Making high-yield prevention choices: The intervention selection tool
Monday, November 4, 2013
: 8:50 a.m. - 9:10 a.m.
The Community Preventive Services Task Force, the U.S. Preventive Services Task Force, and the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (among others) provide evidence-based interventions to prevent the leading causes of death and disease. Their excellent products, including the Guide to Community Preventive Services (The Community Guide), Guide to Clinical Preventive Guide, and Clinical Practice Guidelines are the right starting places when choosing interventions to address local health priorities. Yet, all interventions are not created equal. Decision factors such as the strength of the evidence, the number of deaths potentially averted, the likelihood of local uptake and penetration, and acceptability to the community all play a role in how interventions are chosen. Similarly, evidence may be a more or less compelling factor in some communities, compared to other decision factors. This session introduces a tool for health departments to weigh evidence and other decision factors in selecting best practices to improve health outcomes. The tool applies quality improvement methods to identify the best evidence-based interventions for responding to local needs from evidence-based public health resources (e.g., The Community Guide); assign importance to decision factors (e.g., potential number of deaths averted, strength of evidence, likely uptake, community acceptability); and compare potential interventions on each decision factor. This tool is based on a hypothetical exercise developed by Dr. Norma Kanarek entitled Strategic Practice Selection Exercise. Users of the tool can tailor the exercise to their community, weighing decision factors according to local priorities, or can substitute them with their own decision factors. The result is a weighted ranking of the interventions based on local applicability and likelihood of success. Health departments can use the tool to inform practical programmatic decisions on how to invest limited prevention resources to achieve the most high-yield results.
Administration, management, leadership
Chronic disease management and prevention
Planning of health education strategies, interventions, and programs
Identify decision factors that impact the success of public health interventions.
Compare evidence-based interventions for best-fit in local contexts.
Keyword(s): Community Preventive Services, Quality Improvement
Presenting author's disclosure statement:
Qualified on the content I am responsible for because: I have 25 years of professional experience in public health and health sciences research and change leadership, and have led numerous initiatives to develop and syndicate use of quality improvement tools in activities focused on improving population health outcomes. I have authored numerous peer-reviewed articles, public education reports, and state and national studies of health trends, public policies, and best practices in prevention and treatment.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines,
and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed
in my presentation.