Abt Associates, Cambridge, Massachusetts.
Belmont Research Associates, Belmont, Massachusetts.
J Adolesc Health. 2014 Mar;54(3 Suppl):S45-52. doi: 10.1016/j.jadohealth.2013.12.024.
This article describes some of the early implementation challenges faced by nine grantees participating in the Teen Pregnancy Prevention Replication Study and their response to them.
The article draws on information collected as part of a comprehensive implementation study. Sources include site and program documents; program officer reports; notes from site investigation, selection and negotiation; ongoing communications with grantees as part of putting the study into place; and semi-structured interviews with program staff.
The issues faced by grantees in implementing evidence-based programs designed to prevent teen pregnancy varied by program model. Grantees implementing a classroom-based curriculum faced challenges in delivering the curriculum within the constraints of school schedules and calendars (program length and size of class). Grantees implementing a culturally tailored curriculum faced a series of challenges, including implementing the intervention as part of the regular school curriculum in schools with diverse populations; low attendance when delivered as an after-school program; and resistance on the part of schools to specific curriculum content. The third set of grantees, implementing a program in clinics, faced challenges in identifying and recruiting young women into the program and in retaining young women once they were in the program. The experiences of these grantees reflect some of the complexities that should be carefully considered when choosing to replicate evidence-based programs. The Teen Pregnancy Prevention replication study will provide important context for assessing the effectiveness of some of the more widely replicated evidence-based programs.
本文描述了参与青少年怀孕预防复制研究的九名拨款接受者在早期实施过程中面临的一些挑战，以及他们对此的应对措施。
本文借鉴了作为全面实施研究的一部分所收集的信息。来源包括：地点和项目文件；项目官员报告；地点调查、选择和协商的记录；作为研究实施的一部分与拨款接受者的持续沟通；以及对项目工作人员的半结构化访谈。
在实施旨在预防青少年怀孕的基于证据的项目时，拨款接受者面临的问题因项目模式而异。实施基于课堂的课程的拨款接受者在学校时间表和日历（课程长度和班级规模）的限制内提供课程方面面临挑战。实施文化定制课程的拨款接受者面临一系列挑战，包括在具有不同人群的学校中，将干预措施作为常规学校课程的一部分实施；作为课后计划提供时出勤率低；以及学校对特定课程内容的抵制。第三组拨款接受者在诊所实施的项目面临确定和招募年轻女性进入项目以及在她们进入项目后留住年轻女性的挑战。这些拨款接受者的经验反映了在选择复制基于证据的项目时应仔细考虑的一些复杂性。青少年怀孕预防复制研究将为评估一些更广泛复制的基于证据的项目的有效性提供重要背景。
