Defining Prevention Science

Defining Prevention Science

Author: Zili Sloboda

Publisher: Springer

Published: 2014-07-08

Total Pages: 629

ISBN-13: 1489974245

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Whoever coined the adage "an ounce of prevention is worth a pound of cure" could not have known how important this adage would become. The challenge of altering the health trajectories of poor lifestyle decisions for such behaviors as smoking, drinking and using illicit drugs, violence, dropping out of school, engagement in risky sexual behaviors and crime through prevention research has led to a new discipline, prevention science. Defining Prevention Science covers this emerging field of science: its goals, its conceptual and theoretical foundations, its methods and especially its utility. Not content to simply differentiate the field from its close allies: epidemiology, psychology, neuroscience, sociology, economics, the text explains how these many disciplines enhance each other at both research and intervention levels and how prevention science draws on these biological, behavioral and social sciences to create an innovative knowledge base that has provided cost-effective, evidence-based prevention interventions and policies. To this end, familiar developmental benchmarks are recast in prevention/health promotion context, from the crucial importance of adolescence in encountering and deterring high-risk behaviors to the risks and resiliencies of single-mother families. An international group of contributors offers current findings, up-to-date methods for effective evidence-based interventions and improvements in research technologies in these key areas: Physical, cognitive and emotional vulnerability across the life course. The roles of developmental influences in prevention. Intervention development, delivery and implementation. Bringing the intervention approach to research design. New directions in analytic methods. Cost analysis and policy implications. Advances in Prevention Science: Defining Prevention Science aims to inspire further refinements in the field and encourage communication among researchers in its own and related disciplines, including public health, epidemiology, psychology, and criminology. This is the first volume in the series, Advances in Prevention Science, that provides the framework for other volume that will focus on such issues as: Prevention Science in School Settings: Complex Relationships and Processes; Preventing Crime and Violence and The Prevention of Substance Use.


Reducing Risks for Mental Disorders

Reducing Risks for Mental Disorders

Author: Institute of Medicine

Publisher: National Academies Press

Published: 1994-01-01

Total Pages: 636

ISBN-13: 0309049393

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The understanding of how to reduce risk factors for mental disorders has expanded remarkably as a result of recent scientific advances. This study, mandated by Congress, reviews those advances in the context of current research and provides a targeted definition of prevention and a conceptual framework that emphasizes risk reduction. Highlighting opportunities for and barriers to interventions, the book draws on successful models for the prevention of cardiovascular disease, injuries, and smoking. In addition, it reviews the risk factors associated with Alzheimer's disease, schizophrenia, alcohol abuse and dependence, depressive disorders, and conduct disorders and evaluates current illustrative prevention programs. The models and examination provide a framework for the design, application, and evaluation of interventions intended to prevent mental disorders and the transfer of knowledge about prevention from research to clinical practice. The book presents a focused research agenda, with recommendations on how to develop effective intervention programs, create a cadre of prevention researchers, and improve coordination among federal agencies.


The Prevention and Treatment of Missing Data in Clinical Trials

The Prevention and Treatment of Missing Data in Clinical Trials

Author: National Research Council

Publisher: National Academies Press

Published: 2010-12-21

Total Pages: 163

ISBN-13: 030918651X

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Randomized clinical trials are the primary tool for evaluating new medical interventions. Randomization provides for a fair comparison between treatment and control groups, balancing out, on average, distributions of known and unknown factors among the participants. Unfortunately, these studies often lack a substantial percentage of data. This missing data reduces the benefit provided by the randomization and introduces potential biases in the comparison of the treatment groups. Missing data can arise for a variety of reasons, including the inability or unwillingness of participants to meet appointments for evaluation. And in some studies, some or all of data collection ceases when participants discontinue study treatment. Existing guidelines for the design and conduct of clinical trials, and the analysis of the resulting data, provide only limited advice on how to handle missing data. Thus, approaches to the analysis of data with an appreciable amount of missing values tend to be ad hoc and variable. The Prevention and Treatment of Missing Data in Clinical Trials concludes that a more principled approach to design and analysis in the presence of missing data is both needed and possible. Such an approach needs to focus on two critical elements: (1) careful design and conduct to limit the amount and impact of missing data and (2) analysis that makes full use of information on all randomized participants and is based on careful attention to the assumptions about the nature of the missing data underlying estimates of treatment effects. In addition to the highest priority recommendations, the book offers more detailed recommendations on the conduct of clinical trials and techniques for analysis of trial data.


