Citation

Vázquez N, Continente X, Bartroli M, Juárez O, Muñoz L, Sánchez-Martínez F, Pérez A, Ariza C. Gac. Sanit. 2023; 37: e102323.

Copyright

(Copyright © 2023, Elsevier Publishing)

DOI

10.1016/j.gaceta.2023.102323

PMID

37598579

Abstract

OBJECTIVE: Implementation fidelity is a key dimension in process evaluation but has been scarcely studied. Reptes is a selective alcohol and cannabis use prevention program performed in vulnerable young people (16-21 years) from different educational and leisure settings. The study aimed to describe the components of this program, its implementation fidelity, and satisfaction among participants and facilitators.

METHOD: A descriptive cross-sectional study was conducted. Implementation fidelity was assessed in terms of adherence, dose, participant responsiveness, and quality of the intervention through self-reports completed by 15 facilitators and self-administered questionnaires by 99 youth from the 15 groups completing the program.

RESULTS: 70.7% of the groups performed 30 of the 43 planned activities with high use of various teaching methods, except for Information and Communication Technology resources. Fidelity implementation was above 70%. 2/3 groups completed an acceptable intervention and 1/3 completed a qualified intervention. Satisfaction was higher than 7.

CONCLUSIONS: Our results show high implementation fidelity and satisfaction compared with those from similar studies.

Language: en

Keywords

Adolescent; Marijuana abuse; Program evaluation; Adolescentes; Alcohol drinking; Consumo de alcohol; Consumo de cánnabis; Evaluación de programas; Health plan implementation; Implementación de planes de salud; Poblaciones vulnerables; Vulnerable populations