Fostering Healthy Futures for Teens: Adaptation of an Evidence-Based Program.
Fostering Healthy Futures for Teens: Adaptation of an Evidence-Based Program.
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DOI：
10.1086/684021
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发表时间：
2015-12
影响因子：
1.8
通讯作者：
Combs M
中科院分区：
文献类型：
--
作者：
Taussig H;Weiler L;Rhodes T;Hambrick E;Wertheimer R;Fireman O;Combs M
本文介绍了适应和实施一个复杂的，多成分的干预新的人口的过程。具体而言，本文描述了促进青少年健康未来（FHF-T）计划的制定和实施，该计划是促进健康未来®（FHF）预防性干预措施的适应和扩展。FHF是一个为期9个月的辅导和技能小组计划，针对最近被寄养的9至11岁奥尔兹。在FHF被指定为循证干预措施后，对该计划的需求不断增加。然而，FHF已证明有效的狭窄人群限制了现有干预措施的更广泛实施。FHF-T的目的是扩大该计划的覆盖面，通过调整FHF干预，在高中的早期谁有家庭外护理的历史青少年。具体来说，这种适应认识到青春期前和青春期人群之间的关键发育差异。在设计了一个方案模型和调整方案组成部分后，FHF-T指导方案在2个方案年内与42名青年一起实施。在接受该项目的青少年中，75%的人选择入学，88%的人在9个月后毕业。虽然该计划证明了高吸收率和参与者满意度，但遇到了一些意想不到的挑战，需要在该计划的未来迭代中加以解决。太多的节目改编没有仔细考虑重要的上下文问题，太少，这些改编的节目进行了研究。我们的程序调整过程中，严格的测量程序的实施提供了一个有用的模式，为其他循证计划寻求周到的适应。
This article describes the process of adapting and implementing a complex, multicomponent intervention for a new population. Specifically, the article delineates the development and implementation of the Fostering Healthy Futures for Teens (FHF-T) program, which is an adaptation and extension of the Fostering Healthy Futures® (FHF) preventive intervention. FHF is a 9-month mentoring and skills group program for 9 to 11 year olds recently placed in foster care. Following the designation of FHF as an evidence-based intervention, there was increasing demand for the program. However, the narrow population for which FHF had demonstrated efficacy limited broader implementation of the existing intervention. FHF-T was designed to extend the reach of the program by adapting the FHF intervention for adolescents in the early years of high school who have a history of out-of-home care. Specifically, this adaptation recognizes key developmental differences between preadolescent and adolescent populations. After designing a program model and adapting the program components, the FHF-T mentoring program was implemented with 42 youth over 2 program years. Of the teens who were offered the program, 75% chose to enroll, and 88% of those graduated 9 months later. Although the program evidenced high rates of uptake and participant satisfaction, some unexpected challenges were encountered that will need to be addressed in future iterations of the program. Too often program adaptations are made without careful consideration of important contextual issues, and too infrequently, these adapted programs are studied. Our process of program adaptation with rigorous measurement of program implementation provides a useful model for other evidence-based programs seeking thoughtful adaptation.