Prevention Science Can’t Wait: An Interview with Dr. Diana H. Fishbein

Abstract

In an ongoing series of interviews, Challenges Advisory Board member and Nova Institute for Health Fellow Alan C. Logan meets with thought leaders, scientists, scholars, healthcare professionals, artisans, and visionaries concerned about health at the scale of persons, places, and the planet. Here, Dr. Diana H. Fishbein responds to a set of questions posed by Challenges. For over forty years, Dr. Fishbein, a neuroscientist and criminologist by training, has been at the forefront of research examining the intersections of biological, environmental, social, and physical factors as they relate to brain development, functioning, risky behavior, and life outcomes. Within this broad-ranging career, Dr. Fishbein was among the very first to conduct a dietary intervention study (eliminating refined carbohydrate foods) examining behavioral outcomes (i.e., nutritional psychiatry). This, combined with related research endeavors and experiences, led to a wider-lens view of prevention research, a desire to understand the physiological mechanisms that explain heterogeneity in positive and/or unfavorable outcomes in prevention programs, and a dynamic career devoted to the science of prevention. Here, Dr. Fishbein reflects on her career and its many twists and turns through a range of interdisciplinary work. Shediscusses prevention science through the lens of future possibilities and the need for scientists to lean toward advocacy and supporting evidence-based policy changes. Prevention science, as Dr. Fishbein explains, is at the heart of the many interconnected challenges of our time.

Keywords

• prevention science
• criminal justice
• substance-use disorders
• adversity
• public health
• corporate determinants of health