In 2011, the teen birth rate for ages 15-19 was 31.3 live births per 1,000 population, or 329,797 births. This is the lowest rate since 1991; however, disparities in teen birth rates persist. In 2011, the teen birth rate for Latinos was 49.4 per 1,000, 47.4 per 1,000 for Non-Latino African Americans and 36.2 per 1,000 for American Indian and Ala
In addition to coverage and benefit provisions, the Affordable Care Act includes several other provisions aimed at improving health and healthcare access among adolescents. These include funding for school-based health centers, teen pregnancy prevention programs, home visiting programs, a childhood obesity demonstration project, and the expansion
Using Effect Sizes to Inform Policy and Practice: Evidence from the HHS Teen Pregnancy Prevention Evidence Review
In fall 2009, the U.S. Department of Health and Human Services (HHS) launched a systematic review of the research literature on programs to prevent teen pregnancy, sexually transmitted infections (STIs), and associated sexual risk behaviors. Findings have been used in part to identify programs with evidence of effectiveness in reducing these outco
Programs to Reduce Teen Pregnancy, Sexually Transmitted Infections, and Associated Sexual Risk Behaviors: A Systematic Review
This paper presents findings from an ongoing systematic review of research on teen pregnancy and STI prevention programs to help support evidence-based approaches to teen pregnancy prevention. A total of 88 studies met the review criteria for study quality and were included in the data extraction and analysis. Results indicate that the number and
Using Systematic Reviews to Inform Policy Initiatives: Lessons from the HHS Teen Pregnancy Prevention Review
In fall 2009, the U.S. Department of Health and Human Services (HHS) launched a systematic review of the research literature on programs to prevent teen pregnancy, sexually transmitted infections (STIs), and associated sexual risk behaviors. Findings have been used to inform two new federal policy initiatives aimed at supporting evidence-based app
The Importance of Contextual Fit when Implementing Evidence-Based Interventions. Addressing Skills/Competencies: It’s Your Game Project in South Carolina Schools
The U.S. Department of Health and Human Services’ Office of Adolescent Health (OAH) Teen Pregnancy Prevention (TPP) Program works to preven teen pregnancy by supporting the replication of evidence-based interventions and the implementation of demonstration programs to develop and test new models and innovative strategies. In September 2010, OAH
This brief is one in a series exploring issues related to the implementation of evidence-based interventions. It defines contextual fit, which is based on the premise that the match between an intervention and local context affects both the quality of the intervention implemented and whether the intervention actually produces the outcomes desired
Willing, Able -> Ready: Basics and Policy Implications of Readiness as a Key Component for Scaling up Implementation of Evidence-Based Interventions. References
Brodowski, M. L., Counts, J. M., Gillam, R. J., Baker, L., Spiva Collins, V., Winkle, E., et al. (2013). Translating evidence-based policy to practice: A multilevel partnership using the Interactive Systems Framework. Families in Society: The Journal of Contemporary Social Services, 94 (3), 141–149. DiMaggio, P. J., & Powell, W. W. (1983)
Willing, Able -> Ready: Basics and Policy Implications of Readiness as a Key Component for Scaling up Implementation of Evidence-Based Interventions. Interactive Systems Framework for Dissemination and Implementation (ISF)
The ISF has been applied in many fields of prevention and treatment, including to summarize the literature; for example, home visiting programs (Paulsell, Del Grosso & Supplee (in press); child abuse prevention (Brodowski et al., 2013), and diagnosing needs for TTA (e.g., a CDC teen pregnancy prevention initiative, Lesesne et al., 2008).
Willing, Able -> Ready: Basics and Policy Implications of Readiness as a Key Component for Scaling up Implementation of Evidence-Based Interventions
This brief is one in a series exploring issues related to the implementation of evidence-based interventions. It describes the basics of readiness using the R=MC2 (Readiness = Motivation × General Capacity and Intervention-Specific Capacity) heuristic, examines some of the policy implications of readiness, and identifies directions for future res
Performance Improvement 2013-2014. Which Evidence-Based Programs Reduce Teen Pregnancy, Sexually Transmitted Infections, and Other Sexual Risk Behaviors?
This project updated the review of the evidence for program models that demonstrate impacts on teen behaviors and consequences of sexual activity. This review served as the basis for identifying programs eligible for the HHS List of Evidence-Based Teen Pregnancy Prevention Program Models. A total of 88 studies met the review criteria for study qua
Performance Improvement 2013-2014. What Decisions Must State Level Entities Make to Ensure Effective Implementation of the Adolescent Pregnancy Prevention Program?
The evaluation of Adolescent Pregnancy Prevention Approaches is a joint effort examining the effectiveness of eight pregnancy prevention approaches and sites that serve various populations of youth. It aimed to increase the evidence base of program models designed to prevent teen pregnancy, reduce sexually transmitted illnesses and reduce sexual r
Performance Improvement 2013-2014. How Can Successful Replication of Evidence-Based Program Models and the Development of Evidence-Informed Models Be Ensured?
Significant investments have been made in the replication of evidence-based program models (EBPs) and testing evidence-informed and innovative approaches in the areas of home visitation, teen pregnancy prevention, and the reduction of long-term foster care. This project examined the challenges confronting stakeholders involved in EBP replication a
Performance Improvement 2013-2014. What Lessons Have Been Learned About Conducting Systematic Reviews to Inform Policy Initiatives?
HHS conducted a systematic review of the research literature on programs to prevent teen pregnancy, sexually transmitted infections, and associated sexual risk behaviors. Findings have been used to inform two new federal policy initiatives aimed at supporting evidence-based approaches to teen pregnancy prevention.
Performance Improvement 2013-2014. What Role can Stakeholder Education Play in Initiatives to Prevent Teen Pregnancy and Reduce Rates of Teen Births in Communities with Highest Risk?
A process evaluation focused on the efforts of target grantees and their key partners to educate community stakeholders in teen pregnancy prevention communitywide initiatives. There case studies documented the extent and quality of stakeholder education capacity building activities, strategic planning for stakeholder education and the implementati
MISSION: To provide analytical support and advice to the Secretary on policy development and assist the Secretary with the development and coordination of department wide program planning and evaluation activities. Evaluation Program
Performance Improvement 2001. Assessment, Testing and Evaluation of Teen Pregnancy Prevention Interventions and Programs
This project was a study of issues surrounding the successful replication of effective approaches to teen pregnancy prevention. The main objective of the project was to develop a set of publication-ready guidelines for the replication of adolescent pregnancy prevention programs for use by local program implementers.
Performance Improvement 2001: Evaluation Activities of the U.S. Department of Health and Human Services is the seventh annual report to Congress summarizing previous fiscal year evaluation efforts. The purpose of this report is to provide Congress with evaluative information on the Department's programs, policies, and strategies. It contains brief