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Implementation fidelity for promoting the effectiveness of an adolescent sexual health program

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  • Escribano, Silvia
  • Espada, José P.
  • Orgilés, Mireia
  • Morales, Alexandra

Abstract

The goal of the present study was to examine COMPAS program (Competencies for adolescents with a healthy sexuality) outcomes based on implementation fidelity: dose, adherence, and acceptance. Participants were 716 adolescents aged 14–16 years (46.5% boys). Two fidelity groups were established: high (n=83) and low (n=312), with the remaining sample serving as a non-program control group (n=321). Knowledge about sexually transmitted infections (STIs), attitudes towards HIV, intention to use condoms, and sexual behavior were evaluated. Results indicated that adolescents receiving the intervention displayed improved STI knowledge (p<0.001) and improved attitudes toward HIV (p<0.05) as compared to the control group. Between the two intervention groups, a high-fidelity group intended to engage more in safe sex behaviors (p=0.05) and displayed greater STI knowledge (p=0.05) as compared to the low-fidelity group. The present study revealed improved efficiency when applying prevention programs with implementation fidelity.

Suggested Citation

  • 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.
    • Handle: RePEc:eee:epplan:v:59:y:2016:i:c:p:81-87
    DOI: 10.1016/j.evalprogplan.2016.08.008
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    1. 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.
    2. Teasdale, Rebecca M. & Strasser, Mikayla & Moore, Ceily & Graham, Kara E., 2023. "Evaluative criteria in practice: Findings from an analysis of evaluations published in Evaluation and Program Planning," Evaluation and Program Planning, Elsevier, vol. 97(C).
    3. Decker, Martha J. & Price, Melisa & Unti, Lisa & Firpo-Triplett, Regina & Atyam, Tara & Spitzer, Jason & Coyle, Karin, 2022. "Monitoring unplanned sexual health curricula adaptations: Using results to improve fidelity and support implementation," Evaluation and Program Planning, Elsevier, vol. 94(C).
    4. Fernández-Martínez, Iván & Orgilés, Mireia & Espada, José P. & Essau, Cecilia A. & Morales, Alexandra, 2021. "Effects as a function of implementation fidelity of a transdiagnostic prevention program in young school-aged children," Evaluation and Program Planning, Elsevier, vol. 89(C).

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