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Encouraging Adoption of Science-Based Interventions: Organizational and Community Issues

  • Renée F. Wilson-Simmons
  • Lydia N. O’Donnell

Communities nationwide are under increasing pressure to adopt evidence-based interventions to address a range of public health problems, including intentional and unintentional injuries. This pressure is the result of a remarkable shift over the last decade in the number and stringency of requirements that practitioners are expected to meet when seeking funds for the implementation of new programs. The need for greater fiscal and programmatic accountability at federal, state, and local levels has resulted in new policies, chief among them, that local decision making and services be based on solid evidence of what works. However, local agencies and practitioners face considerable challenges when they attempt to implement evidence-based strategies and obtain the desired reductions in morbidity and mortality.

The accumulated experience of an array of research-to-practice initiatives has shown that communities often fi nd it diffi cult to adopt and sustain innovations that may have worked in research or other less-than-real-world settings. As a result, investigators whose previous efforts have focused on developing and evaluating interventions are being called on to direct similar attention to the process of implementation (Forgatch, 2003; National Institute on Drug Abuse [NIDA], 2003). In addition, they are being urged by funders to work collaboratively with communities not only to better understand problems associated with implementation but also to replace the unidirectional science-to-practice model with a practice-to-scienceto- practice framework.

Keywords

Technology Transfer Violence Prevention Youth Violence Unintentional Injury Substance Abuse Prevention 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  1. 1.Education Development Center, Inc.Ocean
  2. 2.Education Development Center, Inc.Newton

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