Innovative Approaches for Broadening the Reach and Appeal Of Prevention Meg Small The Prevention Seminar September 9, 2009
Overall Goal “To equip young people with skills, interests, assets, and health habits needed to live healthy, happy, and productive lives in caring relationships that strengthen the social fabric.” Preventing Mental, Emotional, and Behavioral Disorders Among Young People: Progress and Possibilities Institute of Medicine, 2009
Prevention Research Etiology Efficacy Trials Effectiveness Trials Translation
While hundreds of EBPs are available, fewer than 1% of providers & families utilize them Jensen, 2003
Type II Translation The primary goal of Type II translation is to institutionalize evidence- based programs, products, and services (Rohrbach, et al., 2006) Research aimed at enhancing the adoption of best practices in the community (NIH)
New Ideas for Translation
New Methods A prototyping lab inspired by a spirit of experimentation, agility, and collaboration.
New Roles The Anthropologist The Cross-Pollinator The Hurdler The Experience Architect
Family Wellness Centers: A T2 Strategy for Diffusing Evidence-based Prevention Mary Jane Rotheram-Borus, Director SPR 2009
Families experience predictable, developmentally linked challenges
Common problems can derail families’ healthy development & quality of life
Families access resources that are unlikely to provide long-term benefits, or they engage high-priced experts Self-help booksPediatricianTherapy
Bullying Divorce HIV Routine exercise Alcohol Obesity Drugs Each condition shares risk & protective factors.
Emotional Climate Warmth Openness Low conflict Encouragement Communication Parent-Child Connectedness Structure Discipline Monitoring Time Together Guidance &Skill Development Fun & Play Routines and Traditions Adapted from: ETR Associates, 2004
The importance and difficulty of parenting today and the need for tools (not just information)
Information Overload Overwhelming amount of parenting information Parents are trusting their instincts Parents seek information consistent with their instincts Traditional information leads to action approach doesn’t work
Taking research and making it approachable and easy to use
Design Matters Credibility is reflected in design May be more effective for behavior to proceed information Parents want to be connected to people Parents want tools and expect customization
Emotional Climate Warmth Openness Low conflict Encouragement Communication Parent-Child Connectedness Structure Discipline Monitoring Time Together Guidance &Skill Development Fun & Play Routines and Traditions Adapted from: ETR Associates, 2004
“Sterile” Exchange “Sterile” Exchange
Fridge Exchange
“Unintentional learning” – not just fun for fun’s sake Age appropriate Can earn points for completing games, progressing to higher level in game, etc. Social Games Skill Development Games Problem Solving Games
Each child has own GROCERY SHOPPING page with pre-approved list of items to choose from and add to the “grocery cart” Other features Moms Says Pick 2 FruitsMoms Says Pick 1 Dessert Printable list Scavenger hunt for the store Coupons/Promotions for mom Mobile device Earn points for trying new things Kids feedback on new items “Build my Lunch/Dinner/Snack” Recipe/Meal suggestions
Increase Connections to Others Promote local programs Create communities around targeted applications or topics ◦Suggest or create applications ◦Create communities based on interests, geography, age Provide a mechanism for experts to connect using media rich tools ◦Highlight great examples ◦Share their experience and how they apply professional knowledge
Two Lions