scholarly journals Looking beyond the Lamppost: Population-Level Primary Prevention of Breast Cancer

Author(s):  
Gabriella M. McLoughlin ◽  
Eric M. Wiedenman ◽  
Sarah Gehlert ◽  
Ross C. Brownson

Although innovative and impactful interventions are necessary for the primary prevention of breast cancer, the factors influencing program adoption, implementation, and sustainment are key, yet remain poorly understood. Insufficient attention has been paid to the primary prevention of breast cancer in state and national cancer plans, limiting the impact of evidence-based interventions on population health. This commentary highlights the state of primary prevention of breast cancer and gaps in the current literature. As a way to enhance the reach and adoption of cancer prevention policies and programs, the utility of dissemination and implementation (D&I) science is highlighted. Examples of how D&I could be applied to study policies and programs for chronic disease prevention are described, in addition to needs for future research. Through application of D&I science and a strong focus on health equity, a clearer understanding of contextual factors influencing the success of prevention programs will be achieved, ultimately impacting population health.

Author(s):  
Jon F. Kerner ◽  
Marion H.E. Kavanaugh-Lynch ◽  
Christopher Politis ◽  
Lourdes Baezconde-Garbanati ◽  
Aviva Prager ◽  
...  

Californians Linking Action with Science for Prevention of Breast Cancer (CLASP-BC) is part of California Breast Cancer Research Program’s (CBCRP) Initiative strategic priority to disseminate and implement high-impact, population-based primary prevention interventions. CLASP-BC is informed by six years of funded program dissemination and implementation (D&I) research and evaluation conducted by the Canadian Partnership Against Cancer (CPAC) through its Coalitions Linking Action and Science for Prevention (CLASP). In its second phase, CLASP-BC will fund multi-sector, multi-jurisdictional initiatives that integrate the lessons learned from science with the lessons learned from practice and policy to reduce the risk of developing breast cancer and develop viable and sustainable infrastructure models for primary prevention breast cancer programs and research evidence implementation. Applications will be solicited from research, practice, policy, and community teams to address one or more of the intervention goals for the 23 risk factors identified in Paths to Prevention: The California Breast Cancer Primary Prevention Plan (P2P), expanding upon existing primary prevention efforts into two or more California jurisdictions, focused on disadvantaged, high risk communities with unmet social needs. The lessons learned from CLASP-BC will be widely disseminated within the participating jurisdictions, across California and, where applicable, to jurisdictions outside the state.


2006 ◽  
Author(s):  
M Marzo ◽  
X Bonfill ◽  
P Alonso ◽  
J Balmaña ◽  
C Alonso ◽  
...  

2006 ◽  
Vol 4 (1) ◽  
pp. 20
Author(s):  
I. Russo ◽  
D. Mailo ◽  
M. Liu ◽  
S. Fernandez ◽  
J. Russo

2012 ◽  
Vol 48 ◽  
pp. S78
Author(s):  
F. Liebens ◽  
M. Aimont ◽  
N. Beauloye ◽  
J. Vignola ◽  
B. Carly ◽  
...  

2018 ◽  
Vol 99 (3) ◽  
pp. 244-255
Author(s):  
Jeremiah W. Jaggers ◽  
Emily Beerbower ◽  
David Kondrat ◽  
Matthew C. Aalsma ◽  
James A. Hall

The purpose of this study is to assess the impact of county-level variables on services offered to children who have guardian ad litem/court-appointed special advocate (GAL/CASA) representation. An email survey was sent to GALs and CASAs inviting them to participate in the study. A total of 473 GALs/CASAs completed the survey, with 437 meeting criteria for the study. Our sample represents 33 of 92 Indiana counties. We found the number and types of services ordered were strongly influenced by county contextual characteristics. Families served by a GAL/CASA in urban counties with more poverty received more services. In contrast, families with a GAL/CASA residing in counties with a greater percentage of minorities generated fewer services. Future research should focus on why environmental conditions influence GAL/CASA recommendations for services. Lastly, the relationship between the GAL/CASA race and the race of the families they serve should be explored.


Author(s):  
Divna M. Haslam ◽  
Nicole Penman

Demographic changes over the last 40 years means the majority of parents are now employed in some capacity. This chapter outlines some of the challenges parents face in balancing competing work and family demands. The concept of work and family conflict is defined, and the impact of work and family conflict on individuals and families is discussed. A rationale is provided for the provision of parenting support via the workplaces as a means of improving the lives of employees and as a way of increasing population-level access to parenting support. A brief review of the efficacy of workplace parenting support is provided alongside practical examples of how to ensure successful program delivery in an organizational context. The chapter concludes with a discussion about the implications and provides some directions for future research.


Author(s):  
Aliza Werner-Seidler ◽  
Jennifer L. Hudson ◽  
Helen Christensen

This chapter describes the nature of primary prevention of anxiety and reports on evidence for its effectiveness. The chapter first defines prevention before reporting results of a systematic review of randomized controlled trials designed to prevent anxiety. A review of existing trials and associated effect sizes suggests that prevention programmes can be effective in preventing anxiety disorder incidence and symptoms in multiple settings (schools, workplaces, community) across the lifespan. The median effect size at post-test across all studies was 0.21, and 0.25 specifically for cognitive behavioural prevention programmes. Key elements common to prevention programmes are then discussed, including a consideration of programme content and personnel delivering the intervention. Key implementation barriers are raised, together with suggestions for how these might be overcome in order to scale up and offer prevention at a population level. The chapter concludes with a consideration of the impact these programmes could have on anxiety disorder incidence.


2014 ◽  
Vol 64 (3) ◽  
pp. 186-194 ◽  
Author(s):  
Graham A. Colditz ◽  
Kari Bohlke

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