DeRosier Melissa E
3C Institute, 4364 S. Alston Avenue, Suite 300, Durham, NC, 27713, USA.
J Prim Prev. 2019 Feb;40(1):129-135. doi: 10.1007/s10935-019-00538-3.
We are at a place in history where the prevention science literature has established a cadre of evidence-based programs and practices (EBPPs) that have been proven, under controlled efficacy and effectiveness trials, to significantly improve the well-being of those served. Research in implementation science has also repeatedly demonstrated the importance of fidelity for realizing the benefits of these EBPPs when applied in real-world contexts. However, as a field, while we have ever-increasing evidence of 'what' systems and supports are needed to take EBPPs to scale, we continue to struggle with 'how' to successfully bring them to scale with quality in real-world service settings. The articles in this special issue of The Journal of Primary Prevention (JPP) further our understanding of the dimensions that need to be considered when scaling EBPPs and help inform what a scalable implementation support system would entail. The following commentary discusses implications for such a system and presents an example of using technology to support scaling up EBPPs while maintaining program fidelity and quality.
预防科学文献已经确立了一批循证项目与实践（EBPPs），这些项目与实践在对照的效能和效果试验中已被证明能显著改善受助者的福祉。实施科学研究也反复表明，在实际应用中，忠实执行对于实现这些EBPPs的益处至关重要。然而，作为一个领域，尽管我们越来越清楚地知道将EBPPs推广至大规模应用需要“哪些”系统和支持，但我们仍在为如何在现实世界的服务环境中成功且高质量地将其推广至大规模应用而苦苦挣扎。《初级预防杂志》（JPP）本期特刊中的文章进一步加深了我们对推广EBPPs时需要考虑的维度的理解，并有助于明确一个可扩展的实施支持系统应具备哪些要素。以下评论讨论了这样一个系统的影响，并给出了一个利用技术支持扩大EBPPs规模同时保持项目忠实度和质量的例子。
