Innovative Approaches for Broadening the Reach and Appeal Of Prevention Meg Small The Prevention Seminar September 9, 2009.

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.

http://www.gccf.ucla.edu/Family_Coaching_2.pdf

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