Healthwise South Africa: cultural adaptation of a school-based risk prevention programme
Open accessAbstract
There is a need for effective prevention programmes aimed at reducing risk behaviour among South African adolescents. HealthWise South Africa is a school-based programme designed to reduce sexual and substance use risk behaviour, and promote positive use of leisure time among high-school learners (students). Based on successful programmes in the United States of America, HealthWise was developed for use in South Africa and pilot tested in four South African high schools. We carried out a process evaluation to establish the fidelity of implementation and make sure HealthWise was culturally relevant. Data sources comprised focus groups with educators and learners, lesson evaluations and observations, and interviews with school principals. Qualitative analysis of data highlighted pertinent cultural and contextual factors and identified areas for modifying HealthWise in order to promote better programme-consumer fit. These areas centred on time, language, and leisure. We noted a dynamic tension between the educators' desire to adhere to plan, and to make adaptations in accordance with learners' needs and the context. Ultimately, researchers need to find a balance between fidelity of implementation and programme adaptation to obtain effective programmes that are culturally acceptable to local consumers.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The teachers the authors collaborate with appreciate guidance and support but require flexibility.
“It is motivated by the observation that the teachers with whom we work welcome support and guidance, but need flexibility (Wegner et al. 2008).”
From Translational research in South Africa: evaluating implementation quality using a factorial design (2012) · cites this paper as Wegner et al. 2008
Cites
The Cultural Adaptation of Prevention Interventions: Resolving Tensions Between Fidelity and Fit
Castro, F. G., Barrera, M., & Martinez, C. R. (2004) · Prevention Science · doi:10.1023/b:prev.0000013980.12412.cd · Cited by 1,228 · see citing works
South African National HIV Prevalence, HIV Incidence, Behaviour and Communication Survey, 2005
Simbayi, L. C., Zuma, K. K., Moyo, S., Marinda, E. T., Mabaso, M., Ramlagan, S., North, A., Mohlabane, N., Dietrich, C., & Naidoo, I. (2008) · Cited by 899 · see citing works
Ridley, D. M., & Jordaan, H. V. F. (1986) · Journal of Clinical Ultrasound · doi:10.1002/jcu.1870140619 · Cited by 861 · see citing works
Issues in Disseminating and Replicating Effective Prevention Programs
Elliott, D. S., & Mihalic, S. (2004) · Prevention Science · doi:10.1023/b:prev.0000013981.28071.52 · Cited by 794 · see citing works
School-based programs to reduce sexual risk behaviors: a review of effectiveness.
Kirby, D. B., Short, L. M., Collins, J. L., Rugg, D. L., Kolbe, L. J., Howard, M., Miller, B. C., Sonenstein, F. L., & Zabin, L. S. (1994) · Europe PMC (PubMed Central) · Cited by 527 · see citing works
School-based HIV prevention programmes for African youth
Gallant, M., & Maticka-Tyndale, E. (2004) · Social Science & Medicine · doi:10.1016/s0277-9536(03)00331-9 · Cited by 425 · see citing works
Health promoting schools and health promotion in schools: two systematic reviews.
Lister-Sharp, Chapman, Stewart-Brown, & Sowden (1999) · Health Technology Assessment · doi:10.3310/hta3220 · Cited by 379 · see citing works
Crow, R., Gage, H., Hampson, S., Hart, J., Kimber, A., & Thomas, H. (1999) · Health Technology Assessment · doi:10.3310/hta3030 · Cited by 363 · see citing works
Evaluations of health promoting schools: a review of nine studies
Mukoma, W. (2004) · Health Promotion International · doi:10.1093/heapro/dah309 · Cited by 329 · see citing works
(2006) · Technical Report Series 936 · Cited by 285 · see citing works
Speizer, I. S., Magnani, R. J., & Colvin, C. E. (2003) · Journal of Adolescent Health · doi:10.1016/s1054-139x(02)00535-9 · Cited by 233 · see citing works
Botvin, G. J., Schinke, S. P., Epstein, J. A., & Diaz, T. (1994) · Psychology of Addictive Behaviors · doi:10.1037/0893-164x.8.2.116 · Cited by 203 · see citing works
Impact of HIV and sexual health education on the sexual behaviour of young people: a review update
Grunseit, A. C., & Kippax, S. C. (1997) · Cited by 163 · see citing works
Preventing alcohol and tobacco use through life skills training.
