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Europe Needs a Central, Transparent, and Evidence-Based Approval Process for Behavioural Prevention Interventions

Faggiano, F and Allara, E and Giannotta, F and Molinar, R and Sumnall, H and Wiers, R and Michie, S and Collins, L and Conrod, P (2014) Europe Needs a Central, Transparent, and Evidence-Based Approval Process for Behavioural Prevention Interventions. PLOS MEDICINE, 11 (10). e1001740-e1001740. ISSN 1549-1676

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Abstract

Prevention interventions tackling health-compromising behaviours have the potential to play a major role in reducing the burden of noncommunicable diseases in Europe and other areas of the world. However, in Europe, no prior evaluation is required for the implementation of prevention interventions, thus leading to widespread dissemination of potentially ineffective or harmful interventions.
A central, transparent, evidence-based, context-aware, and research-oriented approval process for behavioural prevention interventions is likely to foster the implementation and dissemination of effective interventions in Europe.
Similarly to medicine approval systems, such a new approval process could be based on four consequential phases evaluating the effect of the following: single components (phase 1); combinations of components (phase 2); the final intervention—comprising only components found effective in the previous phases—via large, multicentre, randomized trials whenever possible (phase 3); and the long-term effects as well as the effects in different contexts (phase 4).
Once phase 3 shows convincing results, the intervention would be approved for delivery to its target population.
An approval process for behavioural prevention interventions is likely to lead to positive consequences both for practice, by strengthening the role and impact of prevention in times of limited economic resources, and for research, by promoting the robust evaluation of all promising prevention interventions.

Item Type: Article
Uncontrolled Keywords: 11 Medical And Health Sciences
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: Public Health Institute
Publisher: PUBLIC LIBRARY SCIENCE
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Date Deposited: 04 Apr 2016 13:53
Last Modified: 04 Apr 2016 13:53
DOI or Identification number: 10.1371/journal.pmed.1001740
URI: http://researchonline.ljmu.ac.uk/id/eprint/2517

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