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Published in: Prevention Science 4/2013

Open Access 01-08-2013

Addressing Core Challenges for the Next Generation of Type 2 Translation Research and Systems: The Translation Science to Population Impact (TSci Impact) Framework

Authors: Richard Spoth, Louise A. Rohrbach, Mark Greenberg, Philip Leaf, C. Hendricks Brown, Abigail Fagan, Richard F. Catalano, Mary Ann Pentz, Zili Sloboda, J. David Hawkins, Society for Prevention Research Type 2 Translational Task Force Members and Contributing Authors

Published in: Prevention Science | Issue 4/2013

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Abstract

Evidence-based preventive interventions developed over the past two decades represent great potential for enhancing public health and well-being. Research confirming the limited extent to which these interventions have been broadly and effectively implemented, however, indicates much progress is needed to achieve population-level impact. In part, progress requires Type 2 translation research that investigates the complex processes and systems through which evidence-based interventions are adopted, implemented, and sustained on a large scale, with a strong orientation toward devising empirically-driven strategies for increasing their population impact. In this article, we address two core challenges to the advancement of T2 translation research: (1) building infrastructure and capacity to support systems-oriented scaling up of evidence-based interventions, with well-integrated practice-oriented T2 research, and (2) developing an agenda and improving research methods for advancing T2 translation science. We also summarize a heuristic “Translation Science to Population Impact (TSci Impact) Framework.” It articulates key considerations in addressing the core challenges, with three components that represent: (1) four phases of translation functions to be investigated (pre-adoption, adoption, implementation, and sustainability); (2) the multiple contexts in which translation occurs, ranging from community to national levels; and (3) necessary practice and research infrastructure supports. Discussion of the framework addresses the critical roles of practitioner–scientist partnerships and networks, governmental agencies and policies at all levels, plus financing partnerships and structures, all required for both infrastructure development and advances in the science. The article concludes with two sets of recommended action steps that could provide impetus for advancing the next generation of T2 translation science and, in turn, potentially enhance the health and well-being of subsequent generations of youth and families.
Footnotes
1
In the scientific literature, “health promotion,” which is focused on well-being, is distinguished from “prevention,” which is designed to prevent or reduce diseases and related problems. Consistent with those who have argued for a synthesis of prevention and promotion approaches (e.g., Weissberg and Greenberg 1998), we use the term “prevention” to refer to both types of efforts. Evidence-based interventions are programs, policies, or practices tested in well-designed, methodologically sound prevention studies with health outcome improvements demonstrated to be statistically and practically significant. Prevention science or research refers to the scientific investigation of the etiology and prevention of social, physical, mental health, and academic problems, and the translation of that information to promote health and well-being.
 
2
Mapping Advances in Prevention Science are multidisciplinary task forces funded by the Society of Prevention Research conference grants from the National Institute of Drug Abuse (grants 5R13DA021047-09 and 5R13DA021047-08SI). They are designed to advance promising ideas and scientific efforts generated through the Society for Prevention Research annual meeting, in order to: (1) foster promising, emerging areas of prevention science; (2) articulate an agenda to move research forward in such emerging areas; and (3) nurture the scientific leadership and capacity required to make the advances.
 
3
Although recently it has been suggested that the process of T2 research involves several additional phases (e.g., “Type 3” and “Type 4” translation; Abernethy and Wheeler 2011; Khoury et al. 2007), here we refer to the entire process as T2 translation. It also should be noted that, within NIH, T2 translation research often is referenced as “dissemination and implementation research” (e.g., Rabin et al. 2008).
 
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Metadata
Title
Addressing Core Challenges for the Next Generation of Type 2 Translation Research and Systems: The Translation Science to Population Impact (TSci Impact) Framework
Authors
Richard Spoth
Louise A. Rohrbach
Mark Greenberg
Philip Leaf
C. Hendricks Brown
Abigail Fagan
Richard F. Catalano
Mary Ann Pentz
Zili Sloboda
J. David Hawkins
Society for Prevention Research Type 2 Translational Task Force Members and Contributing Authors
Publication date
01-08-2013
Publisher
Springer US
Published in
Prevention Science / Issue 4/2013
Print ISSN: 1389-4986
Electronic ISSN: 1573-6695
DOI
https://doi.org/10.1007/s11121-012-0362-6

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