Sanchez Zila M, Burkhart Gregor, Hoffmann Elis Viviane, Salazar Fernando, Gervilla Elena
Universidade Federal de São Paulo São Paulo Brazil Universidade Federal de São Paulo, São Paulo, Brazil.
European Society for Prevention Research Palma de Mallorca Spain European Society for Prevention Research, Palma de Mallorca, Spain.
Rev Panam Salud Publica. 2025 Jun 17;49:e64. doi: 10.26633/RPSP.2025.64. eCollection 2025.
Evidence-based program registries (EBPRs) are essential tools in prevention science, providing structured evaluations of intervention effectiveness to guide policymakers and practitioners. While established registries such as Blueprints for Healthy Youth Development and Xchange have been instrumental in cataloging evidence-based programs, Latin America has lacked a region-specific repository tailored to its unique prevention challenges. Evidencia Viva was developed to address this gap by systematically assessing and classifying substance use prevention programs implemented and evaluated in Latin America. The initiative draws from established EBPR models, employing rigorous inclusion criteria and a multidisciplinary expert review process to evaluate intervention efficacy. Programs are categorized into five tiers, ranging from beneficial to potentially harmful, ensuring that decision-makers have access to transparent and reliable information. The registry's initial assessments include interventions from Brazil, Chile, Colombia, Guatemala, Mexico, Peru, and Uruguay, highlighting both effective and ineffective programs. Notably, programs like Unplugged and Keepin' It REAL have demonstrated positive impacts, while others, such as PROERD (the Brazilian adaptation of DARE) and #Tamojunto, have shown limited or even negative effects. Despite its potential to strengthen evidence-based prevention in the region, Evidencia Viva faces challenges, including the limited number of rigorously evaluated programs, disparities in research capacity across Latin American countries, and the need for sustained funding to ensure long-term viability. Evidencia Viva contributes to the accessibility and dissemination of validated interventions, supporting informed policymaking and more effective substance use prevention strategies. However, ensuring its sustainability will require continued investment in research capacity, funding, and regional collaboration.
循证项目注册库（EBPRs）是预防科学中的重要工具，为政策制定者和从业者提供干预效果的结构化评估，以指导他们的工作。虽然像“健康青年发展蓝图”和“交流”等已建立的注册库在编目循证项目方面发挥了重要作用，但拉丁美洲一直缺乏一个针对其独特预防挑战的区域特定资源库。“鲜活证据”的开发就是为了填补这一空白，它通过系统地评估和分类在拉丁美洲实施和评估的物质使用预防项目来实现。该倡议借鉴了已建立的EBPR模型，采用严格的纳入标准和多学科专家评审过程来评估干预效果。项目分为五个等级，从有益到潜在有害，确保决策者能够获得透明和可靠的信息。该注册库的初步评估包括来自巴西、智利、哥伦比亚、危地马拉、墨西哥、秘鲁和乌拉圭的干预措施，突出了有效和无效的项目。值得注意的是，像“拔掉插头”和“保持真实”这样的项目已显示出积极影响，而其他一些项目，如“PROERD”（巴西版的“抵御毒品侵蚀”）和“#一起”，则显示出有限甚至负面的效果。尽管“鲜活证据”有潜力加强该地区基于证据的预防工作，但它也面临挑战，包括经过严格评估的项目数量有限、拉丁美洲国家研究能力的差异以及确保长期可行性所需的持续资金。“鲜活证据”有助于使经过验证的干预措施更易于获取和传播，支持明智的政策制定和更有效的物质使用预防策略。然而，要确保其可持续性，将需要在研究能力、资金和区域合作方面持续投入。
