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The multiphase optimization strategy (MOST) in child maltreatment prevention research

Kate Guastaferro1, Jillian C Strayhorn1, Linda M Collins2

  • 1Department of Human Development and Family Studies, College of Health and Human Development, The Pennsylvania State University.

Journal of Child and Family Studies
|December 10, 2021
PubMed

Insights

Child maltreatment prevention needs better interventions. The multiphase optimization strategy (MOST) offers an engineering approach to develop effective, affordable, and scalable behavioral interventions for families.

Area of Science:

  • Behavioral science
  • Intervention science
  • Public health

Background:

  • Child maltreatment remains a significant public health issue, with rates undiminished despite widespread behavioral interventions.
  • Existing interventions often lack the affordability, scalability, and efficiency required to meet demand and reduce prevalence.

Purpose of the Study:

  • Introduce the multiphase optimization strategy (MOST) as an innovative framework for child maltreatment prevention.
  • Demonstrate MOST's utility in optimizing multicomponent behavioral interventions for effectiveness and efficiency.

Main Methods:

  • MOST is an engineering-inspired framework for empirical examination of intervention components.
  • Utilized a hypothetical home visiting intervention with artificial data to illustrate optimization of content and engagement strategies.
  • Focused on identifying interventions that are effective, efficient, economical, and scalable.

Main Results:

  • MOST allows for the systematic evaluation of individual and combined intervention components.
  • Optimization through MOST can lead to improved intervention content and engagement strategies.
  • Identified potential for optimizing interventions to enhance completion rates and overall impact.

Conclusions:

  • MOST provides a robust approach to developing and optimizing behavioral interventions for child maltreatment prevention.
  • This strategy can accelerate progress in translational science, leading to more effective and scalable prevention programs.
  • Adoption of MOST is recommended to improve the efficiency and impact of interventions aimed at preventing child maltreatment.

Keywords:
behavioral interventionchild maltreatmenthome visitingintervention sciencemultiphase optimization strategy (MOST)

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