Moving Evidence to Action: A Strategy to Support the Implementation of Comprehensive Violence Prevention Efforts

2021 ◽  
pp. 152483992110281
Author(s):  
Lindsey Barranco ◽  
Kimberley Freire ◽  
Gayle Holmes Payne

For public health agencies, the pragmatic need to bring together science and practice to affect public health outcomes manifests in the implementation of prevention strategies with the best available evidence. Knowledge translation makes scientific findings understandable to the knowledge user, often through synthesis of the best available evidence. Implementation science promotes the adoption and integration of evidence through prevention strategies implemented within various contexts. Working together, knowledge translation and implementation science can promote the uptake and advancement of scientific and practice-based evidence for strategies that will have the greatest impact across a variety of contexts. Violence Prevention in Practice (VPP) is an online resource designed to help practitioners select, adapt, implement, and evaluate multiple prevention strategies included in five technical packages developed by Centers for Disease Control’s Division of Violence Prevention. A technical package translates the best available evidence into a core set of prevention strategies intended to be broadly implemented. VPP supports communities in using the technical package strategies in combination, drawing on key implementation science principles. In this article, we explain the process for developing VPP and provide a framework that can be used to develop similar guidance in other health promotion areas. The framework explains how both general components, such as selection and adaptation, come together with strategy-specific implementation guidance. Distinct from typical planning models, VPP is not designed as a linear stepwise process, and it allows practitioners to use one or more components alone, as well as helps practitioners link across components as needed.

Author(s):  
Thomas Simon ◽  
Kimberly Hurvitz

Violence, including child maltreatment, youth violence, intimate partner violence, and sexual violence, is a significant public health problem in the United States. A public health approach can help providers understand the health burden from violence, evaluate evidence for prevention strategies, and learn where to turn for information about planning and implementing prevention strategies for this preventable problem. For the past three decades, the U.S. Department of Health and Human Services has published “Healthy People” objectives for the next decade. The Healthy People 2020 initiative includes 13 measurable objectives related to violence prevention, one of which was selected as a Healthy People 2020 Leading Health Indicator. Progress to achieve these objectives can save thousands of lives, reduce the suffering of victims and their families, and decrease financial cost to the law enforcement and healthcare systems. The role that nurses can and do play in violence prevention is critical and extends beyond just caring for victims to also include preventing violence before it happens. This article summarizes the violence prevention objectives in Healthy People 2020 and the resources for prevention available to support nurses and others as they move prevention efforts forward in communities to stop violence before it starts.


2019 ◽  
Vol 29 (Suppl 1) ◽  
pp. 187-192
Author(s):  
Megan C. Roberts ◽  
George A. Mensah ◽  
Muin J. Khoury

The integration of genomic data into screen­ing, prevention, diagnosis, and treatment for clinical and public health practices has been slow and challenging. Implementa­tion science can be applied in tackling the barriers and challenges as well as exploring opportunities and best practices for integrat­ing genomic data into routine clinical and public health practice. In this article, we de­fine the state of disparities in genomic medi­cine and focus predominantly on late-stage research findings. We use case studies from genetic testing for cardiovascular diseases (familial hypercholesterolemia) and cancer (Lynch syndrome and hereditary breast and ovarian cancer syndrome) in high-risk populations to consider current disparities and related barriers in turning genomic advances into population health impact to advance health equity. Finally, we address how implementation science can address these translational barriers and we discuss the strategic importance of collaborative multi-stakeholder approaches that engage public health agencies, professional societ­ies, academic health and research centers, community clinics, and patients and their families to work collectively to improve population health and reduce or eliminate health inequities.Ethn Dis. 2019;29(Suppl 1):187-192; doi:10.18865/ed.29.S1.187.


2019 ◽  
Vol 29 (Suppl 1) ◽  
pp. 187-192 ◽  
Author(s):  
Megan C. Roberts ◽  
George A. Mensah ◽  
Muin J. Khoury

The integration of genomic data into screen­ing, prevention, diagnosis, and treatment for clinical and public health practices has been slow and challenging. Implementa­tion science can be applied in tackling the barriers and challenges as well as exploring opportunities and best practices for integrat­ing genomic data into routine clinical and public health practice. In this article, we de­fine the state of disparities in genomic medi­cine and focus predominantly on late-stage research findings. We use case studies from genetic testing for cardiovascular diseases (familial hypercholesterolemia) and cancer (Lynch syndrome and hereditary breast and ovarian cancer syndrome) in high-risk populations to consider current disparities and related barriers in turning genomic advances into population health impact to advance health equity. Finally, we address how implementation science can address these translational barriers and we discuss the strategic importance of collaborative multi-stakeholder approaches that engage public health agencies, professional societ­ies, academic health and research centers, community clinics, and patients and their families to work collectively to improve population health and reduce or eliminate health inequities.Ethn Dis. 2019;29(Suppl 1):187-192; doi:10.18865/ed.29.S1.187.


