Adaptations and Impacts Understanding Teen Pregnancy Prevention Programs

Modified Project Summary/Abstract Section Adolescent pregnancies remain an area of marked health disparities. What there has been significant effort put into the initial development and testing of evidence-based teen pregnancy prevention programs (EBPs), little data exist to guide replication and adaptation to local contexts or for different populations. Yet most EBPs require some type of adaptation. This project combines mixed methods data from nine large-scale federal- and state-funded replication projects with over 17,000 participants from various locations and populations across the state of Indiana. The project seeks to advance our understanding of adaptation in EBPs focused on four key areas: system involvement, rural communities, use with different populations, and virtual approaches. Using the Framework for Reporting Adaptations and Modifications-Expanded (FRAME) as a guide, the specific aims of this proposal are: (1) to describe the frequency, characteristics and type of adaptations made when implementing EBPs with a focus on the above four areas; (2) to quantitatively examine the effect of adaptations in these four areas on key EBP targets, including skills, knowledge, attitudes, intentions and behaviors, using youth surveys; (3) to describe stakeholder’s approaches for determining the need for adaptations in these four areas; and (4) to create an adaptation toolkit using a Delphi process involving expert and community stakeholders. This project will inform EBP adaptation and replication.