Skip to main content
Log in

Promoting Science-based Approaches to Teen Pregnancy Prevention: Proactively Engaging the Three Systems of the Interactive Systems Framework

  • Original Paper
  • Published:
American Journal of Community Psychology

Abstract

In the field of teen pregnancy prevention many efficacious prevention programs are available but adoption of these programs is slow at the community level. In this article, we present a multi-site, capacity-building effort called the Promoting Science-based Approaches to Teen Pregnancy Prevention project (PSBA) as a case example of a proactive application of the Interactive System Framework (ISF) for dissemination and implementation. The ISF is a multi-system model leading to dissemination and implementation of science-based prevention programming through the work of three interactive systems: The “Prevention Delivery,” “Prevention Support,” and “Prevention Synthesis & Translation” Systems. This article describes the proactive use of the ISF to conceptualize and bolster the PSBA program’s goal of assisting local prevention partners in the use of science-based approaches (SBA) to prevent teen pregnancy. PSBA uses all three systems of the ISF to facilitate practice improvements and offers valuable research opportunities to investigate factors related to dissemination and implementation processes across these systems. Describing our application of this framework highlights the feasibility of actively using the ISF to build prevention infrastructure and to guide large-scale prevention promotion strategies in the area of teen pregnancy prevention. The program’s ongoing evaluation is presented as an example of early efforts to develop an evidence base around the ISF. Research implications are discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

Notes

  1. We use the phrase “science-based programs” in this article but recognize a variety of terms are used across prevention disciplines. To aid the reader, please note that the authors mean for “science-based prevention programs” to be synonymous with evidence based programs, evidence based interventions, and effective programs or interventions. The phrase “science-based approach” includes science-based programs but is more than just programs. A science-based approach as used in the PSBA project is defined in Table 1.

References

  • Botvin, G. (2004). Advancing prevention science and practice: Challenges, critical issues, and future directions. Prevention Science, 5(1), 69–72.

    Article  PubMed  Google Scholar 

  • Cassell, C., Santelli, J., Colley-Gilbert, B., Dalmat, M., Mezoff, J., & Schauer, M. (2005). Mobilizing communities: An overview of the Community Coalition Partnership Programs for the Prevention of Teen Pregnancy. Journal of Adolescent Health, 37(3S), S3–S10.

    Article  PubMed  Google Scholar 

  • Chervin, D., Philliber, S., Brindis, C., Chadwick, A., Revels, M., Kamin, S., et al. (2005). Community capacity building in CDC’s Community Coalition Partnership Programs for the Prevention of Teen Pregnancy. Journal of Adolescent Health, 37(3S), S11–S19.

    Article  PubMed  Google Scholar 

  • Chinman, M., Hannah, G., Wandersman, A., Ebener, P., Hunter, S. B., Imm, P., & Sheldon, J. (2005). Developing a community science research agenda for building community capacity for effective preventive interventions. American Journal of Community Psychology, 35(3/4), 143–157.

    Article  PubMed  Google Scholar 

  • Chinman, M., Hunter, S. B., Ebener, P., Paddock, S. M., Stillman, L., Imm, P., & Wandersman, A. (2008). The Getting To Outcomes demonstration and evaluation: An illustration of the prevention support system. American Journal of Community Psychology, 41(3–4).

    Google Scholar 

  • Chinman, M., Imm, P., & Wandersman, A. (2004). Getting to outcomes 2004: Promoting accountability through methods and tools for planning, implementation, and evaluation. Santa Monica, CA: RAND Corporation, TR-TR101. Available at http://www.rand.org/publications/TR/TR101/.

  • Collins, C., Harshbarger, C., Sawyer, R., & Hamdallah, M. (2006). The diffusion of effective behavioral interventions project: Development, implementation, and lessons learned. AIDS Education and Prevention, 18(Suppl A), 5–20.

    Article  PubMed  Google Scholar 

  • Collins, C., Phields, M. E., & Duncan, T. (2007). An agency capacity model to facilitate implementation of evidence based behavioral interventions by community-based organizations. Journal of Public Health Management and Practice, January(Suppl), S16–S23.

  • Department of Health, Human Services (DHHS). (2002). Program announcement 2145—coalition capacity building for teen pregnancy prevention. Federal Register, 67(119), 42018–42022.

    Google Scholar 

  • Department of Health, Human Services (DHHS). (2004). Program announcement 4073—intergrating HIV and other prevention services into reproductive health and community settings, part B. Federal Register, 69(61), 16553–16560.

    Google Scholar 

  • Department of Health, Human Services (DHHS). (2005). Program announcement AA004—maternal, infant, and reproductive health: National and state coalition building, parts D and E. Federal Register, 70(55), 14687–14696.

    Google Scholar 

  • Elliott, D., & Mihalic, S. (2004). Issues in disseminating and replicating effective prevention programs. Prevention Science, 5(1), 47–53.

    Article  PubMed  Google Scholar 

  • Fisher, D., Imm, P., Chinman, M., & Wandersman, A. (2006). Getting to outcomes with developmental assets: Ten steps to measuring success in youth programs and communities. Minneapolis, MN: Search Institute.

    Google Scholar 

  • Fixsen, D. L., Naoom, S. F., Blase, K. A., Friedman, R. M., & Wallace, F. (2005). Implementation research: A synthesis of the literature. Tampa, FL: University of South Florida, Louis de la Parte Florida Mental Health Institute, The National Implementation Research Network (FMHI Publication #231). Available at http://nirn.fmhi.usf.edu.

  • Green, L., & Glasgow, R. (2006). Evaluating the relevance, generalization, and applicability of research: Issues in external validation and translation methodology. Evaluation and the Health Professions, 29(1), 126–53.

