title: Long Live Love. The implementation of a school-based sex-education program in The Netherlands.
abstract: Implementation of health education programs is often inadequately considered or not considered at all in planning, developing and evaluating interventions. With the focus being predominantly on the adoption stage, little is known about the factors influencing the implementation and continuation stages of the diffusion process. This study contributes to the understanding of factors that promote or impede each stage of the diffusion process in the school setting using the sex education program Long Live Love (LLL) as an example. A survey integrating different diffusion-related concepts was completed by 130 teachers. Results showed that teacher curriculum-related beliefs were associated with all stages in the diffusion process. Although adoption of LLL was predominantly related to teacher curriculum-related beliefs, implementation completeness and fidelity and continued use of LLL were also enhanced by contextual factors, namely teacher training and interactive context variables (school policy, governing body support and student response), respectively. The results of this study can be used to optimize the adoption, implementation and continuation of school-based (sexual) health promotion programs.
authors.affiliation: Department of Work and Social Psychology, Faculty of Psychology and Neuroscience, Maastricht University, PO Box 616, 6200 MD, Maastricht, The Netherlands, Department of Health Promotion, Nutrition and Toxicology Research Institute Maastricht (NUTRIM) and Care and Public Health Research Institute (Caphri), Maastricht University and Department of Youth, STI AIDS Netherlands, The Netherlands lisette.schutte@maastrichtuniversity.nl.
authors.forename: Lisette
authors.initials: L
authors.lastname: Schutte
authors.affiliation: Department of Work and Social Psychology, Faculty of Psychology and Neuroscience, Maastricht University, PO Box 616, 6200 MD, Maastricht, The Netherlands, Department of Health Promotion, Nutrition and Toxicology Research Institute Maastricht (NUTRIM) and Care and Public Health Research Institute (Caphri), Maastricht University and Department of Youth, STI AIDS Netherlands, The Netherlands.
authors.forename: Ree M
authors.initials: RM
authors.lastname: Meertens
authors.affiliation: Department of Work and Social Psychology, Faculty of Psychology and Neuroscience, Maastricht University, PO Box 616, 6200 MD, Maastricht, The Netherlands, Department of Health Promotion, Nutrition and Toxicology Research Institute Maastricht (NUTRIM) and Care and Public Health Research Institute (Caphri), Maastricht University and Department of Youth, STI AIDS Netherlands, The Netherlands.
authors.forename: Fraukje E F
authors.initials: FE
authors.lastname: Mevissen
authors.affiliation: Department of Work and Social Psychology, Faculty of Psychology and Neuroscience, Maastricht University, PO Box 616, 6200 MD, Maastricht, The Netherlands, Department of Health Promotion, Nutrition and Toxicology Research Institute Maastricht (NUTRIM) and Care and Public Health Research Institute (Caphri), Maastricht University and Department of Youth, STI AIDS Netherlands, The Netherlands.
authors.forename: Herman
authors.initials: H
authors.lastname: Schaalma
authors.affiliation: Department of Work and Social Psychology, Faculty of Psychology and Neuroscience, Maastricht University, PO Box 616, 6200 MD, Maastricht, The Netherlands, Department of Health Promotion, Nutrition and Toxicology Research Institute Maastricht (NUTRIM) and Care and Public Health Research Institute (Caphri), Maastricht University and Department of Youth, STI AIDS Netherlands, The Netherlands.
authors.forename: Suzanne
authors.initials: S
authors.lastname: Meijer
authors.affiliation: Department of Work and Social Psychology, Faculty of Psychology and Neuroscience, Maastricht University, PO Box 616, 6200 MD, Maastricht, The Netherlands, Department of Health Promotion, Nutrition and Toxicology Research Institute Maastricht (NUTRIM) and Care and Public Health Research Institute (Caphri), Maastricht University and Department of Youth, STI AIDS Netherlands, The Netherlands.
authors.forename: Gerjo
authors.initials: G
authors.lastname: Kok
mesh_terms: D000293:Adolescent; D003479:Curriculum; D005178:Faculty; D005260:Female; D006284:Health Plan Implementation; D006293:Health Promotion; D006801:Humans; D008297:Male; D009426:Netherlands; D012572:School Health Services; D012736:Sex Education / Q000379:methods; D011795:Surveys and Questionnaires