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EVALUATION STUDIES
JOURNAL ARTICLE
Applying an intervention framework to assess North Carolina's adolescent pregnancy prevention efforts.
Sexual & Reproductive Healthcare : Official Journal of the Swedish Association of Midwives 2016 June
PURPOSE: We assessed the extent to which implementing adolescent pregnancy prevention programs in conjunction with three level implementation strategies reduces adolescent pregnancy rates at the county-level in North Carolina (NC).
METHODS: Fixsen and colleagues' (2005) three levels of implementation were used to organize the prevention strategies: core (e.g., training, fidelity monitoring), organizational (e.g., administrative support), and external (e.g., community resources).
RESULTS: Counties that had adolescent friendly clinic/services (external) were more likely to report lower adolescent pregnancy rates in comparison to counties that did not have access to such services.
CONCLUSIONS: Findings suggest external implementation strategies are key to reducing adolescent pregnancy rates.
METHODS: Fixsen and colleagues' (2005) three levels of implementation were used to organize the prevention strategies: core (e.g., training, fidelity monitoring), organizational (e.g., administrative support), and external (e.g., community resources).
RESULTS: Counties that had adolescent friendly clinic/services (external) were more likely to report lower adolescent pregnancy rates in comparison to counties that did not have access to such services.
CONCLUSIONS: Findings suggest external implementation strategies are key to reducing adolescent pregnancy rates.
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