2010 ◽  
Vol 19 (10) ◽  
pp. 1811-1814 ◽  
Author(s):  
Alana M. Vivolo ◽  
Kristin M. Holland ◽  
Andra L. Teten ◽  
Melissa K. Holt

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 45-46
Author(s):  
Carolyn Ham ◽  
Cory Bolkan

Abstract Elder abuse is a growing problem with significant public health implications. Because elder abuse shares root causes with other types of violence (e.g., suicidal behavior, intimate partner violence), awareness of elder abuse as a violence prevention priority is rising among public health professionals. Major limitations, however, affect delivery of effective population-level primary prevention for elder abuse, necessitating increased community partnerships. In Washington State, the Department of Health’s Injury and Violence Prevention Section and the Department of Social and Health Services Adult Protective Services Division are leveraging existing strategies to increase identification and reporting of potential elder abuse from falls and injury prevention partners (i.e., opioids, suicide). We describe: (1) challenges and opportunities in creating unique cross-program collaborations, (2) the combined education and outreach efforts of this partnership, and (3) strategies for sustained collaboration. Additionally, we share results of a scoping literature review on evidence-based violence prevention strategies applicable to elder abuse between 2015 – 2019. In the Pubmed and Academic Search Complete databases, the following terms were searched: elder abuse prevention, primary prevention, shared risk and protective factors. Only six articles were identified that addressed primary prevention efforts. Researchers note that primary prevention of elder abuse is poorly understood and challenges exist in applying methods from other types of violence. Education for key community members on identification of abuse is a promising intervention targeting shared risk and protective factors for public health to pursue. Cross-sector community partnerships and rigorous evaluation of primary prevention approaches are needed.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
E da Silva Miranda ◽  
A C Figueiró ◽  
L Potvin

Abstract Background This paper presents a post hoc analysis of knowledge translation (KT) actions and strategies implemented by three projects in a sociotechnical network, in Rio de Janeiro, Brazil. In order to assess the actions and practices of knowledge producers (mostly researchers) and knowledge users (residents of Manguinhos) we applied the KT model developed by the Québec Public Health Institute. Methods This case study relied mainly on document analysis (texts produced by the network coordination, meeting minutes and reports, management reports and promotional material), interviews with knowledge producers (N = 10), and focus group with knowledge users (4 participants). Framework analysis was applied to provide clear steps to follow and structured outputs of summarized data. A content analysis of this material used categories such as: project development; KT products elaboration; and interaction between knowledge producers and users. Data were coded based on the KT model to understand whether and how the eight dimensions were implemented. Results The findings reveal that, albeit there were differences among the three cases, the KT dimensions related to the co-construction of knowledge, what to be translated, and how to translate were more extensively implemented. Even though KT was a new concept for most knowledge producers, all three cases had previous practical experience on how to disseminate knowledge in the Territory of Manguinhos. However, dimensions related to KT evaluation and resources were less frequently implemented. Conclusions More attention must be paid to the dimensions involving the feasibility, resources and evaluation of projects. Creating research organizations working together in the KT process with support, infrastructure, theoretical and methodological competences about KT may facilitate the integration of these dimensions. Key messages Through our study, we provide more evidence and progress about how the KT process can be improved in low- and middle-income countries, such as Brazil. We display an overview of the challenges that public health researchers in Brazil have in applying KT strategies to improve the public health care.


Author(s):  
Jonathan H. Marks

Collaboration with industry has become the paradigm in public health. Governments commonly develop close relationships with companies that are creating or exacerbating the very problems public health agencies are trying to solve. Nowhere is this more evident than in partnerships with food and soda companies to address obesity and diet-related noncommunicable diseases. The author argues that public-private partnerships and multistakeholder initiatives create webs of influence that undermine the integrity of public health agencies; distort public health research and policy; and reinforce the framing of public health problems and their solutions in ways that are least threatening to the commercial interests of corporate “partners.” We should expect multinational corporations to develop strategies of influence. But public bodies need to develop counter-strategies to insulate themselves from corporate influence in all its forms. The author reviews the ways in which we regulate public-public interactions (separation of powers) and private-private interactions (antitrust and competition laws), and argues for an analogous set of norms to govern public-private interactions. The book also offers a novel framework that is designed to help public bodies identify the systemic ethical implications of their existing or proposed relationships with industry actors. The book makes a compelling case that, in public health, the paradigm public-private interaction should be at arm’s length: separation, not collaboration. The author calls for a new paradigm to protect and promote public health while avoiding the ethical perils of partnership with industry.


Sign in / Sign up

Export Citation Format

Share Document