September 18, 2014 (old blog)
Across the SBI literature many papers conclude that SBIs have a profound impact in the short-term, but long-term effects are meager or non-existent.
I think we have to take a step back and think about the mandate of the SBI. The purpose of the SBI is to nudge individuals toward healthy behaviour change; the SBI is not intended to have some sort of lasting long-term impact.
I think about it this way: RIPPLE will have a ‘drop in the bucket’ effect and for some this ripple may serve as a cue to action. We cannot expect however that 12-months later the waves will still be propagating… this is what we would expect to see from a long-term, moderate-to-high intensity prevention program!
Let’s call a spade a spade – the SBI is not an alternative to prevention programs that are intended to cause lasting change; rather the SBI is a kick start needed for some to initiate and seek out resources to put them on the right path.