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Europe needs a central, transparent, and evidence-based approval process for behavioural prevention interventions

Faggiano, F; Allara, E; Giannotta, F; Molinar, R; Sumnall, H; Wiers, R; Michie, S; ... Conrod, P; + view all (2014) Europe needs a central, transparent, and evidence-based approval process for behavioural prevention interventions. PLoS Medicine , 11 (10) , Article e1001740. 10.1371/journal.pmed.1001740. Green open access

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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.

Type: Article
Title: Europe needs a central, transparent, and evidence-based approval process for behavioural prevention interventions
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1371/journal.pmed.1001740
Publisher version: http://dx.doi.org/10.1371/journal.pmed.1001740
Language: English
Additional information: © 2014 Faggiano et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Keywords: Delivery of Health Care, Europe, Health Behavior, Humans
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
URI: https://discovery.ucl.ac.uk/id/eprint/1451036
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