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Using Intervention Mapping to Adapt an Effective HIV, Sexually Transmitted Disease, and Pregnancy Prevention Program for High-Risk Minority Youth

Texas Prevention Research Center at the Center for Health Promotion and Prevention Research in the School of Public Health at the University of Texas Health Science Center at Houston, Texas

Christine M. Markham, PhD

Center for Health Promotion and Prevention Research in the School of Public Health at the University of Texas Health Science Center at Houston, Texas

Guy S. Parcel, PhD

School of Public Health at the Center for Health Promotion and Prevention at the University of Texas Health Science Center at Houston, Texas

Ronald J. Peters, Jr., DrPH

Center for Health Promotion and Prevention Research in the School of Public Health at the University of Texas Health Science Center at Houston, Texas

S. Liliana Escobar-Chaves, DrPH

Center for Health Promotion and Prevention Research in the School of Public Health at the University of Texas Health Science Center at Houston, Texas

Karen Basen-Engquist, PhD, MPH

University of Texas M. D. Anderson Cancer Center in Houston, Texas

Holly L. Lewis, PhD

University of Houston, Downtown Campus, in Houston, Texas

Although many programs have been developed to reduce adolescent pregnancy and sexually transmitted diseases (STDs) (including HIV), with some showing promise in reducing sexual risk-taking behavior, little guidance has been given as to how to adapt existing interventions to new communities. When adapting a program, effective elements deemed necessary to change behaviors need to be preserved, while cultural competence and relevance for the new population must be considered in creating new elements. To address these needs, the authors describe the application of a systematic process, intervention mapping (IM), to adapt a theory-based, multicomponent HIV, STD, and pregnancy prevention program titled Safer Choices to a new target population, at-risk youth attending alternative schools and at risk of dropping out. IM is a detailed process that provides planners with a systematic method for decision making in each phase of developing or adapting an intervention to influence changes in behavior and environmental conditions.

Key Words: adolescent behavior • sexually transmitted diseases • prevention and control • intervention mapping • target population • program adaptation • pregnancy in adolescence • HIV

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