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Session Title: Capacity Building to Promote Quality Prevention Programming: Teen Pregnancy Prevention Evaluation Guided by the Interactive Systems Framework
Panel Session 279 to be held in the Quartz Room Section A on Thursday, Nov 6, 10:55 AM to 12:25 PM
Sponsored by the Collaborative, Participatory & Empowerment Evaluation TIG
Chair(s):
Catherine Lesesne,  Centers for Disease Control and Prevention,  clesesne@cdc.gov
Abraham Wandersman,  University of South Carolina,  wandersman@sc.edu
Discussant(s):
Paul Flaspohler,  Miami University,  flaspopd@muohio.edu
Abstract: The Interactive Systems Framework for Implementation and Dissemination (ISF) (Wandersman et al., 2008) is a heuristic model describing three systems (prevention synthesis & translation, prevention support, and prevention delivery systems) that, together, can support the use of science-based and quality prevention programming in a variety of public health domains. This panel presentation will describe the ISF systems, how they have been operationalized in a capacity-building project known as the Promoting Science-based Approaches to Teen Pregnancy Prevention (PSBA) project (Lesesne et al., 2008), and attempts to conduct evaluation within each system. Presenters will discuss their work with a focus on evaluation approaches and methods at each ISF system level by drawing on their experience in the PSBA project. Lastly, our discussant will engage participants in facilitated dialogue around the use of the ISF to guide capacity building strategies and offer critical reflection on the evaluation methodologies presented in the panel.
Evaluating the Prevention Synthesis and Translation System of the Centers for Disease Control and Prevention (CDC) Promoting Science Based Approaches to Teen Pregnancy Project
Kelly Lewis,  Centers for Disease Control and Prevention,  klewis1@cdc.gov
Abraham Wandersman,  University of South Carolina,  wandersman@sc.edu
Mary Martha Wilson,  Healthy Teen Network,  marymartha@healthteennetwork.org
Catherine Lesesne,  Centers for Disease Control and Prevention,  clesesne@cdc.gov
Diane Green,  Centers for Disease Control and Prevention,  dcg1@cdc.gov
The Prevention Synthesis and Translation System of the Interactive Systems Framework combines scientific information from multiple sources and translates it into materials for end users. The CDC Promoting Science Based Approaches to Teen Pregnancy (PSBA) capacity building project provides one example of how the Prevention Synthesis and Translation System has been operationalized. The elements needed to promote science based approaches (SBA) and increase the capacity of local providers were synthesized into a ten step process which was translated into the manual, Promoting Science-based Approaches to Teen Pregnancy Prevention using Getting To Outcomes (PSBA-GTO). This manual presents a ten-step process for delivering teen pregnancy prevention programs using SBA. Currently, there is an effort to review the use, utility, and completeness of the PSBA-GTO manual within the project. This presentation provides an overview of the manual and describes the methods being employed to assess its usefulness.
Assessing Organizational Capacity within the Prevention Support System: Key Informant Data from the Promoting Science-based Approaches (PSBA) Project
Edward Saunders,  University of Iowa,  edward-saunders@uiowa.edu
Bushra Sabri,  University of Iowa,  bsabri@iowa.uiowa.edu,
A qualitative 'key informant' research study was initiated in 2007 during the second year of the PSBA project. This study evaluated current organizational capacity among state organizations charged with promoting science-based approaches to adolescent pregnancy prevention within their states. A total of 15 interviews were conducted with executive directors and project coordinators in seven state organizations. In addition to assessing the state organizational capacities to meet the goals of the grant, the study was an attempt to understand the support system provided by one of the national organizations working on this grant: Advocates for Youth [AFY]. The analysis of the interviews revealed important issues that state organizations struggle against in meeting the project goals. With data from this study, Centers for Disease Control and the national organizations, including AFY, are making mid-course changes to address some of the issues raised by the state organizations. This presentation highlights data from this study.
Prevention Support System: Evaluating Capacity for Teen Pregnancy Prevention Programming
Diane Green,  Centers for Disease Control and Prevention,  diane.green@cdc.hhs.gov
Kelly Lewis,  Centers for Disease Control and Prevention,  klewis1@cdc.gov
Catherine Lesesne,  Centers for Disease Control and Prevention,  clesesne@cdc.gov
Abraham Wandersman,  University of South Carolina,  wandersman@sc.edu
The Prevention Support System (PSS) bridges the gap between the prevention research product and community implementation of that research. For this Promoting Science-based Approaches (PSBA) project, PSS activities include training and technical assistance to build capacity among state and regional partners, who then build the capacity of local partners to implement prevention programs. We measured general organizational and science-based approaches (SBA)-specific capacity at baseline (2006) and year one (2007). Compared to baseline, general organization capacity improved: the number of advisory boards in use and diversity of board representatives increased; and the number of funding sources and types of fundraising used by partners increased. Compared to baseline, SBA-specific capacity also improved. At baseline, over half of staff members reported experience or recent training for 7 of 12 SBA-related practices; at one year follow-up, most staff members reported experience or recent training in all 12 SBA-related practices.
Understanding Prevention Capacity and Practice in the Prevention Delivery System
Jennifer Duffy,  University of South Carolina,  jenduffy@sc.edu
Mary Prince,  University of South Carolina,  mprince@teenpregnancysc.org
Erin Johnson,  South Carolina Campaign to Prevent Teen Pregnancy,  ejohnson@@teenpregnancysc.org
Chris Rollison,  South Carolina Campaign to Prevent Teen Pregnancy,  crollison@teenpregnancysc.org
Forrest Alton,  South Carolina Campaign to Prevent Teen Pregnancy,  falton@@teenpregnancysc.org
Nine community-based teen pregnancy prevention programs in South Carolina are currently partnering with the SC Campaign to Prevent Teen Pregnancy (Campaign) on the CDC's PSBA project to better understand the main settings and challenges of the prevention delivery system (PDS) of the Interactive System Framework (ISF). Through training, intensive technical assistance, case plans, and other methods of support, the Campaign is building the capacity of these nine programs to adopt and implement science-based approaches (SBA) to teen pregnancy prevention. This presentation provides an overview (plus baseline data) of the multiple sources of data collection (including surveys, interviews, and innovation-configuration mapping) the Campaign uses to measure the processes and outcomes of the PSBA project, including the challenges (and successes) local organizations face in adopting SBA, and how a local organization's willingness to work closely with the Campaign influences their capacity to adopt/use SBA, and increases their use of science-based prevention programs.

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