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Adaptation of an effective school-based sexual health promotion program for youth in Colombia

Author

Listed:
  • Morales, Alexandra
  • Garcia-Montaño, Eileen
  • Barrios-Ortega, Cristian
  • Niebles-Charris, Janivys
  • Garcia-Roncallo, Paola
  • Abello-Luque, Daniella
  • Gomez-Lugo, Mayra
  • Saavedra, Diego Alejandro
  • Vallejo-Medina, Pablo
  • Espada, José Pedro
  • Lightfoot, Marguerita
  • Martínez, Omar

Abstract

Given the disproportionate impact of HIV and STIs among youth in Latin America, there is a compelling need for effective sex education programs. In particular, Colombia lacks a nationally standardized youth sex education program, despite the fact that 15 to 24-year-olds accounted for the highest incidence and prevalence rates of HIV and STIs in the nation. In an attempt to fill this void, our team adapted COMPAS, a Spanish school-based sexual health promotion intervention, for Colombian adolescents. Objective: This study describes the adaptation process that resulted in a modified version of COMPAS for youth in Colombia. Method: We employed a systematic cultural adaptation process utilizing a mixed methods approach, including intervention adaptation sessions with 100 young adolescents aged 15–19. The process included six steps: 1) consulting international researchers and community stakeholders; 2) capturing the lived experiences of a diverse sample of colombian youth; 3) identifying priorities and areas in need of improvement; 4) integrating the social cognitive theory, information-motivation-behavioral skills model, and an ecological framework for colombian youth; 5) adapting intervention content, activities, and materials; and 6) quantitative evaluation of COMPAS by Colombian youth. Results: The adapted intervention incorporates elements common to effective youth sex education interventions, including: a solid theoretical foundation, sexual communication skills and social support for protection, and guidance on how to utilize available cultural- and linguistic-appropriate services. In addition, the adapted intervention incorporates cultural and linguistic appropriate content, including an emphasis on tackling machismo to promote risk reduction behaviors. Conclusions: The systematic adaptation approach to sexual health intervention for youth can be employed by researchers and community stakeholders in low-resource settings for the promotion of health wellness, linkage to care, and STI and unplanned pregnancy prevention for youth.

Suggested Citation

  • Morales, Alexandra & Garcia-Montaño, Eileen & Barrios-Ortega, Cristian & Niebles-Charris, Janivys & Garcia-Roncallo, Paola & Abello-Luque, Daniella & Gomez-Lugo, Mayra & Saavedra, Diego Alejandro & Va, 2019. "Adaptation of an effective school-based sexual health promotion program for youth in Colombia," Social Science & Medicine, Elsevier, vol. 222(C), pages 207-215.
    • Handle: RePEc:eee:socmed:v:222:y:2019:i:c:p:207-215
    DOI: 10.1016/j.socscimed.2019.01.011
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    References listed on IDEAS

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    1. Virginia A Fonner & Kevin S Armstrong & Caitlin E Kennedy & Kevin R O'Reilly & Michael D Sweat, 2014. "School Based Sex Education and HIV Prevention in Low- and Middle-Income Countries: A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 9(3), pages 1-18, March.
    2. Escribano, Silvia & Espada, José P. & Orgilés, Mireia & Morales, Alexandra, 2016. "Implementation fidelity for promoting the effectiveness of an adolescent sexual health program," Evaluation and Program Planning, Elsevier, vol. 59(C), pages 81-87.
    3. Viruell-Fuentes, E.A. & Morenoff, J.D. & Williams, D.R. & House, J.S., 2011. "Language of interview, self-rated health, and the other Latino health puzzle," American Journal of Public Health, American Public Health Association, vol. 101(7), pages 1306-1313.
    4. Alexandra Morales & José P Espada & Mireia Orgilés & Silvia Escribano & Blair T Johnson & Marguerita Lightfoot, 2018. "Interventions to reduce risk for sexually transmitted infections in adolescents: A meta-analysis of trials, 2008-2016," PLOS ONE, Public Library of Science, vol. 13(6), pages 1-26, June.
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