Center for Injury Research and Prevention

Precision prevention: time to move beyond universal interventions.

TitlePrecision prevention: time to move beyond universal interventions.
Publication TypeJournal Article
Year of Publication2015
AuthorsWinston FK, Puzino K, Romer D
JournalInj Prev
Date Published2015 Aug 13

Nearly two decades ago, the Institute of Medicine (IOM) in the United States recognized a range in the nature and severity of risk for unhealthy behaviors across and within individuals over time. To address the disparate needs of individuals, the IOM proposed a multi-tiered framework for prevention that provides differential and increasingly more intense preventive intervention as a function of level of risk and response to prior intervention. The future agenda for injury prevention research should go beyond universal interventions that meet the typical needs of members of a population to build the scientific foundation for interventions that meet the needs of individuals. Based on strong evidence from evaluations of tiered risk strategies for mental and physical health promotion, there is reason for substantial hope that the successes that have been achieved in injury prevention can be extended to those at highest risk. Just as precision medicine aims to tailor medical therapy to the needs of the individual, precision injury prevention should provide comprehensive strategies that aim to meet the needs of all individuals within a population in achieving low risk outcomes.


Alternate JournalInj. Prev.
PubMed ID26271260