Abstract
In Texas and across the United States, unintended pregnancy, HIV, and sexually transmitted infections (STIs) among adolescents remain serious public health issues. Sexual risk-taking behaviors, including early sexual initiation, contribute to these public health problems. Over 35 sexual health evidence-based programs (EBPs) have been shown to reduce sexual risk behaviors and/or prevent teen pregnancies or STIs. Because more than half of these EBPs are designed for schools, they could reach and impact a considerable number of adolescents if implemented in these settings. Most schools across the U.S. and in Texas, however, do not implement these programs. U.S. school districts face many barriers to the successful dissemination (i.e., adoption, implementation, and maintenance) of sexual health EBPs, including lack of knowledge about EBPs and where to find them, perceived lack of support from school administrators and parents, lack of guidance regarding the adoption process, competing priorities, and lack of specialized training on sexual health. Therefore, this paper describes how we used intervention mapping (Steps 3 and 4, in particular), a systematic design framework that uses theory, empirical evidence, and input from the community to develop CHoosing And Maintaining Effective Programs for Sex Education in Schools (iCHAMPSS), an online decision support system to help school districts adopt, implement, and maintain sexual health EBPs. Guided by this systematic intervention design approach, iCHAMPSS has the potential to increase dissemination of sexual health EBPs in school settings.
| Original language | English (US) |
|---|---|
| Article number | 203 |
| Journal | Frontiers in Public Health |
| Volume | 5 |
| Issue number | AUG |
| DOIs | |
| State | Published - Aug 11 2017 |
Funding
The authors thank Lionel Santib??ez for his editorial assistance. A modified version of this paper was originally published as a case study in Bartholomew Eldredge et al. (44) (Bartholomew 4e Book Companion Site, Jossey Bass 2016). Permission has been granted to publish this work from Jossey-Bass, San Francisco, CA, USA. Earlier versions of Table 1 and Figures 1 and 2 were published in Hernandez et al. (25). Permission has been obtained to publish these tables and figures from Dr. Christopher Greely, Editor-in-Chief. Figure 4 was published in Hernandez et al. (55). Permission has been obtained to publish this figure from SAGE Publications. This study was supported by a grant from the Centers for Disease Control and Prevention (U48DP001949), Office of Adolescent Health (OAH), and U.S. Department of Health and Human Services (grant number FTP1AH000072).
Keywords
- Adolescents
- Dissemination
- Evidence-based
- Intervention mapping
- Sexual health
ASJC Scopus subject areas
- Public Health, Environmental and Occupational Health
