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What Makes an Intervention a Life Course Intervention?
Shirley A Russ1,2, Emily Hotez1,3, Mary Berghaus1,2
1Center for Healthier Children, Families, and Communities.
Objectives:
To develop an initial list of characteristics of life course interventions to inform the emerging discipline of life course intervention research.
Methods:
The Life Course Intervention Research Network, a collaborative national network of >75 researchers, service providers, community representatives, and thought leaders, considered the principles, characteristics, and utility of life course interventions. After an in-person launch meeting in 2019, the steering committee collaboratively and iteratively developed a list of life course intervention characteristics, incorporating a modified Delphi review process.
Results:
The Life Course Intervention Research Network identified 12 characteristics of life course interventions. These interventions (1) are aimed at optimizing health trajectories; (2) are developmentally focused, (3) longitudinally focused, and (4) strategically timed; and are (5) designed to address multiple levels of the ecosystem where children are born, live, learn, and grow and (6) vertically, horizontally, and longitudinally integrated to produce a seamless, forward-leaning, health optimizing system. Interventions are designed to (7) support emerging health development capabilities; are (8) collaboratively codesigned by transdisciplinary research teams, including stakeholders; and incorporate (9) family-centered, (10) strengths-based, and (11) antiracist approaches with (12) a focus on health equity.
Conclusions:
The intention for this list of characteristics of life course interventions is to provide a starting point for wider discussion and to guide research development. Incorporation of these characteristics into intervention designs may improve emerging health trajectories and move critical developmental processes and pathways back on track, even optimizing them to prevent or reduce adverse outcomes.
Insights
Researchers identified 12 key characteristics for life course interventions to optimize child development and health trajectories. These interventions focus on equity, integration, and collaboration for better health outcomes.
Area of Science:
- Public Health
- Developmental Psychology
- Health Services Research
Background:
- Life course interventions aim to improve long-term health and development.
- A growing need exists for structured research in life course intervention.
Purpose of the Study:
- To develop an initial list of characteristics for life course interventions.
- To inform the emerging discipline of life course intervention research.
Main Methods:
- A collaborative national network (Life Course Intervention Research Network) was established.
- A modified Delphi review process was used to iteratively develop intervention characteristics.
Main Results:
- Twelve characteristics of life course interventions were identified.
- Key characteristics include optimizing health trajectories, developmental and longitudinal focus, strategic timing, multi-level ecosystem engagement, integrated design, support for development, transdisciplinary co-design with stakeholders, and incorporation of family-centered, strengths-based, antiracist, and health equity approaches.
Conclusions:
- The identified characteristics provide a foundation for life course intervention research.
- Incorporating these characteristics may improve developmental trajectories and prevent adverse outcomes.
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