    Article  Google Scholar 

  • Hunter, S., Chinman, M., Ebener, P., Imm, P. & Wandersman, A. (2008). Technical assistance as a prevention capacity-building tool: a demonstration using the Getting To Outcomes framework (Submitted).

  • 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 

  • Kirby, D. (2001). Emerging answers: Research findings on programs to reduce teen pregnancy. Washington DC: The National Campaign to Prevent Teen Pregnancy.

    Google Scholar 

  • Kirby, D., Laris, B., & Rolleri, L. (2006). Sex and HIV education for youth: Their impact and important characteristics. ETR: Scotts Valley, CA. Available at http://www.etr.org/recapp/programs/SexHIVedProgs.pdf.

  • Kramer, J., Philliber, S., Brindis, C., Kamin, S., Chadwick, A., Revels, M. et al. (2005). Coalition models: Lessons learned from the CDC’s Community Coalition Partnership Programs for the Prevention of Teen Pregnancy. Journal of Adolescent Health, 37(3S), S20–S30.

    Article  PubMed  Google Scholar 

  • Labonte, R., & Laverack, G. (2001a). Capacity building in health promotion, part 1: For whom? And for what purpose? Critical Public Health, 11(2), 111–127.

    Article  Google Scholar 

  • Labonte, R., & Laverack, G. (2001b). Capacity building in health promotion, part 2: Whose use? And with what measurement? Critical Public Health, 11(2), 129–138.

    Article  Google Scholar 

  • Lesesne, C. A., Lewis, K. M., Moore, C., Fisher, D., Green, D., & Wandersman, A. (2007). Promoting Science-based Approaches to Teen Pregnancy Prevention using Getting To Outcomes: Draft June 2007. Unpublished manual.

  • Lesesne, C. A., & Lord, E. (2007). Making what is old, new again: Research needs in the adoption and implementation of science-based teen pregnancy prevention programs. Presented at What’s it going to take? Extending the research base to improve teen pregnancy prevention, March 7–8, 2007, Washington, DC. Extended abstract available at: http://www.teenpregnancy.org/resources/research/researchconf/lesene_abstract.pdf.

  • Livet, M., & Wandersman, A. (2005). Organizational functioning: Facilitating effective interventions and increasing the odds of programming success. In D. M. Fetterman & A. Wandersman (Eds.), Empowerment evaluation principles in practice (pp. 123–154). New York: Guilford Press.

  • Maibach E. W., Van Duyn M. A., & Bloodgood, B. (2006). A marketing perspective on disseminating evidence-based approaches to disease prevention and health promotion. Preventing Chronic Disease. 3(3), 1–11. Available at www.cdc.gov/pcd/issues/2006/jul/05_0154.htm.

  • Merriam S. B., & Leahy, B. (2005). Learning transfer: A review of the research in adult education and training. PAACE Journal of Lifelong Learning, 14, 1–24.

    Google Scholar 

  • Miller, R. L., & Shinn, M. (2005). Learning from communities: Overcoming difficulties in dissemination of prevention and promotion efforts. American Journal of Community Psychology, 35(3/4), 169–183.

    Article  PubMed  Google Scholar 

  • Mitchell, R. E., Stone-Wiggins, B., Stevenson, J. F., & Florin, P. (2004). Cultivating capacity: Outcomes of a statewide support system for prevention coalitions. Journal of Prevention & Intervention in the Community, 27(2), 67–87.

    Article  Google Scholar 

  • Philliber, S., & Nolte, K. (2008). Implementation science: Promoting science-based approaches to prevent teen pregnancy (Submitted).

  • Stevenson, J. F., Florin, P., Mills, D. S., & Andrade, M. (2002). Building evaluation capacity in human service organizations: a case study. Evaluation and Program Planning, 25(3), 233–243.

    Article  Google Scholar 

  • Wandersman, A. (2003). Community science: Bridging the gap between science and practice with community-centered models. American Journal of Community Psychology, 31, 227–242.

    Article  PubMed  Google Scholar 

  • Wandersman, A., Duffy, J., Flaspohler, P., Noonan, R., Lubell, K., Stillman, L., Blachman, M., Dunville, R., & Saul, J. (2008). Bridging the gap between prevention science and practice: The Interactive systems framework for dissemination and implementation. American Journal of Community Psychology, 41(3–4).

    Google Scholar 

  • Wandersman, A., Imm, P., Chinman, M., & Kaftarian, S. (2000). Getting To Outcomes: A results-based approach to accountability. Evaluation and program planning, 23, 389–395.

    Article  Google Scholar 

  • Wilson, M., Atanda, R., Atkinson, D., & Mulvey, K. (2005). Outcomes from the targeted capacity expansion substance abuse treatment program. Evaluation and Program Planning, 28, 341–348.

    Article  Google Scholar 

Download references

Acknowledgements

We are grateful to the reviewers for their helpful suggestions to improve the manuscript. We also appreciate comments on earlier drafts from Alison Spitz, Christine Galavotti, and Mary Rogers. Last but not least, we wish to acknowledge the great work of the PSBA project grantees and their partners. This article was completed, in part, with support from Manila Consulting Group, Inc., under Contract Number 200-2006-16591 (Task Order #002) with the Centers for Disease Control and Prevention.

Disclaimer

The findings and conclusions in this report are those of the authors and do not necessarily represent the views of the Centers for Disease Control and Prevention.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Catherine A. Lesesne.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lesesne, C.A., Lewis, K.M., White, C.P. et al. Promoting Science-based Approaches to Teen Pregnancy Prevention: Proactively Engaging the Three Systems of the Interactive Systems Framework. Am J Community Psychol 41, 379–392 (2008). https://doi.org/10.1007/s10464-008-9175-y

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10464-008-9175-y

Keywords

Navigation