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Primary and Secondary Prevention

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Primary and secondary prevention are strategies in public health aimed at reducing disease incidence and prevalence. Primary prevention focuses on preventing disease before it occurs, while secondary prevention involves early detection and intervention to halt disease progression.
lightbulbAbout this topic
Primary and secondary prevention are strategies in public health aimed at reducing disease incidence and prevalence. Primary prevention focuses on preventing disease before it occurs, while secondary prevention involves early detection and intervention to halt disease progression.

Key research themes

1. How can standards of evidence in prevention science improve the efficacy and scale-up of primary and secondary prevention interventions?

This research theme focuses on establishing rigorous methodological criteria and reporting standards that define when prevention interventions can be considered efficacious, effective, and ready for widespread dissemination. It matters because inconsistent application of evidence standards can lead to disparate interpretations of intervention effectiveness, impeding policy decisions and broad implementation of preventive programs.

Key finding: The paper updated the Society of Prevention Research’s evidence standards, emphasizing the necessity of rigorous efficacy trials under optimal conditions, followed by effectiveness trials under real-world conditions, and... Read more
Key finding: A review of 851 RCTs showed that only 22% met key internal validity standards, with common issues including baseline non-equivalence and differential attrition; this identifies widespread methodological weaknesses in... Read more
Key finding: This synthesis revealed that despite large investments in technical assistance (TA) to support implementation of evidence-based interventions, there is limited consensus on essential TA components or optimal delivery methods;... Read more

2. What are effective strategies for prioritizing and implementing primary prevention to reduce non-communicable diseases in both high-risk and low-risk populations?

This theme addresses how prevention efforts can be optimized by balancing targeted interventions for high-risk groups with proactive strategies for low-risk or low-burden populations to forestall the emergence and escalation of non-communicable diseases (NCDs). It provides actionable frameworks for policymakers and practitioners to guide implementation feasibility and impact assessments.

Key finding: Introduced a pragmatic 2x2 impact-feasibility matrix to classify primary prevention interventions for NCDs into high impact/high feasibility (immediate implementation), high impact/low feasibility (require buy-in), low... Read more
Key finding: Using quality-adjusted life years and cost-effectiveness metrics for 28 clinical preventive services, this work identified specific interventions (e.g. depression screening, tobacco cessation, obesity management) as high... Read more
Key finding: Emphasized the complexity of multibehavioral interventions in primary care, noting the scarcity of evidence on effectiveness of addressing multiple risk factors simultaneously; advocated for designing interventions... Read more

3. How can integrated, multi-tiered prevention models within primary and educational care settings enhance the delivery and sustainability of primary and secondary prevention?

This theme explores the organizational, implementation, and professional learning aspects of comprehensive prevention systems that integrate academic, behavioral, and social-emotional supports across universal, targeted, and intensive tiers. It is critical for operationalizing effective prevention in real-world service delivery systems and optimizing practitioner capacity.

Key finding: Survey of 253 educators revealed higher reported implementation of Tier 1 universal supports across academic, behavioral, and social domains, but comparatively lower adoption of Tier 2 and Tier 3 interventions, especially... Read more
Key finding: GPs generally considered primary prevention their responsibility but applied preventive advice selectively based on perceived patient indication; concerns about negative impact on doctor-patient relationships limited broader... Read more

