title: Adaptation Guidance for Evidence-Based Teen Pregnancy and STI/HIV Prevention Curricula: From Development to Practice.
abstract: 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.
authors.affiliation: Independent Consultant, Bellerose, NY, USA.
authors.forename: Lori A
authors.initials: LA
authors.lastname: Rolleri
authors.affiliation: Division of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, GA, USA.
authors.forename: Taleria R
authors.initials: TR
authors.lastname: Fuller
authors.affiliation: Center for Sexual and Reproductive Health Promotion, Education, Training and Research Associates, Scotts Valley, CA, USA.
authors.forename: Regina
authors.initials: R
authors.lastname: Firpo-Triplett
authors.affiliation: Public Health Division, ICF Macro, Atlanta, GA, USA.
authors.forename: Catherine A
authors.initials: CA
authors.lastname: Lesesne
authors.affiliation: Independent Contractor, Austin, TX, USA.
authors.forename: Claire
authors.initials: C
authors.lastname: Moore
authors.affiliation: Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA.
authors.forename: Kimberly D
authors.initials: KD
authors.lastname: Leeks
keywords: Adaptation; Getting to Outcomes; HIV prevention; STI prevention; evidence-based interventions; teen pregnancy prevention
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