Adapting Evidence-Based Programs

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.

Adaptation

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 presentations and materials summarize the current body of knowledge regarding evidence-based programming and adaptation in the area of adolescent sexual health:

General Adaptation Guidelines (25 minutes)
In this narrated presentation, Regina Firpo-Triplett of ETR Associates explains the green-yellow-red light framework for adapting evidence-based programs in the field of adolescent sexual health.
(PowerPoint presentation: 5.4M)

Science-Based Programming and Adaptation (9 minutes)
This brief presentation by Mary Martha Wilson, Healthy Teen Network, reviews what is currently accepted about using evidence-based programs for adolescent sexual health.
(PowerPoint presentation: 897K)

Programs to Prevent Pregnancy, STIs, and HIV Among Adolescents: Selection Worksheet for Evidence-Based Programs (PDF: 214K)
This worksheet is designed to assist adolescent sexual health program providers in reviewing available evidence-based programs. The programs included are those selected by the U.S. Department of Health and Human Services Office of Adolescent Health for its 2010 request for proposals.