Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2016 Mar;6(1):135-44.
doi: 10.1007/s13142-015-0351-y.

Transforming community prevention systems for sustained impact: embedding active implementation and scaling functions

William A Aldridge 2nd  1 , Renée I Boothroyd  2 , W Oscar Fleming  2 , Karen Lofts Jarboe  3 , Jane Morrow  4   5 , Gail F Ritchie  6 , Joyce Sebian  6
Affiliations

Transforming community prevention systems for sustained impact: embedding active implementation and scaling functions

William A Aldridge 2nd et al. Transl Behav Med. 2016 Mar.

Abstract

Traditional efforts to translate evidence-based prevention strategies to communities, at scale, have not often produced socially significant outcomes or the local capacity needed to sustain them. A key gap in many efforts is the transformation of community prevention systems to support and sustain local infrastructure for the active implementation, scaling, and continuous improvement of effective prevention strategies. In this paper, we discuss (1) the emergence of applied implementation science as an important type 3-5 translational extension of traditional type 2 translational prevention science, (2) active implementation and scaling functions to support the full and effective use of evidence-based prevention strategies in practice, (3) the organization and alignment of local infrastructure to embed active implementation and scaling functions within community prevention systems, and (4) policy and practice implications for greater social impact and sustainable use of effective prevention strategies.

Keywords: Community prevention; Evidence-based practice; Implementation; Infrastructure; Scaling; Systems change; Type 4 translational research.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
Nesting of the active implementation and scaling functions within community prevention systems to achieve social impact
Fig. 2
Fig. 2
Crosswalk of the active implementation and scaling functions and the Active Implementation Frameworks
See this image and copyright information in PMC

References

    1. Clancy C. The $1.6 trillion question: if we're spending so much on healthcare, why so little improvement in quality? Medscape Gen Med. 2006;8(2):58. - PMC - PubMed
    1. Fixsen DL, Blase K, Duda M, Naoom S, Van Dyke M. Implementation of evidence-based treatments for children and adolescents: research findings and their implications for the future. In: Weisz J, Kazdin A, editors. Implementation and dissemination: Extending treatments to new populations and new settings. 2. New York: Guilford Press; 2010. pp. 435–450.
    1. Institute of Medicine . Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, D.C.: National Academy Press; 2001. - PubMed
    1. U.S. Department of Health and Human Services . Mental health: A report of the Surgeon General. Rockville, MD: U.S. Department of Health and Human Services; 1999.
    1. Aladjem DK, Borman KM, editors. Examining comprehensive school reform. Washington, DC: The Urban Institute Press; 2006.

MeSH terms