Adaptation of an effective school-based sexual health promotion program for youth in Colombia
| Autor: | Marguerita Lightfoot, Omar Martinez, Pablo Vallejo-Medina, Eileen García-Montaño, José P. Espada, Cristian Eduardo Barrios-Ortega, Alexandra Morales, Mayra Gómez-Lugo, Daniella Abello-Luque, Diego Alejandro Saavedra, Paola García-Roncallo, Janivys Niebles-Charris |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Male
Health Knowledge Attitudes Practice Health (social science) Latin Americans Internationality Sexual health Psychological intervention Sex Education Adolescents 0302 clinical medicine Promotion (rank) 030212 general & internal medicine Cultural Competency Reproductive health media_common 030503 health policy & services Communication Age Factors Female Sexual Health 0305 other medical science Psychology Social cognitive theory Adolescent media_common.quotation_subject Sexual Behavior Sexually Transmitted Diseases Intervention Health Promotion Colombia 03 medical and health sciences Social support Young Adult Risk-Taking Sex Factors History and Philosophy of Science Intervention (counseling) Humans Adaptation Adaptation (computer science) Developing Countries School Health Services Medical education Motivation COMPAS business.industry Social Support Socioeconomic Factors Adolescent Behavior business Risk Reduction Behavior Program Evaluation |
| Zdroj: | REDICUC-Repositorio CUC Corporación Universidad de la Costa instacron:Corporación Universidad de la Costa |
| Popis: | Rationale Given the disproportionate impact of HIV and STIs among youth in Latin America, there is a compelling need for effective sex education programs. In particular, Colombia lacks a nationally standardized youth sex education program, despite the fact that 15 to 24-year-olds accounted for the highest incidence and prevalence rates of HIV and STIs in the nation. In an attempt to fill this void, our team adapted COMPAS, a Spanish school-based sexual health promotion intervention, for Colombian adolescents. Objective: This study describes the adaptation process that resulted in a modified version of COMPAS for youth in Colombia. Method: We employed a systematic cultural adaptation process utilizing a mixed methods approach, including intervention adaptation sessions with 100 young adolescents aged 15–19. The process included six steps: 1) consulting international researchers and community stakeholders; 2) capturing the lived experiences of a diverse sample of colombian youth; 3) identifying priorities and areas in need of improvement; 4) integrating the social cognitive theory, information-motivation-behavioral skills model, and an ecological framework for colombian youth; 5) adapting intervention content, activities, and materials; and 6) quantitative evaluation of COMPAS by Colombian youth. Results: The adapted intervention incorporates elements common to effective youth sex education interventions, including: a solid theoretical foundation, sexual communication skills and social support for protection, and guidance on how to utilize available cultural- and linguistic-appropriate services. In addition, the adapted intervention incorporates cultural and linguistic appropriate content, including an emphasis on tackling machismo to promote risk reduction behaviors. Conclusions: The systematic adaptation approach to sexual health intervention for youth can be employed by researchers and community stakeholders in low-resource settings for the promotion of health wellness, linkage to care, and STI and unplanned pregnancy prevention for youth. |
| Databáze: | OpenAIRE |
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