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Innovative Approaches for Broadening the Reach and
Appeal Of Prevention
Meg SmallThe Prevention SeminarSeptember 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 ResearchPrevention 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, DirectorSPR 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 books Pediatrician Therapy
Bullying
Divorce
HIV
Routineexercise
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 OverloadInformation 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 MattersDesign 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” Email ExchangeSterile” Email Exchange
Fridge Email ExchangeFridge Email 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 Fruits Moms 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 OthersIncrease 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
