title: Transforming community prevention systems for sustained impact: embedding active implementation and scaling functions.
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.
authors.affiliation: FPG Child Development Institute, University of North Carolina at Chapel Hill, CB #8185, Chapel Hill, NC, 27599-8185, USA. will.aldridge@unc.edu.
authors.forename: William A
authors.initials: WA
authors.lastname: Aldridge
authors.affiliation: FPG Child Development Institute, University of North Carolina at Chapel Hill, CB #8185, Chapel Hill, NC, 27599-8185, USA.
authors.forename: Renée I
authors.initials: RI
authors.lastname: Boothroyd
authors.affiliation: FPG Child Development Institute, University of North Carolina at Chapel Hill, CB #8185, Chapel Hill, NC, 27599-8185, USA.
authors.forename: W Oscar
authors.initials: WO
authors.lastname: Fleming
authors.affiliation: Child and Family Policy Institute of California, Sacramento, CA, USA.
authors.forename: Karen
authors.initials: K
authors.lastname: Lofts Jarboe
authors.affiliation: The North Carolina Partnership for Children, Raleigh, NC, USA.|Smart Start of New Hanover County, Wilmington, NC, USA.
authors.forename: Jane
authors.initials: J
authors.lastname: Morrow
authors.affiliation: Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, Rockville, MD, USA.
authors.forename: Gail F
authors.initials: GF
authors.lastname: Ritchie
authors.affiliation: Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, Rockville, MD, USA.
authors.forename: Joyce
authors.initials: J
authors.lastname: Sebian
mesh_terms: D019317:Evidence-Based Medicine / Q000191:economics / Q000379:methods; D006291:Health Policy; D006801:Humans; D011314:Preventive Health Services / Q000191:economics / Q000379:methods*; D057170:Translational Research, Biomedical / Q000191:economics / Q000379:methods*
keywords: Community prevention; Evidence-based practice; Implementation; Infrastructure; Scaling; Systems change; Type 4 translational research