The transfer of preventive health technologies to schools: A focus on implementation

Abstract

School-based fluoride rinse programs are in the process of rapid and widespread adoption in the United States and represent an opportunity to study the implementation of health technologies by schools. This paper discusses the transfer of this dental preventive health technology as it relates to current diffusion theory. Findings from a national investigation of the adoption and implementation of fluoride rinse programs are analyzed in relation to two issues: the accuracy of program implementation and the long-term commitment to administering the technology. Implications of these findings for the delivery of school health services and directions for suggested future research are explored.