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Replication of a Community-Based Multicomponent Teen Pregnancy Prevention Model: Realities and Challenges

Vincent, Murray L. EdD*; Paine-Andrews, Adrienne PhD**; Fisher, Jacquie MS, MPH; Devereaux, Randolph S. MSPH††; Dolan, Holly Gonyea MAT§; Harris, Kari Jo PhD§§; Reininger, Belinda DrPH

Innovations in Family and Community Health
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Health education curricula and the delivery of specific health services have been evaluated as to their replicability in other settings. Formal studies to evaluate replication of multicomponent community-based program models are scarce. Moreover, the literature does not address the challenges in implementing complex program models and documenting replication. This article describes an initiative to transport and replicate the School/Community Sexual Risk Reduction Model, created in South Carolina, in three Kansas communities over a 4-year period. Objective and subjective assessments of achieving fidelity to the model core components were determined as was a description of factors that enhance or inhibit replication efforts. Assessing replication will be improved when detailed monitoring and process evaluation is in place in the development of the original program and in the replication effort.

*Professor, Co-Director, School/Community Sexual Risk Reduction Replication Initiative, Department of Health Promotion and Education, School of Public Health, University of South Carolina, Columbia, South Carolina.

**Associate Research Professor, Co-Director, School/Community Sexual Risk Reduction Replication Initiative, Department of Human Development, University of Kansas, Lawrence, Kansas.

Coordinator of Site Development, Work Group on Health Promotion and Community Development, University of Kansas, Lawrence, Kansas.

††§Research Associate, Department of Health Promotion and Education, School of Public Health, University of South Carolina, Columbia, South Carolina.

§§Research Assistant Professor, Department of Preventive Medicine, University of Kansas Medical Center, Kansas City, Kansas.

Assistant Professor, Department of Health Promotion and Education, School of Public Health, University of South Carolina, Columbia, South Carolina.

The School/Community Sexual Risk Reduction Replication Initiative was funded by the Kansas Health Foundation. An important issue in health promotion and disease prevention is whether a community-based multicomponent teen pregnancy prevention model can be transported and replicated, and achieve similar success in settings other than the original site. This article looks at whether the essential core components of the School/Community Sexual Risk Reduction Model, 1 which had been successfully implemented in two rural South Carolina counties, can be transported and replicated in two rural counties and one inner-city community in Kansas.

© 2000 Lippincott Williams & Wilkins, Inc.