A Guide to Conducting Prevention Research in the Community

A Guide to Conducting Prevention Research in the Community

Author: James G Kelly

Publisher: Routledge

Published: 2014-02-04

Total Pages: 194

ISBN-13: 1317736214

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This provocative and useful volume is a step-by-step guide to assist professionals in implementing valid and useful community research and creating preventive interventions that have positive and lasting effects on the development of the community. The authors--including James G. Kelly, one of the fathers of prevention--offer valuable suggestions for developing community processes to assist the prevention researcher and the community in designing research that is embedded in the community. Experts focus on the topics that can help establish and sustain effective long-term working relationships with community members. Numerous examples illustrate how the collaborative working relationship can create the variety of resources that are needed to eventually implement policy changes stimulated by the research and help to sustain the impact of the research findings after the research has been completed.This exciting book illustrates how community research related to the prevention of mental illness and the promotion of mental health can be scientific and objective, as well as a positive collaboration between the research staff and community members. Focus upon community needs Emphasize educational activities to support the prevention research Identify points of policy impact before the research begins Enhance the development of social networks and social support systems for the development of competencies Provide criteria for the selection of systemic variables for the research Include reference to the multiple levels of a community which may affect the research topic Specify ways in which participants can identify and own the research topic Outline criteria for assessing the side effects of the prevention research In order to better understand the needs, values, commitments, and resources of the community in which he or she is working, the researcher is encouraged to select research topics derived from underlying community needs, educated the public about prevention, identify points of policy impact, and determine the informal social networks that enhance the development of social competencies in the community. The benefits of the collaborative relationship between prevention researchers and the community are strongly emphasized. A Guide to Conducting Prevention Research in the Community aims to guide citizens and professionals in implementing valid and useful community research and create preventive interventions that have positive and lasting effects on the development of the community.


Reducing the Burden of Injury

Reducing the Burden of Injury

Author: Institute of Medicine

Publisher: National Academies Press

Published: 1998-12-21

Total Pages: 335

ISBN-13: 030917354X

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Injuries are the leading cause of death and disability among people under age 35 in the United States. Despite great strides in injury prevention over the decades, injuries result in 150,000 deaths, 2.6 million hospitalizations, and 36 million visits to the emergency room each year. Reducing the Burden of Injury describes the cost and magnitude of the injury problem in America and looks critically at the current response by the public and private sectors, including: Data and surveillance needs. Research priorities. Trauma care systems development. Infrastructure support, including training for injury professionals. Firearm safety. Coordination among federal agencies. The authors define the field of injury and establish boundaries for the field regarding intentional injuries. This book highlights the crosscutting nature of the injury field, identifies opportunities to leverage resources and expertise of the numerous parties involved, and discusses issues regarding leadership at the federal level.


Linking Research and Public Health Practice

Linking Research and Public Health Practice

Author: Committee to Review the CDC Centers for Research and Demonstration of Health Promotion and Disease Prevention

Publisher: National Academies Press

Published: 1997-02-14

Total Pages: 120

ISBN-13: 0309562287

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Health promotion and disease prevention are central priorities in the Centers for Disease Control and Prevention (CDC) vision. To advance research in these areas, Congress authorized and CDC established a program of university-based Centers for Research and Demonstration of Health Promotion and Disease Prevention to explore improved ways of appraising health hazards and to serve as demonstration sites for new and innovative research in public health. Begun in 1986 with three centers, there are now fourteen. In response to a CDC request to evaluate the program, Linking Research and Public Health Practice examines the vision for the prevention research centers program, the projects conducted by the centers, and the management and oversight of the program. In conducting the evaluation, the IOM committee took a broad view of how prevention research can influence the health of communities, and considered both the proximal risk factors for disease prevention and the more distal conditions for health promotion and improved equity in the distribution of risk factors. Month?


Review of the Bureau of Reclamation's Corrosion Prevention Standards for Ductile Iron Pipe

Review of the Bureau of Reclamation's Corrosion Prevention Standards for Ductile Iron Pipe

Author: National Research Council

Publisher: National Academies Press

Published: 2009-11-19

Total Pages: 186

ISBN-13: 0309147883

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Ductile iron pipe (DIP) was introduced about 50 years ago as a more economical and better-performing product for water transmission and distribution. As with iron or steel pipes, DIP is subject to corrosion, the rate of which depends on the environment in which the pipe is placed. Corrosion mitigation protocols are employed to slow the corrosion process to an acceptable rate for the application. When to use corrosion mitigation systems, and which system, depends on the corrosivity of the soils in which the pipeline is buried. The Bureau of Reclamation's specification for DIP in highly corrosive soil has been contested by some as an overly stringent requirement, necessitating the pipe to be modified from its as-manufactured state and thereby adding unnecessary cost to a pipeline system. This book evaluates the specifications in question and presents findings and recommendations. Specifically, the authoring committee answers the following questions: Does polyethylene encasement with cathodic protection work on ductile iron pipe installed in highly corrosive soils? Will polyethylene encasement and cathodic protection reliably provide a minimum service life of 50 years? What possible alternative corrosion mitigation methods for DIP would provide a service life of 50 years?


Beyond the HIPAA Privacy Rule

Beyond the HIPAA Privacy Rule

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2009-03-24

Total Pages: 334

ISBN-13: 0309124999

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In the realm of health care, privacy protections are needed to preserve patients' dignity and prevent possible harms. Ten years ago, to address these concerns as well as set guidelines for ethical health research, Congress called for a set of federal standards now known as the HIPAA Privacy Rule. In its 2009 report, Beyond the HIPAA Privacy Rule: Enhancing Privacy, Improving Health Through Research, the Institute of Medicine's Committee on Health Research and the Privacy of Health Information concludes that the HIPAA Privacy Rule does not protect privacy as well as it should, and that it impedes important health research.