ICHAMPSS: An online decision-support system for adoption and implementation of evidence-based sexual health curricula in schools

Background. Evidence-based sexual health education programs (EBPs) can reduce pregnancy- and HIV/STI-related risk behaviors in adolescents. However, Texas schools face challenges implementing EBPs. Barriers include uncertainty around policies, perceived lack of support from parents and school officials, and difficulty navigating the process of adopting and implementing EBPs in schools. Purpose. To develop a web-based decision support system (iCHAMPSS) to guide community stakeholders in the adoption, implementation, and maintenance of EBPs in their school districts. Methods. Using the Choosing and Maintaining Programs for Sex Education in Schools (CHAMPSS) model as a foundation, we outlined theoretical methods and practical strategies to assist parents, school personnel, and community members in the 7 steps of adoption, implementation, and maintenance of EBPs: Prioritize, Assess, Select, Approve, Prepare, Implement, and Maintain. Adolescent health stakeholders from Texas school districts (n=15) and partners with a local public health department assessed iCHAMPSS for content validity and field tested decision tools. Results. iCHAMPSS comprises 7 steps, each containing critical tasks (n=32; median=5), a suite of decision tools comprising 5 categories (tutorials, testimonials, fact and tip sheets, helpful links, and templates; n>150), and final deliverable success indicators (n=11). iCHAMPSS includes skills training components and an online forum to link users for social support and technical assistance. Conclusions. The iCHAMPSS decision-support system is an innovative and comprehensive digital resource for school health champions to adopt, implement, and maintain evidence-based sexual health education programs in school settings.