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dc.contributor.authorMason, W. Alex
dc.contributor.authorFleming, Charles B.
dc.contributor.authorThompson, Ronald W.
dc.contributor.authorHaggerty, Kevin P.
dc.contributor.authorSnyder, James J.
dc.identifier.citationMason, W. Alex; Fleming, Charles B.; Thompson, Ronald W.; Haggerty, Kevin P.; Snyder, James J. 2014. A framework for testing and promoting expanded dissemination of promising preventive interventions that are being implemented in community settings. Prevention Science, October 2014, vol. 15:no. 5:pp 674-683en_US
dc.descriptionClick on the DOI link to access the article (may not be free).en_US
dc.description.abstractMany evidence-based preventive interventions have been developed in recent years, but few are widely used. With the current focus on efficacy trials, widespread dissemination and implementation of evidence-based interventions are often afterthoughts. One potential strategy for reversing this trend is to find a promising program with a strong delivery vehicle in place and improve and test the program's efficacy through rigorous evaluation. If the program is supported by evidence, the dissemination vehicle is already in place and potentially can be expanded. This strategy has been used infrequently and has met with limited success to date, in part, because the field lacks a framework for guiding such research. To address this gap, we outline a framework for moving promising preventive interventions that are currently being implemented in community settings through a process of rigorous testing and, if needed, program modification in order to promote expanded dissemination. The framework is guided by RE-AIM (Reach, Efficacy/Effectiveness, Adoption, Implementation, and Maintenance) (Glasgow et al., Am J Publ Health 89: 1322-1327, 1999), which focuses attention on external as well as internal validity in program tests, and is illustrated with examples. Challenges, such as responding to negative and null results, and opportunities inherent in the framework are discussed.en_US
dc.publisherSpringer International Publishing AGen_US
dc.relation.ispartofseriesPrevention Science;v.15:no.5
dc.subjectRandomized trialen_US
dc.titleA framework for testing and promoting expanded dissemination of promising preventive interventions that are being implemented in community settingsen_US
dc.rights.holder© Springer International Publishing AG

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