ArticleBMC public health2025
Theater testing a sexual and reproductive health program for Latina teens and their female caregivers: a mixed methods study.
Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Integrating safety planning, problem-solving therapy and peer support for suicide prevention among adolescents living with HIV in Malawi: An application of the ADAPT-ITT adaptation framework.Global mental health (Cambridge, England) · 2026Article
- Barriers, beliefs, and biomedical prevention: a qualitative study of PrEP among justice-involved peripregnant women who use drugs.Health & justice · 2025Article
- Pilot optimization trial of a sexual and reproductive health program for Latina teens and their female caregivers: A study protocol.Contemporary clinical trials communications · 2025Article
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Authors and funding
20 authors.
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Abstract
backgroundFloreciendo is a sexual and reproductive health program for Latina teens (14-18 years) and their female caregivers adapted from the evidence-based IMARA intervention. We report on our experience theater testing Floreciendo during the preparation phase of the multiphase optimization strategy (MOST) framework. Floreciendo includes four two-hour sessions (i.e., intervention components). Our aims were to: (1) examine the preliminary acceptability, appropriateness, and feasibility of the intervention components, including the acceptability of the implementation plan (i.e., logistics, strategies), and (2) systematically report on curriculum modifications made based on findings.
methodsUsing a community-based participatory research approach, we theater tested the program at a community organization over one weekend with three teen-caregiver dyads (n = 6) using mixed methods. Immediately following the delivery of each intervention component, teens and caregivers completed surveys and engaged in feedback sessions. Observers (n = 8) and facilitators (n = 2) completed surveys, recorded activity start and end times, and participated in a post-program discussion. Survey item ratings were on four-point Likert scales, with higher scores indicating more favorable results. Feedback informed subsequent curriculum modifications, which were documented using the FRAME.
resultsWe found high satisfaction with the intervention components among all surveyed (n = 16) and with the implementation plan among teens and caregivers (n = 6) (≥ 3.7/4.0). Teens and caregivers described sessions as "educational," "motivating," "interactive," and "fun"; all (100%; n = 6) reported that they would recommend the program to others. Teens and caregivers rated the appropriateness of the material and language/wording highly (4.0/4.0; n = 6), although caregivers expressed difficulty understanding "passive communication" given translation difficulties. Feasibility was also rated highly across groups (≥ 3.8/4.0; n = 16); 18% of activities were 10 + minutes longer than planned based on observer reports but the sessions overall remained within 2 min of the allotted time. We modified the intervention components based on the feedback received. For example, we moved discussions about sex to come later in the foundational session to increase participant comfort.
conclusionsFindings offer preliminary evidence of Floreciendo's acceptability, appropriateness, and feasibility. Theater testing is a valuable tool for intervention adaptation and FRAME is useful for tracking curriculum modifications over time. MOST researchers could consider theater testing while carrying out preparation-phase activities.
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