Translating Theory into Practice: Lessons Learned from Developing a Program Model to Foster Resiliency in Expectant and

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Translating Theory into Practice: Lessons Learned from Developing a Program Model to Foster Resiliency in Expectant and Parenting Youth Lissa Pressfield1   · Mary Campa1 · Karen Ramstrom2 · Sangi Kabadi1 · Catherine Lopez3

© The Author(s) 2020

Abstract Purpose  This paper describes the approach used to develop the Adolescent Family Life Program (AFLP) Positive Youth Development (PYD) Model within the structure of an existing state government-run program. Description  The California Department of Public Health, Maternal, Child and Adolescent Health (CDPH/MCAH) Division undertook an innovative approach to develop a program model to help expectant and parenting youth build resilience. CDPH/MCAH started by assessing existing program efforts and theory to develop and test new strategies in the field, structure a program model, and build toward broader expansion and sustainability. CDPH/MCAH engaged local organizations from across the state, their staff and enrolled youth, experts, and evaluators in an iterative program development process to standardize an effective model that could be replicated and evaluated. Assessment  Key lessons for program developers and administrators are to ensure adequate staffing with diverse expertise related to the topic and content to support the multiple components of program development and implementation, evaluation, and training; identify the guiding theory and framework early and link them with clearly articulated core components to ensure the final model reflects the intended purpose and is structured to support implementation; engage implementation staff on the ground and focus early and often on processes for supporting people through change. Conclusion  The lessons learned can guide others working with existing programs to develop standardized program models or translate new science and theory into practice. Keywords  Program development · Positive youth development · Resiliency · Expectant and parenting youth · Evidence informed

Significance Although state agencies often fund and oversee evidencebased public health program models, expanding to program model development presents unique opportunities for broad impact. The California Department of Public Health * Lissa Pressfield [email protected] 1



California Department of Public Health, Maternal, Child and Adolescent Health Division, PO Box 997377, MS 0510, Sacramento, CA 95899, USA

2

Shasta County Health and Human Services Agency, 2650 Breslaur Way, Redding, CA 96001, USA

3

California Department of Public Health, Women, Infants and Children (WIC) Division, 3901 Lennane Drive, Sacramento, CA 95834, USA



undertook a process to develop a program model for expectant and parenting youth within an existing program. The process involved extensive engagement of local implementing agencies, youth participants, and experts. The lessons learned can guide others in considering program improvements based on new science and compelling theory. They also reveal the value of a participatory process, which requires intenti