American Journal of Community Psychology · 2005 · 241 citations · 89 references
MedicineHealth PromotionPreventive MedicineCommunity DevelopmentCommunity EngagementDisease PreventionCommunity Health PromotionCommunity-based ImplementationCommunity-based PreventionCommunity-based ResearchDisease Prevention StrategiesPrevention StrategiesCommunity Capacity StrengtheningCommunity-based InnovationCommunity-based OrganizationsIndigenous Public HealthPrevention Implementation SciencePrevention Program AdaptationPrevention SciencePreventive Health Promotion
The model of prevention science advocated by the Institute of Medicine (P. J. Mrazek & R. J. Haggerty, 1994) has not lead to widespread adoption of prevention and promotion programs for four reasons. The model of dissemination of programs to communities fails to consider community and organizational capacity to implement programs, ignores the need for congruence in values between programs and host sites, displays a pro-innovation bias that undervalues indigenous practices, and assumes a simplistic model of how community organizations adopt innovations. To address these faults, researchers should locate, study, and help disseminate successful indigenous programs that fit community capacity and values. In addition, they should build on theoretical models of how locally developed programs work to make existing programs and polices more effective.
89