Over the past 20 years much research has been done to identify and develop evidence–based interventions in the field of adolescent pregnancy, STD and HIV prevention. Although there are now many programs to choose from, it is still difficult to implement programs with fidelity and consequently replicate program outcomes and impacts.
Planning for evidence-based programming, including selection, implementation, evaluation, and improvement can point communities toward success.
- A comprehensive community assessment is a very essential first step in the process of identifying a program that would be a good match for your community.
Once a program is selected, it may be necessary to carefully modify it for a better fit with the community and the priority population. But while some adaptations may be helpful, others will compromise the integrity and effectiveness of the program. Recognizing that replication with fidelity is a very complicated undertaking, especially given the complexity of communities and the rapidly changing adolescent population, the Centers for Disease Control and Prevention (CDC) and ETR Associates have begun to develop adaptation guidelines.
The following presentation and materials summarize the current body of knowledge regarding evidence-based programming and adaptation in the area of adolescent sexual health:
- Science-Based Programming and Adaptation by Mary Martha Wilson, Healthy Teen Network (January 2010): This 9-minute presentation briefly reviews what is currently accepted about using science-based programs for adolescent sexual health, and introduces the green/yellow/red light adaptation framework.
- Programs to Prevent Pregnancy, STIs, and HIV Among Adolescents: Selection Worksheet for Evidence-Based Programs (October 2009): Designed to assist adolescent sexual health program providers review available evidence-based programs.
- Adaptation Traffic Light Guide: Green, Yellow and Red Light Adaptations from ETR Associates and CDC Division of Reproductive Health: discusses how to approach program adaptation while maintaining positive outcomes.