Using intervention mapping to adapt an effective HIV, sexually transmitted disease, and pregnancy prevention program for high-risk minority youth.
Although many programs have been developed to reduce adolescent pregnancy and sexually transmitted diseases (STDs) (including HIV), with some showing promise in reducing sexual risk-taking behavior, little guidance has been given as to how to adapt existing interventions to new communities. When adapting a program, effective elements deemed necessary to change behaviors need to be preserved, while cultural competence and relevance for the new population must be considered in creating new elements. To address these needs, the authors describe the application of a systematic process, intervention mapping (IM), to adapt a theory-based, multicomponent HIV, STD, and pregnancy prevention program titled Safer Choices to a new target population, at-risk youth attending alternative schools and at risk of dropping out. IM is a detailed process that provides planners with a systematic method for decision making in each phase of developing or adapting an intervention to influence changes in behavior and environmental conditions.
Tortolero
Susan R
SR
Center for Health Promotion and Prevention Research, School of Public Health, University of Texas Health Science Center, Houston, Texas, USA.
Markham
Christine M
CM
Parcel
Guy S
GS
Peters
Ronald J
RJ
Escobar-Chaves
S Liliana
SL
Basen-Engquist
Karen
K
Lewis
Holly L
HL
D000293:Adolescent; D000294:Adolescent Behavior; D003663:Decision Trees; D005260:Female; D015658:HIV Infections / Q000517:prevention & control*; D006266:Health Education / Q000458:organization & administration*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D020380:Needs Assessment; D011247:Pregnancy; D011253:Pregnancy in Adolescence; D012309:Risk-Taking; D012725:Sexual Behavior; D012749:Sexually Transmitted Diseases / Q000517:prevention & control*; D013781:Texas