From evidence-based health prevention registers to best practices in implementation: how to succeed and tailor an effective prevention program?

Abstract

Abstract The role of evidence-based prevention registers and “best practice portals”, aiming at health enhancing behaviour changes and reducing social inequalities, are even more important in the post COVID era. Evidence-based practices are interventions for which there is consistent scientific evidence asserting that they improve health outcomes for a specific population at time T in setting S. Adaptation and dissemination are the next challenges for decision-makers whereas there is no scientific consensus on a universal dissemination and adaptation model. Best practice portals should help to disseminate evidence-based interventions in health prevention. Therefore specific skills for adapting and implementing programs in local settings are needed. Models for dissemination remain complex for field practitioners and local stakeholders. Nevertheless, effective implementation can be achieved by supporting the local practitioners and stakeholders with scientific standards in prevention research including a delivery system, an organizational capacity, a support system and a strong training and technical assistance. In this workshop, we will briefly present: 1. The implementation of evidence-based interventions (Unplugged, ICAPS Intervention centred on adolescents’ physical activity and sedentary behavior) or experimented for adaptation (Panjo: Nurse-family partnership, PSFP: Strengthening Families Program, Good Behavior Game, MBCP: Mindfulness-based childbirth and parenting). 2. The lessons learned from the implementation of these interventions. The required conditions for dissemination include readiness assessment, affordability of training and manuals, targeted audience, materials, supportive training and assistance. Fidelity monitoring tools must be provided for field practitioners who face the dilemma to adapt evidence-based program respecting its unchangeable core components (fidelity vs. flexibility in adapting an evidence-based intervention).