Tapping into Community Resiliency in Rural Adolescent Pregnancy Prevention: An Implementation Sciences Approach.
Although rural youth experience marked inequities in adolescent pregnancy, there is little guidance for implementing evidence-based programs (EBPs) in rural settings. When implementation occurs in rural communities, it frequently focuses on deficits, rather than strengths or capacity for growth. Usi...
| Publicado en: | Behavioral Medicine Vol. 46; no. 3/4; pp. 340 - 353 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Jul-Sep2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=145133997&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 145133997 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08964289 BMD jtl: Behavioral Medicine issn: 08964289 maglogo: N pubinfo: dt: Jul-Sep2020 vid: 46 iid: 3/4 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 145133997 145133997 145133997 10.1080/08964289.2020.1748863 145133997 ppf: 340 ppct: 13 formats: tig: atl: Tapping into Community Resiliency in Rural Adolescent Pregnancy Prevention: An Implementation Sciences Approach. aug: au: Ott, Mary A. Hunt, Abby L. Katz, Amy J. Zaban, Leigh S. affil: Division of Adolescent Medicine, Department of Pediatrics, Indiana University School of Medicine sug: subj: Hardiness In Adolescence Pregnancy in Adolescence Prevention and Control Community Programs Rural Areas Program Implementation Implementation Science Pregnancy Female Adolescence Adolescent Behavior Adolescent Health Midwestern United States Interviews Sex Education Human Adolescent: 13-18 years Female ab: Although rural youth experience marked inequities in adolescent pregnancy, there is little guidance for implementing evidence-based programs (EBPs) in rural settings. When implementation occurs in rural communities, it frequently focuses on deficits, rather than strengths or capacity for growth. Using the consolidated framework for implementation research (CFIR), we describe a resiliency-focused implementation of two middle school EBPs in rural Midwestern communities, including the intervention, outer and inner settings, individuals, implementation processes and preliminary outcomes. Data included program staff interviews, feedback from local partners, community meetings notes, and participant surveys. Using the CFIR, we describe the engagement of rural communities themselves in a resilience-based implementation of adolescent pregnancy prevention EPBs. Communities self-described as rural, traditional and religious. They identified adolescent pregnancy, substance use, and academic success as priorities. To address infrastructure needs and build on local strengths, funds were used to hire local partners to implement the program. As small communities, stakeholders were closely networked and wanted to address local needs. Local partners selected the EBP based upon community values and priorities. Champions, including local partner organizations and schools were locally based and were well connected. Intensive training of local staff and piloting with adaptation assured fidelity and sustainability, while increasing community implementation skills and comfort. In Clinton County, enrollment was 1946 with students receiving the program in 6th, 7th, and/or 8th grades. In Southern Indiana, 7275 students received the program once in either 6th, 7th, or 8th. We conclude that the CFIR can facilitate the implementation of a community resilience-focused adolescent pregnancy prevention intervention in rural communities. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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