Rolleri Lori A, Fuller Taleria R, Firpo-Triplett Regina, Lesesne Catherine A, Moore Claire, Leeks Kimberly D
Independent Consultant, Bellerose, NY, USA.
Division of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Am J Sex Educ. 2014 May 21;9(2):135-154. doi: 10.1080/15546128.2014.900467.
Evidence-based interventions (EBIs) are effective in preventing ado-lescent pregnancy and sexually transmitted infections; however, prevention practitioners are challenged when selecting and adapting the most appropriate programs. While there are existing adaptation frameworks, there is little practical guidance in applying research in the field. To address this need, the Centers for Disease Control and Prevention (CDC) Division of Reproductive Health initiated the Adaptation Guidance Project. The project included the development of a comprehensive adaptation guidance framework and adaptation kits for select evidence-based teen pregnancy and HIV prevention programs. In addition, three innovative concepts emerged that have application to other adaptation program and evaluation efforts, including moving research into practice. First, the authors defined the core components of an EBI in three distinct ways: core content, core pedagogy, and core implementation. Second, they piloted a practitioner-friendly adaptation guidance-messaging schema-Green, Yellow, and Red Light Adaptations, and last they included fidelity/adaptation monitoring logs. This article will describe the process used to develop the adaptation guidance kits, including the main features and tools.
循证干预措施在预防青少年怀孕和性传播感染方面是有效的；然而，预防工作者在选择和调整最合适的项目时面临挑战。虽然现有的调整框架，但在该领域应用研究方面几乎没有实际指导。为满足这一需求，疾病控制和预防中心（CDC）生殖健康司启动了“调整指南项目”。该项目包括为选定的循证青少年怀孕和艾滋病毒预防项目制定全面的调整指南框架和调整工具包。此外，还出现了三个具有创新性的概念，可应用于其他调整项目和评估工作，包括将研究转化为实践。首先，作者以三种不同方式定义了循证干预措施的核心组成部分：核心内容、核心教学法和核心实施。其次，他们试点了一种对从业者友好的调整指南信息模式——绿灯、黄灯和红灯调整，最后他们纳入了保真度/调整监测日志。本文将描述开发调整指南工具包所使用的过程，包括主要特点和工具。
