Program implementer perspectives replicating evidence based sexual reproductive health programs

Parekh, Jenita; Blum, Robert W.; Caldas, V.; Whitfield, Brooke; Jennings, Jacky M.

doi:10.1016/j.evalprogplan.2018.12.004

Cited by 2 publications

(2 citation statements)

References 37 publications

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“…Pre-post increases in participant discussions about gender and SRH with friends and family members demonstrate the relevance of these topics for young men participating in the program. The very high facilitator ratings, as well as participant reports of the important role that the facilitators played in their connection to the program content, align with implementation research that finds that invested, nonjudgmental, and relatable facilitators help promote participant engagement and program effectiveness (Greene et al, 2013;Parekh et al, 2019). These findings indicate the importance of investing in and prioritizing facilitators who can discuss sensitive content and foster reflection.…”

Section: Discussionsupporting

confidence: 65%

A Mixed-Methods Pilot Evaluation of Manhood 2.0, a Program to Reduce Unintended Pregnancy Among Young Men

et al. 2022

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One promising though understudied approach to addressing race/ethnic disparities in teen pregnancy rates is through sexual and reproductive health (SRH) programming for young men. This pilot study assessed the feasibility, quality, and preliminary efficacy of Manhood 2.0—a group-based, after-school SRH program for young Black and Latino men, which examines gender norms. This mixed-methods study describes program attendance and quality; participant experiences and engagement in the program; and changes in participant gender norms, knowledge, attitudes, self-efficacy, and social support. Quantitative data from baseline and post-intervention surveys ( n = 51) were analyzed using paired t-tests and McNemar’s tests. Qualitative data from five post-intervention focus groups ( n = 27) were transcribed, coded, and analyzed for themes. At baseline, participants were ages 15 to18 years ( M = 16.4 years), 30% were Latino, 66% were Black, 34% ever had sex, and 44% of sexually active participants had sex without any contraceptive method or condom. Quality ratings by program observers were high. The majority of participants (61%) attended at least 75% of sessions, and 96% rated Manhood 2.0 as “very good” or “excellent.” Pre–post comparisons showed increases in receipt of SRH information; contraception knowledge; positive attitudes about supporting partners in pregnancy prevention; self-efficacy in partner communication about sex; discussing program content with friends and family; and social competence and support. Focus group participants described benefits from the Manhood 2.0 content (i.e., full range of contraceptive methods, sexual consent, gender norms) and delivery (i.e., reflective discussion, nonjudgmental facilitators). Findings suggest that Manhood 2.0 is a promising SRH program for young men.

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Section: Discussionsupporting

confidence: 65%

A Mixed-Methods Pilot Evaluation of Manhood 2.0, a Program to Reduce Unintended Pregnancy Among Young Men

et al. 2022

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“…However, the implementation strategies and the context in which the EBI is being implemented may need to be modified. Attention to the unique contextual factors that influence healthcare inequities is critical to enhance the uptake and the ultimate impact of EBIs in vulnerable populations [70][71][72]. Implementation requires not only changes to the EBI but also to the context of practice, such as thoughtful modifications to provider, organization, and community factors [18,44].…”

Section: Develop the Science Of Adaptationsmentioning

confidence: 99%

Reframing implementation science to address inequities in healthcare delivery

Baumann

Cabassa

2020

BMC Health Serv Res

263

273

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Background: Research has generated valuable knowledge in identifying, understanding, and intervening to address inequities in the delivery of healthcare, yet these inequities persist. The best available interventions, programs and policies designed to address inequities in healthcare are not being adopted in routine practice settings. Implementation science can help address this gap by studying the factors, processes, and strategies at multiple levels of a system of care that influence the uptake, use, and the sustainability of these programs for vulnerable populations. We propose that an equity lens can help integrate the fields of implementation science and research that focuses on inequities in healthcare delivery. Main text: Using Proctor et al.' (12) framework as a case study, we reframed five elements of implementation science to study inequities in healthcare. These elements include: 1) focus on reach from the very beginning; 2) design and select interventions for vulnerable populations and low-resource communities with implementation in mind; 3) implement what works and develop implementation strategies that can help reduce inequities in care; 4) develop the science of adaptations; and 5) use an equity lens for implementation outcomes. Conclusions: The goal of this paper is to continue the dialogue on how to critically infuse an equity approach in implementation studies to proactively address healthcare inequities in historically underserved populations. Our examples provide ways to operationalize how we can blend implementation science and healthcare inequities research.

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Program implementer perspectives replicating evidence based sexual reproductive health programs

Cited by 2 publications

References 37 publications

A Mixed-Methods Pilot Evaluation of Manhood 2.0, a Program to Reduce Unintended Pregnancy Among Young Men

A Mixed-Methods Pilot Evaluation of Manhood 2.0, a Program to Reduce Unintended Pregnancy Among Young Men

Reframing implementation science to address inequities in healthcare delivery

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