Prevention Science

, Volume 9, Issue 3, pp 166–177 | Cite as

Implementation Science: Promoting Science-Based Approaches to Prevent Teen Pregnancy

Article

Abstract

This paper reports the results of a project funded by the Centers for Disease Control and Prevention intended to promote the use of science-based approaches to teen pregnancy prevention. As with other efforts to promote diffusion of innovations, adoption of these successful programs faced a number of barriers including lack of knowledge of programs that work, lack of funding for training and materials, devaluing science-based approaches, complexity of successful programs, politics, funding streams and compatibility with particular community characteristics. Nevertheless, five state and three national teen pregnancy organizations provided intensive technical assistance, produced materials, and provided training to encourage use of programs that work. Local barriers to their work included the fact that teen pregnancy rates were already dropping, instability of funding to pay for such programs, turnover of agency staff, the need for intensive follow-up to promote adoption, the internal organization of the initiative, and the fragility of local teen pregnancy prevention coalitions. Still, in each of five states, there was increased adoption of science-based approaches to prevent teen pregnancy.

Keywords

Science-based Teen pregnancy Diffusion of innovation 

References

  1. Dusenbury, L., Brannigan, R., Hansen, W., Walsh, J., & Falco, M. (2005). Quality of implementation: Developing measures crucial to understanding the diffusion of preventive interventions. Health Education Research, 20, 308–313.PubMedCrossRefGoogle Scholar
  2. Elliott, D., & Mihalic, S. (2004). Issues in disseminating and replicating effective prevention programs. Prevention Science, 5, 47–53.PubMedCrossRefGoogle Scholar
  3. Ennett, S., Ringwalt, C., Thorne, J., Rohrbach, L., Vincus, A., Simons-Rudolph, A., et al. (2003). A comparison of current practice in school-based substance use prevention programs with meta-analysis findings. Prevention Science, 4, 1–14.PubMedCrossRefGoogle Scholar
  4. Glasgow, R., Klesges, L., Dzewaltowski, D., Bull, S., & Estabrooks, P. (2004). The future of health behavior change research: What is needed to improve translation of research into health promotion practice? Annals of Behavioral Medicine, 27, 3–12.CrossRefGoogle Scholar
  5. Greenhalgh, T., Robert, G., Macfarlane, F., Bate, P., & Kyriakidou, O. (2004). Diffusion of innovations in service organizations: Systematic review and recommendations. The Milbank Quarterly, 82, 581–629.PubMedCrossRefGoogle Scholar
  6. Kirby, D. (1997). No easy answers: Research findings on programs to reduce teen pregnancy. Washington, DC: The National Campaign to Prevent Teen Pregnancy.Google Scholar
  7. Kirby, D. (2001). Emerging answers: Research findings on programs to reduce teen pregnancy. Washington DC: The National Campaign to Prevent Teen Pregnancy.Google Scholar
  8. Kirby, D., Laris, B. A., & Rolleri, L. (2005). Impact of sex and HIV education programs on sexual behaviors of youth in developing and developed countries, Family Health International, Youth Research Working Paper Series No. 2.Google Scholar
  9. McGovern, M., Fox, T., Xie, H., & Drake, R. (2004). A survey of clinical practices and readiness to adopt evidence-based practices: Dissemination research in an addiction treatment system. Journal of Substance Abuse Treatment, 26, 305–312.PubMedCrossRefGoogle Scholar
  10. Miller, R., Bedney, B., & Guenther-Grey, C. (2003). Assessing organizational capacity to deliver HIV prevention services collaboratively: Tales from the field. Health Education & Behavior, 30, 582–600.CrossRefGoogle Scholar
  11. Miller, R., & Shinn, M. (2005). Learning from communities: Overcoming difficulties in dissemination of prevention and promotion efforts. American Journal of Community Psychology, 24, 169–183.CrossRefGoogle Scholar
  12. Pankratz, M., Hallfors, D., & Cho, H. (2002). Measuring perceptions of innovation adoption: The diffusion of a federal drug prevention policy. Health Education Research, 17, 315–326.PubMedCrossRefGoogle Scholar
  13. Ringwalt, C. L., Ennett, S., Vincus, A., Thorne, J., Rohrbach, L. A., & Simmons-Rudolph, A. (2002). The prevalence of effective substance use prevention curricula in U.S. middle schools. Prevention Science, 3, 257–265.PubMedCrossRefGoogle Scholar
  14. Rogers, E. (2003). Diffusion of innovations (3rd ed.). New York: Free Press.Google Scholar

Copyright information

© Society for Prevention Research 2008

Authors and Affiliations

  1. 1.Philliber Research AssociatesAccordUSA
  2. 2.The Georgia Campaign for Adolescent Pregnancy PreventionAtlantaUSA

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