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Next generation of preventive interventions.

Mary Jane Rotheram-Borus1, Naihua Duan

  • 1Department of Psychiatry and Biobehavioral Sciences, University of California-Los Angeles, Center for Community Health, 10920 Wilshire Boulevard, Suite 350, Los Angeles, CA 90024-1759, USA. rotheram@ucla.edu

Journal of the American Academy of Child and Adolescent Psychiatry
|April 23, 2003
PubMed
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Private enterprise models can enhance the broad dissemination of effective prevention programs. This approach leverages market principles for wider public reach, though investigator buy-in remains a challenge.

Area of Science:

  • Public Health
  • Health Services Research
  • Program Dissemination

Background:

  • Effective prevention programs exist, but broad dissemination remains a challenge.
  • There is a need for innovative strategies to scale up evidence-based interventions.

Purpose of the Study:

  • To examine the dissemination of prevention programs.
  • To identify barriers to broad intervention uptake.
  • To propose an alternative dissemination model using private enterprise principles.

Main Methods:

  • Analysis of the life course of prevention programs.
  • Identification of barriers hindering widespread dissemination.
  • Development of a private enterprise-based dissemination model.

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Main Results:

  • Private enterprise models show potential for increasing public access to interventions.
  • Market principles can guide the development of next-generation interventions.
  • Key strategies include team commitment, consumer acceptability, tailored designs, identifying essential ingredients, long-term maintenance, program evolution, and branding.

Conclusions:

  • Private enterprise models offer a viable strategy for intervention dissemination.
  • Investigator resistance may arise due to biases, ethical concerns, and technological challenges.
  • Adaptation to new technologies like the Internet is crucial.