All papers in Primary and Secondary Prevention

Background and Aims INTERASPIRE is an international study of coronary heart disease (CHD) patients, designed to measure if guideline standards for secondary prevention and cardiac rehabilitation are being achieved in a timely manner.
The body functions as an intensely personal, inherently social, and political entity. It serves as a dynamic space where the subject is interpellated, simultaneously formed and differentiated, embodying the intersection of past... more
This is an exciting and important moment for dance/movement therapy. As nonverbal communication and embodied experience relate to emotional aspects of human function, and consequently to clinical therapeutic applications, dance/ movement... more
10. Conduct quality appraisal of retrieved literature. 11. Critically review literature. 12. Check reference list for accuracy. Papers were obtained through the following databases: Discover (Massey University's Library Discovery Layer... more
The purpose of this research is threefold: 1) To provide an overview of research pertaining to best and promising practices in the area of violence prevention programming for children and youth; 2) To provide an analysis of children- and... more
Violence perpetrated by and against men and boys is a major public health problem. Although individual men’s use of violence differs, engagement of all men and boys in action to prevent violence against women and girls is essential. We... more
This paper will present an art-based frame of reference to psychotherapeutic intervention. Structures form clinical Dance Movement Therapy (DMT) will serve as an example to investigate the specific contributions of kinaesthetically... more
Background Numerous wrist-wearable devices to measure physical activity are currently available, but there is a need to unify the evidence on how they compare in terms of acceptability and accuracy. Objective The aim of this study is to... more
Dedication I dedicate my dissertation to my beloved parents, Thomas and Catharina Lee. My parents were born in South Korea, married in South America, where they had seven children, and immigrated the family to the United States in hopes... more
Background: Two-thirds of older Australians are sedentary. Fitness trackers have been popular with younger people and may encourage older adults to become more active. Older adults may have different gait patterns and as such it is... more
Numerous resources exist to support workplaces to undertake gender equality work; however, it is often unclear which existing resources are being utilised by Australian workplaces. One group that can provide insight into the use of... more
Deficits in decoding and encoding emotion and intention are inherent in children and adolescents with Autism Spectrum Disorder (ASD). The interface of neuro-deficit, epigenetic influences, relational challenges, weaknesses in... more
This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY
Background Numerous wrist-wearable devices to measure physical activity are currently available, but there is a need to unify the evidence on how they compare in terms of acceptability and accuracy. Objective The aim of this study is to... more
She was a social worker in the field of child protection for more than 20 years. Her research interests focus on the correlation between child protection and sexual violence.
Evidence of a high or increasing incidence of childhood onset bipolar disorder in the United States (US) has been viewed skeptically. Here we review evidence that childhood onsets of bipolar disorder are more common in the US than in... more
For all the behind-the-scenes work that was vital to making the workshop happen and run smoothly we would like to thank Petra Bongartz, Jan Boyes, Jenny Edwards, Sam Finn and Katy Miller. Thanks also to Tessa Lewin for documenting the... more
At a time when there is a severe dearth of men centric versions of intimate partner violence and the perpetuation of the same by men shows anomalous surge around the world, it is essential to investigate the predictive factors of the same... more
It is well established that people with diabetes are at an increased risk of cardiovascular disease compared with those without diabetes. Although the protective role of aspirin in secondary prevention is well documented, its role in... more
She was a social worker in the field of child protection for more than 20 years. Her research interests focus on the correlation between child protection and sexual violence.
This article examines how the biomedical industrial complex has ensnared social work within a foreign conceptual and practice model that distracts clinical social workers from the special assistance that they can provide for people with... more
Children and young people have become one of the most important populations for the prevention of gender-based violence. The unacceptably high rates of gender-based violence, in particular, violence against women and their children, are... more
Engaging with men is an essential effort towards preventing violence in our communities. At the same time, violent behaviours are deeply embedded into our societies and construct what it means to be ‘masculine’ in a way that naturalises... more
Violence against women is globally prevalent and harmful to women's health and well-being. Younger women are at higher risk of abuse, especially those from non-urban areas who may face specific barriers to disclosure and support. The aim... more
Violence can be prevented Violence permeates and profoundly affects almost every aspect of our lives in South Africa. It poses a significant threat to the overall health and well-being of our nation and has a negative impact on... more
This report examines how violence against women specifically affects children and young people. It looks at the nature of violence they experience in their homes and their own relationships, its impacts, and the priorities for action if... more
Two conflicting masculine norms of reputation and respectability coexisted in the lives of boys and men depending on the reference group (male peers vs. community and family). Both types of masculinities endorsed violence against women by... more
Telemedicine has been used to remotely diagnose and treat patients, yet previously applied telemonitoring approaches have been fraught with adherence issues. The primary goal of this study was to evaluate the adherence rates using a... more
The information contained in this publication is indicative only. While every effort is made to provide full and accurate information at the time of publication, the University does not give any warranties in relation to the accuracy and... more
This study examined how group composition influences students' level of satisfaction with a dating violence and sexual assault prevention program. A 10-to 12-session program was presented to 396 urban African American middle school... more
Activity trackers are widely used to measure daily physical activity. Many devices have been shown to measure steps more accurately at higher intensities, however, it is also important to determine the accuracy of these new devices at... more
The purpose of this evaluation was to explore the experience of the residents of Knowsley of the community NHS health checks. A qualitative research strategy was utilised. It was evident from the evaluation that NHS Knowsley had been... more
United Nations Economic and Social Commission for Asia and the Pacific (UNESCAP) Expert Group Meeting - Strategies for implementing the recommendations from the Secretary-General's Study on Violence against Women with Particular... more
The concept of attitudes has been an important component of campaigns to address men's violence against women. Attitudes have been examined in relation to men's perpetration of violence, women's experience of violence and community and... more
A violence-prevention curriculum has been object of research on curriculum studies since several decades (Bergsgaard, 1997), but gender violence prevention had not yet received so much attention from this field of studies. In some... more
Issue addressed: The determinants of individual and community mental health and well-being are diverse and many lie outside the sphere of action of the health sector. Developing the confidence and skills of these other sectors to... more
Moving towards longer-term and ongoing funding for primary prevention programs and activities, so that funding terms reflect the time periods of the frameworks and plans under which they are funded (such as the 12-year period covered by... more
Activity trackers are widely used to measure daily physical activity. Many devices have been shown to measure steps more accurately at higher intensities, however, it is also important to determine the accuracy of these new devices at... more
Provides reflections on Australia's efforts in primary prevention of violence against women and offers suggestions for the next steps to continue the momentum. Summary Australia has committed to a public health approach to preventing... more
This report is intended to advance violence prevention efforts in schools in Victoria and around Australia. The report is designed to achieve the following goals: • to map the violence prevention, intervention and respectful relationships... more
In-depth research on gender power and masculinity and various programmatic efforts to engage men have made it abundantly clear that men and boys must be an integral part of efforts to promote gender equality. This is especially relevant... more
Gender is not accurately captured by the traditional male and female dichotomy of sex. Instead, it is a complex social system that structures the life experience of all human beings. This paper, the first in a Series of five papers,... more
Child abuse or maltreatment Child abuse or maltreatment constitutes all forms of physical and/or emotional ill-treatment, sexual abuse, neglect or negligent treatment or commercial or other exploitation, resulting in actual or potential... more
18/2/166. Wilkinson, D., Bearup, L., Soprach, T. 2005. Youth gang rape in Phnom Penh. In S.J. Jejeebhoy, I. Shah, and S. Thapa, eds. Sex without consent: Young people in developing countries. New York: Zed Books. Wood, K. 2005.... more
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