Results of large-scale implementation of evidence-based teen pregnancy prevention (TPP) programs
OAH grantees developed a fidelity monitoring plan and are required to report data on reach, dosage (how much of the program the participants receive), fidelity (whether the program was implemented as intended), and quality of implementation. Performance measure data collected from all OAH grantees for a twelve month period were analyzed for the overall grant program, as well as by program model, program type (i.e. abstinence education, clinic-based, comprehensive sex education, and youth development), and program setting.
In one year, OAH grantees served over 100,000 youth with evidence-based programs in 37 States and DC. Overall, 47% were male; the majority were 14 years and younger; 42% were Black; and 31% were Hispanic/Latino. Average attendance across all programs was 77% and reported fidelity was 94% across grantees, however wide variability was found across individual programs, program types, and program settings for dosage (42-100%); fidelity (62-100%); and quality (46-100%).
Overall, the majority of grantees were able to implement programs with fidelity. However, the data indicate increased attention must be paid to participant retention. To ensure youth receive the benefits of the evidence-based program, it is critical that organizations retain youth for the majority of the program.
Learning Areas:Administer health education strategies, interventions and programs
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Public health or related public policy
Public health or related research
Describe the results of a large-scale implementation of evidence-based teen pregnancy prevention programs across 75 organizations in 37 States and DC. Describe one approach to measuring implementation of evidence-based programs with fidelity. Discuss the importance of participant retention and its relationship to program fidelity and implementation quality.
Keyword(s): Evidence Based Practice, Teen Pregnancy Prevention
Qualified on the content I am responsible for because: I have been the Deputy Director of the Office of Adolescent Health for a year. Previously, I served as a senior health policy analyst with the Office of Planning and Evaluation within the Department of Health and Human Services.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.