Botvin, G. J., & Kantor, L. W. (2000) · PubMed · Cited by 155 · see citing works
Substance use by adolescents in cape town: prevalence and correlates*1
Flisher, A., Parry, C. D. H., EVANS, J., Muller, M., & LOMBARD, C. (2002) · Journal of Adolescent Health · doi:10.1016/s1054-139x(02)00445-7 · Cited by 149 · see citing works
Self-citationCaldwell, L. L., Baldwin, C. K., Walls, T. A., & Smith, E. (2004) · Journal of Leisure Research · doi:10.1080/00222216.2004.11950026 · Cited by 136 · see citing works
Self-citationMagnani, R. J., MacIntyre, K., Karim, A. M., Brown, L. F., Hutchinson, P., Kaufman, C. E., Rutenburg, N., Hallman, K., May, J. D., & Dallimore, A. (2005) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2004.02.025 · Cited by 135 · see citing works
Dick, B., Ferguson, J., & Ross, D. A. (2006) · PubMed · Cited by 101 · see citing works
Risk-taking behaviour of Cape Peninsula high school students
Flisher, A., Ziervogel, C. F., Chalton, D. O., Leger, P. H., & Ba, R. (1996) · South African Medical Journal · Cited by 93 · see citing works
Self-citationProcess evaluation of the teacher training for an AIDS prevention programme
Ahmed, N. (2006) · Health Education Research · doi:10.1093/her/cyl031 · Cited by 81 · see citing works
School‐based sexual health interventions in sub‐Saharan Africa: A review
Kaaya, S., Mukoma, W., Flisher, A. J., & Klepp, K.-L. (2002) · Social Dynamics · doi:10.1080/02533950208458723 · Cited by 61 · see citing works
Self-citationFlisher, A. J., Ziervogel, C. F., Chalton, D. O., Leger, P. H., & Robertson, B. (1996) · PubMed · Cited by 60 · see citing works
Self-citationChanging Substance Abuse Through Health and Social Systems
Miller, W. R., & Weisner, C. M. (2002) · Springer eBooks · doi:10.1007/978-1-4615-0669-0 · Cited by 43 · see citing works
Sexual behaviour of Cape Town high-school students.
Flisher, A. J., Reddy, P. S., Muller, M., et al. (2003) · PubMed · Cited by 37 · see citing works
Self-citationRasch modeling of the structure of health risk behavior in South african adolescents.
Mpofu, E., Caldwell, L. L., Smith, E., Flisher, A. J., Mathews, C., Wegner, L., & Vergnani, T. (2006) · PubMed · Cited by 17 · see citing works
Self-citation
Flagged first, then by citations
Cited by
Sorted by citations
Smith, E. A., Palen, L.-A., Caldwell, L. L., Flisher, A. J., Graham, J. W., Mathews, C., Wegner, L., & Vergnani, T. (2008) · Prevention Science · doi:10.1007/s11121-008-0103-z · Cited by 77 · see citing works
Self-citationTranslational research in South Africa: evaluating implementation quality using a factorial design
Caldwell, L. L., Smith, E. A., Collins, L. M., Graham, J. W., Lai, M., Wegner, L., Vergnani, T., Matthews, C., & Jacobs, J. (2012) · Child & Youth Care Forum · doi:10.1007/s10566-011-9164-4 · Cited by 50 · see citing works
Self-citationInfluencing Adolescent Leisure Motivation: Intervention Effects of Health Wise South Africa
Caldwell, L. L., Patrick, M. E., Smith, E. A., Palen, L.-A., & Wegner, L. (2010) · Journal of Leisure Research · doi:10.1080/00222216.2010.11950202 · Cited by 39 · see citing works
Self-citationEffects of HealthWise South Africa on Condom Use Self-efficacy
Coffman, D. L., Smith, E. A., Flisher, A. J., & Caldwell, L. L. (2011) · Prevention Science · doi:10.1007/s11121-010-0196-z · Cited by 24 · see citing works
Self-citation
- Authors
- Wegner, L., Flisher, A. J., Caldwell, L. L., Vergnani, T., & Smith, E. A.
- Affiliations
- University of Cape Town (ZA)
- Pennsylvania State University (US)
- University of the Western Cape (ZA)
- Corresponding author
- Wegner, L.
- Venue
- Health Education Research
- Publisher
- Oxford University Press (OUP)
- Published
- 2007-10-22
- Volume
- 23
- Issue
- 6
- Pages
- 1085-1096
- ISSN
- 0268-1153 (ISSN-L)
- 1465-3648
- PMC
- PMC2721676
- OpenAlex
- W2121141815
- Cited by
- 49
- References
- 25
- Citations by year
- 2026: 1 · 2024: 2 · 2023: 1 · 2022: 2 · 2020: 2 · 2019: 2 · 2018: 1 · 2016: 3 · 2015: 6 · 2014: 5 · 2013: 6 · 2012: 6
- FWCI
- 3.93
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Health Education Research (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- UWC Research Repository (University of the Western Cape) (submittedVersion)
- Funders
- Healthwise
- National Institute on Drug Abuse (R01DA017491)
- Topics
- Health Sciences › Health Professions › General Health Professions › Adolescent Sexual and Reproductive Health
- Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Keywords
- cultural adaptation, school-based prevention, adolescent risk behavior, sexual risk behavior, substance use prevention, implementation fidelity, program adaptation, high school students, South Africa
- MeSH terms
- Adolescent, Adolescent Behavior, Female, Health Promotion, Humans, Male, Pilot Projects, Risk-Taking, School Health Services, South Africa, Risk Reduction Behavior
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
