responders TI-Extended Baseline First-Stage Response Second-Stage Outcome Assessment IntervenƟon Measure IntervenƟon Assessment FIGURE 4-2 SMART design for adaptive intervention strategies in conduct- isorder prevention. d SOURCE: August (2016)
|
From page 28... ...
" The center is also looking at mobile health interventions, just-in-time interventions, interventions that use smart messaging, and health care coaching. "Precision health care, as it has in other areas of medicine, offers very significant progress in the areas of mental health and substance abuse prevention," August concluded.
|
From page 29... ...
. RESEARCH DESIGNS THAT REFLECT COMMUNITY ENGAGEMENT Both in implementing and evaluating interventions, researchers need to learn from and be guided by the community, said Hendricks Brown, professor in the Departments of Psychiatry and Behavioral Sciences, Preventive Medicine, and Medical Social Sciences in the Northwestern University Feinberg School of Medicine.
|
From page 30... ...
The community has allowed researchers access to schools and has helped with the completion of student and adult surveys. It has offered feedback on draft surveys to reflect community norms and has otherwise provided opportunities to fill scientific holes.
|
From page 31... ...
Lorece Edwards, Morgan State University, broadened the conversation to the social determinants of health, "which play a key role in risk and protective factors, as well as the determinants of hopelessness, which are a key factor based on culture." Gender differences also play into outcomes, she observed, as in Caldwell's observation that the programs she has been studying are more effective with girls than with boys. Anthony Biglan, Oregon Research Institute, observed that detailed metrics of the health and well-being of children and adolescents could provide opportunities for natural experiments that would enable the selection of better outcomes.
|
From page 32... ...
But, she stated, underfunding, discontinuous data, and a lack of political will have resulted in lost opportunities. "You need data at the community level, there's no question, to do some of the things we're doing," she said.
|
Key Terms
This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More
information on Chapter Skim is available.