title: Promoting science-based approaches to teen pregnancy prevention: proactively engaging the three systems of the interactive systems framework.
abstract: In the field of teen pregnancy prevention many efficacious prevention programs are available but adoption of these programs is slow at the community level. In this article, we present a multi-site, capacity-building effort called the Promoting Science-based Approaches to Teen Pregnancy Prevention project (PSBA) as a case example of a proactive application of the Interactive System Framework (ISF) for dissemination and implementation. The ISF is a multi-system model leading to dissemination and implementation of science-based prevention programming through the work of three interactive systems: The "Prevention Delivery," "Prevention Support," and "Prevention Synthesis & Translation" Systems. This article describes the proactive use of the ISF to conceptualize and bolster the PSBA program's goal of assisting local prevention partners in the use of science-based approaches (SBA) to prevent teen pregnancy. PSBA uses all three systems of the ISF to facilitate practice improvements and offers valuable research opportunities to investigate factors related to dissemination and implementation processes across these systems. Describing our application of this framework highlights the feasibility of actively using the ISF to build prevention infrastructure and to guide large-scale prevention promotion strategies in the area of teen pregnancy prevention. The program's ongoing evaluation is presented as an example of early efforts to develop an evidence base around the ISF. Research implications are discussed.
authors.affiliation: Division of Reproductive Health, Applied Sciences Branch, Centers for Disease Control and Prevention, 4770 Buford Highway, MS K-22, Atlanta, GA 30341, USA. CLesesne@cdc.gov
authors.forename: Catherine A
authors.initials: CA
authors.lastname: Lesesne
authors.forename: Kelly M
authors.initials: KM
authors.lastname: Lewis
authors.forename: Carla Poindexter
authors.initials: CP
authors.lastname: White
authors.forename: Diane C
authors.initials: DC
authors.lastname: Green
authors.forename: Jennifer L
authors.initials: JL
authors.lastname: Duffy
authors.forename: Abraham
authors.initials: A
authors.lastname: Wandersman
mesh_terms: D000293:Adolescent; D002487:Centers for Disease Control and Prevention, U.S.; D019317:Evidence-Based Medicine; D005260:Female; D006293:Health Promotion / Q000458:organization & administration*; D006801:Humans; D017146:Models, Organizational; D019982:Organizational Case Studies; D011247:Pregnancy; D011253:Pregnancy in Adolescence / Q000517:prevention & control*; D016730:Program Development; D014481:United States