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首页> 美国卫生研究院文献>Frontiers in Public Health >Using Intervention Mapping for Program Design and Production of iCHAMPSS: An Online Decision Support System to Increase Adoption Implementation and Maintenance of Evidence-Based Sexual Health Programs
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Using Intervention Mapping for Program Design and Production of iCHAMPSS: An Online Decision Support System to Increase Adoption Implementation and Maintenance of Evidence-Based Sexual Health Programs

机译：使用干预图进行iCHAMPSS的程序设计和制作：在线决策支持系统用于增加采用实施和维持基于证据的性健康计划

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In Texas and across the United States, unintended pregnancy, HIV, and sexually transmitted infections (STIs) among adolescents remain serious public health issues. Sexual risk-taking behaviors, including early sexual initiation, contribute to these public health problems. Over 35 sexual health evidence-based programs (EBPs) have been shown to reduce sexual risk behaviors and/or prevent teen pregnancies or STIs. Because more than half of these EBPs are designed for schools, they could reach and impact a considerable number of adolescents if implemented in these settings. Most schools across the U.S. and in Texas, however, do not implement these programs. U.S. school districts face many barriers to the successful dissemination (i.e., adoption, implementation, and maintenance) of sexual health EBPs, including lack of knowledge about EBPs and where to find them, perceived lack of support from school administrators and parents, lack of guidance regarding the adoption process, competing priorities, and lack of specialized training on sexual health. Therefore, this paper describes how we used intervention mapping (Steps 3 and 4, in particular), a systematic design framework that uses theory, empirical evidence, and input from the community to develop CHoosing And Maintaining Effective Programs for Sex Education in Schools (iCHAMPSS), an online decision support system to help school districts adopt, implement, and maintain sexual health EBPs. Guided by this systematic intervention design approach, iCHAMPSS has the potential to increase dissemination of sexual health EBPs in school settings.
机译：在得克萨斯州和整个美国，青少年意外怀孕，艾滋病毒和性传播感染（STIs）仍然是严重的公共卫生问题。性冒险行为，包括提早性行为，加剧了这些公共卫生问题。已有超过35种基于性健康证据的计划（EBP）可以减少性风险行为和/或预防青少年怀孕或性传播感染。由于这些EBP中有一半以上是为学校设计的，因此，如果在这些环境中实施，它们可能会影响大量青少年。但是，美国和德克萨斯州的大多数学校都没有实施这些计划。美国学区在成功传播（即通过，实施和维护）性健康EBP时面临许多障碍，包括缺乏对EBP的知识以及在何处找到它们，认为缺乏学校管理者和家长的支持，缺乏指导关于收养过程，相互竞争的优先事项以及缺乏性健康方面的专门培训。因此，本文描述了我们如何使用干预图（特别是第3步和第4步），这是一个系统的设计框架，使用理论，经验证据和社区的意见来制定选择和维护学校性教育的有效计划（iCHAMPSS） ），该在线决策支持系统可帮助学区采用，实施和维护性健康EBP。在这种系统的干预设计方法的指导下，iCHAMPSS有潜力增加在学校环境中性健康EBP的传播。

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