Translating behavioral medicine evidence to public policy
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Behavioral medicine has made significant contributions to our understanding of how to prevent disease and improve health. However, social and environmental factors continue to have a major influence on health in ways that will be difficult to combat on a population level without concerted efforts to scale interventions and translate the evidence into public health policies. Now is also the right time to increase our efforts to produce policy relevant research and partnerships that will maximize the chances that our evidence is taken to scale in ways that can influence population health broadly, and perhaps contribute to the reduction of the recalcitrant health disparities that plague virtually every area of behavioral medicine focus. As a field we must take an active role in policy translation, learning from the public policy and political science disciplines, and our own pioneers in policy translation. This article discusses importance of accelerating evidence translation to policy, and suggests several factors that could enhance our translation efforts, including embracing policy translation as a key goal in behavioral medicine, increasing our understanding in variability of evidence-based policy adoption across and within states, improving our understanding of how to most effectively communicate our findings to policy makers, conducting research that is responsive to policy makers’ needs, and considering the important role of local policy partnerships.
KeywordsBehavioral medicine Policy Prevention Evidence-based practice and policy
This work was supported by NIH Grant 1UL1TR002541.
Compliance with ethical standards
Conflict of interest
Karen M. Emmons and Ediss Gandelman declare that they have no conflicts of interest.
Human and animal rights and Informed consent
All procedures were in accordance with the ethical standards of the institutional research committees and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. This article does not contain any studies with human participants or animals performed by any of the authors.
- Active Living Research: A National Program Report. https://www.rwjf.org/content/dam/farm/reports/program_results_reports/2015/rwjf69205.
- American Diabetes Association. http://www.diabetes.org/diabetes-basics/statistics/. Accessed June 4, 2018.
- Anda, R. F., Felitti, V. J., Bremmer, J. D., Walker, J. D., Whitfield, C., Perry, B. D., et al. (2006). The enduring effects of abuse and related adverse experiences in childhood: A convergence of evidence from neurobiology and epidemiology. European Archives of Psychiatry and Clinical Neuroscience, 256, 174–186.CrossRefPubMedGoogle Scholar
- Behrman, P., Redding, C. A., Raja, S., Newton, T., Beharie, N., & Printz, D. (2018). Society of Behavioral Medicine (SBM) position statement: Restore CDC funding for firearms and gun violence prevention research. Translational Behavioral Medicine.Google Scholar
- Black, M. C., Basile, K. C., Breiding, M. J., Smith, S. G., Walters, M. L., Merrick et al. (2011). The national intimate partner and sexual violence survey: 2010 summary report. https://www.cdc.gov/violenceprevention/pdf/nisvs_executive_summary-a.pdf. Accessed September 4, 2018.
- Brownson, R. C., Colditz, G. A., & Proctor, E. K. (Eds.). (2017). Dissemination and implementation research in health: Translating science to practice (2nd ed.). Oxford: Oxford Press.Google Scholar
- CDC. (2014). The health consequences of smoking—50 years of progress: A report of the Surgeon General. Atlanta: Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. https://www.surgeongeneral.gov/library/reports/50-years-of-progress/.
- CDC. (2016). BRFSS prevalence and trends data. https://www.cdc.gov/brfss/brfssprevalence/index.html. Accessed June 1, 2018.
- CDC. (2017). Nutrition, physical activity, and obesity data trends and maps. Accessed June 13, 2018.Google Scholar
- CDC. (2018). Caring for Our Children: National Health and Safety Performance Standards: Guidelines for Early Care and Education Programs, 3rd edition. https://www.cdc.gov/obesity/strategies/early-careeducation/pdf/TheSpectrumofOpportunitiesFramework_May 2018. Accessed June 1, 2018.
- CDC. Current cigarette smoking among adults in the United State. Updated February, 2018. Accessed June 15, 2018. https://www.cdc.gov/tobacco/data_statistics/fact_sheets/adult…smoking/index.htm.
- CDC. https://nccd.cdc.gov/dnpao_dtm/rdPage.aspx?rdReport=DNPAO_DTM.ExploreByTopic&islClass=PA&islTopic=PA1&go=GO). Accessed June 1, 2018.
- CDC. Medicaid Coverage of Cessation Treatments (Lung Association Cessation Coverage), in effect as of March 2018. https://www.cdc.gov/statesystem/comprehensivemedicaid.html.
