Abstract
Evidence-based health promotion programmes, including HIV/AIDS prevention and sexuality education programmes, are often transferred
to other cultures, priority groups and implementation settings. Challenges in this process include the identification of retaining
core elements that relate to the programme’s effectiveness while making changes that enhances acceptance in the new context
and for the new priority group. This paper describes the use of a systematic approach to programme adaptation using a case
study as an example. Intervention Mapping, a protocol for the development of evidence-based behaviour change interventions,
was used to adapt the comprehensive school-based sexuality education programme ‘The World Starts With Me’. The programme was
developed for a priority population in Uganda and adapted to a programme for Indonesian secondary school students. The approach
helped to systematically address the complexity and challenges of programme adaptation and to find a balance between preservation
of essential programme elements (i.e. logic models) that may be crucial to the programme’s effectiveness, including key objectives
and theoretical behaviour change methods, and the adaptation of the programme to be acceptable to the new priority group and
the programme implementers.
to other cultures, priority groups and implementation settings. Challenges in this process include the identification of retaining
core elements that relate to the programme’s effectiveness while making changes that enhances acceptance in the new context
and for the new priority group. This paper describes the use of a systematic approach to programme adaptation using a case
study as an example. Intervention Mapping, a protocol for the development of evidence-based behaviour change interventions,
was used to adapt the comprehensive school-based sexuality education programme ‘The World Starts With Me’. The programme was
developed for a priority population in Uganda and adapted to a programme for Indonesian secondary school students. The approach
helped to systematically address the complexity and challenges of programme adaptation and to find a balance between preservation
of essential programme elements (i.e. logic models) that may be crucial to the programme’s effectiveness, including key objectives
and theoretical behaviour change methods, and the adaptation of the programme to be acceptable to the new priority group and
the programme implementers.
- Content Type Journal Article
- Pages 1-10
- DOI 10.1007/s13142-011-0041-3
- Authors
- Joanne N Leerlooijer, Rutgers WPF, PO Box 9022, 3506 GA Utrecht, the Netherlands
- Robert A C Ruiter, Department of Work and Social Psychology, Maastricht University, Maastricht, the Netherlands
- Jo Reinders, Rutgers WPF, PO Box 9022, 3506 GA Utrecht, the Netherlands
- Wati Darwisyah, Rutgers WPF, Jakarta, Indonesia
- Gerjo Kok, Department of Work and Social Psychology, Maastricht University, Maastricht, the Netherlands
- L Kay Bartholomew, School of Public Health, University of Texas, Houston, TX, USA
- Journal Translational Behavioral Medicine
- Online ISSN 1613-9860
- Print ISSN 1869-6716