Journal of Public Health

, Volume 19, Issue 4, pp 283–292 | Cite as

Disease prevention and health promotion programs: benefits, implementation, quality assurance and open questions—a summary of the evidence

  • Thomas Kliche
  • Martina Plaumann
  • Guido Nöcker
  • Svenja Dubben
  • Ulla Walter
Review Article
First Online:
Received:
Accepted:

Abstract

Aim

Disease prevention and health promotion programs are standardized behavioral interventions that may be combined with contextual interventions. With optimized methods, they offer proven efficacy, efficiency, transparency, manageability, and rapid transfer of knowledge.

Subject and methods

This review summarizes their central barriers and success factors based on current research.

Results

Important barriers to effective use of disease prevention and health promotion programs are low implementation fidelity, exaggerated flexibility subject to political change, inadequately trained and overworked personnel, disregard of context, change of implementation frameworks, lack of supportive contextual interventions, a plethora of programs, scarce resources and weak organizational support, resistance to social technologies, choices based on marketing criteria instead of effectiveness, and research gaps. Solutions include robust intervention plans, clear and comprehensive manuals, definition of intervention core and periphery, organizational and leadership support, qualification of users, systematic adaptation to local conditions, and quality assurance/monitoring of acceptance and effectiveness.

Conclusion

Both users and decision-makers should demand proof of effectiveness of program choices and should adhere to quality assurance procedures during implementation. Program development and evaluation should ensure (1) the definition of core intervention components, (2) instructions for adaptation of programs to specific contexts, (3) basic data on resources required for implementation, and (4) evidence of program effectiveness.

Keywords

Disease prevention Health promotion Health education Program Implementation Quality assurance 
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Notes

Conflict of interest

The authors declare that they have no conflict of interest.

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Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Thomas Kliche
    • 1
  • Martina Plaumann
    • 2
  • Guido Nöcker
    • 3
  • Svenja Dubben
    • 3
  • Ulla Walter
    • 2
  1. 1.Medical PsychologyUniversity Hospital Eppendorf (UKE)HamburgGermany
  2. 2.Department of Epidemiology, Social Medicine and Health System ResearchHannover Medical School (MHH)HannoverGermany
  3. 3.Federal Centre for Health Education (BZgA)CologneGermany

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