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Moving the field of prevention from science to service: Integrating evidence-based preventive interventions into community practice through adapted and adaptive models
Authors:Gerald J August  Abigail Gewirtz  George M Realmuto
Institution:1. Division of Endocrinology, Cincinnati Children''s Hospital Medical Center, Cincinnati, OH;2. Division of Biostatistics and Epidemiology, Cincinnati Children''s Hospital Medical Center, Cincinnati, OH;3. Division of General and Community Pediatrics, Cincinnati Children''s Hospital Medical Center, Cincinnati, OH;4. Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO;5. Research Institute, Children''s Hospital Colorado, Aurora, CO;6. Department of Radiology, Northeast Ohio Medical University, Rootstown, OH;7. Pediatric Associates, Crestview Hills, KY;1. Department of Psychology, Southwestern University, 1001 East University Ave, Georgetown, TX 78626, USA;2. Department of Psychology, St. Edward''s University, 3001 South Congress Ave, Austin, TX 78704, USA
Abstract:The article addresses the adaptation of evidence-based prevention and positive youth development programs for community use. Two complementary approaches for adapting programs are described. In the “adapted” approach, programs are modified to accommodate the culture, climate, and operations of the organization delivering the program. In the “adaptive” approach, programs are modified to accommodate the characteristics, needs and preferences of the individual or family receiving the program. Two examples are provided that illustrate how both adapted and adaptive intervention strategies have been incorporated by community practitioners into the implementation of the Early Risers conduct problems prevention program.
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