title: Applying an intervention framework to assess North Carolina's adolescent pregnancy prevention efforts.
abstract: OBJECTIVE
  We assessed the extent to which implementing adolescent pregnancy prevention programs in conjunction with three level implementation strategies reduces adolescent pregnancy rates at the county-level in North Carolina (NC).
  
  
  METHODS
  Fixsen and colleagues' (2005) three levels of implementation were used to organize the prevention strategies: core (e.g., training, fidelity monitoring), organizational (e.g., administrative support), and external (e.g., community resources).
  
  
  RESULTS
  Counties that had adolescent friendly clinic/services (external) were more likely to report lower adolescent pregnancy rates in comparison to counties that did not have access to such services.
  
  
  CONCLUSIONS
  Findings suggest external implementation strategies are key to reducing adolescent pregnancy rates.
authors.affiliation: Department of Public Health Education, University of North Carolina, Greensboro, NC, USA. Electronic address: bdchambe@uncg.edu.
authors.forename: Brittany D
authors.initials: BD
authors.lastname: Chambers
authors.affiliation: Department of Public Health Education, University of North Carolina, Greensboro, NC, USA.
authors.forename: Alice
authors.initials: A
authors.lastname: Ma
mesh_terms: D000293:Adolescent; D003153:Community Health Services; D005260:Female; D006284:Health Plan Implementation / Q000379:methods*; D006801:Humans; D009657:North Carolina; D011247:Pregnancy; D018873:Pregnancy Rate; D011253:Pregnancy in Adolescence / Q000517:prevention & control*; D015397:Program Evaluation
keywords: Adolescent pregnancy; Intervention frameworks; Teen pregnancy prevention