- Christie, A. J., & Matthews, K. A. Childhood poly-victimization is associated with elevated body mass index and blunted cortisol stress response in college women. Annals of Behavioral Medicine (in press).Google Scholar
- Coker, A. L., Davis, K. E., Arias, I., Desai, S., Sanderson, M., Brandt, H. M., et al. (2002). Physical and mental health effects of intimate partner violence for men and women. American Journal of Preventive Medicine, 23, 260–268. https://doi.org/10.1016/S0749-3797(02)00514-7 CrossRefPubMedGoogle Scholar
- Emmons, K. M. (2000). Behavioral and social science contributions to the health of adults in the United States. In B. D. Smedley & S. L. Syme (Eds.), Promoting health. Intervention strategies from social and behavioral research. Washington DC: Institute of Medicine, National Academy Press.Google Scholar
- Eyler, A. (2008). How common is evidence-based state physical education legislation? Paper presented at Prevention Research Centers Annual Program Meeting, March 26, 2008, Atlanta GA.Google Scholar
- Gonzalez, P. A., Minkler, M., Garcia, A. P., Gordon, M., Garzón, C., Palaniappan, M., et al. (2011). Community-based participatory research and policy advocacy to reduce diesel exposure in West Oakland, California. American Journal of Public Health, 101, S166–S175.CrossRefPubMedPubMedCentralGoogle Scholar
- Haire-Joshu, D., Elliott, M., Schermbeck, R., Taricone, E., Green, S., & Brownson, R. C. (2010). Surveillance of obesity-related policies in multiple environments: The Missouri Obesity, Nutrition, and Activity Policy Database, 2007–2009. Preventing Chronic Disease, 7, A80.PubMedPubMedCentralGoogle Scholar
- Hales, C. M., Carroll, M. D., Fryar, C. D., & Ogden, C. L. (2017). Prevalence of obesity among adults and youth: United States, 2015–2016. NCHS data brief, No. 288. Hyattsville, MD: National Center for Health Statistics.Google Scholar
- Hays, L. M., Hoen, H. M., Slaven, J. E., Finch, E. A., Marrero, D. G., Saha, C., et al. (2016). Effects of a community-based lifestyle intervention on change in physical activity among economically disadvantaged adults with prediabetes. American Journal of Health Education, 47, 266–278.CrossRefPubMedPubMedCentralGoogle Scholar
- Institute of Medicine. (1998). The future of public health. Washington, DC: National Academy Press.Google Scholar
- Johnston, L. D., O’Malley, P. M., Terry-McElrath, Y. M., & Colabianchi, N. (2012). School policies and practices to improve health and prevent obesity: National secondary school survey results: School years 2006–07 through 2009–10. Volume 2. Bridging the Gap Program, Survey Research Center, Institute for Social Research, Ann Arbor, MI.Google Scholar
- Kingdon, J. W. (1995). Agendas. Alternatives and public policies. London: Longman.Google Scholar
- Land, T., Rigotti, N. A., Levy, D. E., Paskowsky, M., Warner, D., Kwass, J. A., et al. (2010a). A longitudinal study of medicaid coverage for tobacco dependence treatments in Massachusetts and associated decreases in hospitalizations for cardiovascular disease. PLoS Medicine, 7, e10000375.CrossRefGoogle Scholar
- Masheb, R. M., Chan, S. H., Raffa, S. D., Ackermann, R., Damschroder, L. J., Estabrooks, P. A., et al. (2017). State of the art conference on weight management in VA: Policy and research recommendations for advancing behavioral interventions. Journal of General Internal Medicine, 32, 74–78.CrossRefPubMedPubMedCentralGoogle Scholar
- Milam, A. J., Bone, L., Furr-Holden, D., Coylewright, M., Dachille, K., Owings, K., et al. (2012). Mobilizing for policy: Using community-based participatory research to impose minimum packaging requirements on small cigars. Progress in Community Health Partnerships, 6, 205–212.CrossRefPubMedPubMedCentralGoogle Scholar
- Muktabhant, B., Lwrie, T. A., Lumbiganon, P., & Laopaiboon, M. (2015). Diet or exercise, or both, for preventing excessive weight gain in pregnancy. Cochrane Database System Reviews (6).Google Scholar
- Ockene, J., & Orleans, C. T. (2010). Behavioral medicine, prevention, and health reform: Linking evidence-based clinical and public health strategies for population health behavior change. In A. Steptoe (Ed.), Handbook of behavioral medicine (pp. 1021–1035). New York: Springer.CrossRefGoogle Scholar
- Orchard, T. J., Temprosa, M., Goldberg, R., Haffner, S., Ratner, R., Marcovina, S., et al. (2005). The effect of metformin and intensive lifestyle intervention on the metabolic syndrome: The Diabetes Prevention Program randomized trial. Annals of Internal Medicine, 142, 611–619.CrossRefPubMedPubMedCentralGoogle Scholar
- Ruetten, A., Frahsa, A., Engbers, L., Gusi, N., Mota, J., Pacenka, R., et al. (2014). Supportive environments for physical activity, community action, and policy in 8 European Union Member States: Comparative analysis and specificities of context. Journal of Physical Activity and Health, 11, 873–883.CrossRefPubMedGoogle Scholar
- Society of Behavioral Medicine. http://www.sbm.org/advocacy/policy-briefs. Accessed May 30, 2018.
- Sorensen, G., Emmons, K., Hunt, M. K., Barbeau, E., Goldman, R., Peterson, K., et al. (2003). Model for incorporating social context in health behavior interventions: Applications for cancer prevention for working-class, multiethnic populations. Preventive Medicine, 37, 188–197.CrossRefPubMedGoogle Scholar
- Sorensen, G., Stoddard, A. M., Dubowitz, T., Barbeau, E. M., Bigby, J., Emmons, K. M., et al. (2007). The influence of social context on changes in fruit and vegetable consumption: Results of the healthy directions studies. American Public Health Association, 97, 1216–1227. Epub 2007 May 30.CrossRefGoogle Scholar
- Tabak, R. G., Padek, M. M., Kerner, J. F., Stange, K. C., Proctor, E. K., Dobbins, M. J., et al. (2017). Dissemination and implementation science training needs: Insights from practitioners and researchers. American Journal of Preventive Medicine, 52, S322–S329.CrossRefPubMedPubMedCentralGoogle Scholar
- US Public Health Service. (1964). Smoking and health: Report of the advisory committee to the surgeon general of the public health service. Public Health Service Document Number 1103.Google Scholar
- Wallington, S. F., Blake, K., Taylor-Clark, K., & Viswanath, K. (2010b). Antecedents to agenda setting and framing in health news: An examination of priority, angle, source, and resource usage from a national survey of U.S. health reporters and editors. Journal of Health Communication, 15, 76–94.CrossRefPubMedPubMedCentralGoogle Scholar