{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T23:51:59Z","timestamp":1791589919460,"version":"4.3.4"},"reference-count":52,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R34MH134078"],"award-info":[{"award-number":["R34MH134078"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Womens Health (Lond Engl)"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Gender-transformative, whole-family, and mental health interventions offer a promising approach to support the well-being of populations in humanitarian settings, but their effectiveness hinges on contextual adaptation to local gender norms, family structures, and displacement-related stressors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This paper presents the application of a four-phase Human-Centered Design (HCD) process to adapt the Sibling Support for Adolescent Girls in Emergencies (SSAGE) program for forcibly displaced Venezuelan and Colombian returnee families in Cartagena, Colombia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>We employed a participatory, multi-phase adaptation design grounded in HCD principles, integrating qualitative inquiry, co-analysis, piloting, and expert validation to iteratively refine the intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Through iterative phases of participatory research, thematic co-analysis, piloting with target participants, and expert validation, the team systematically adapted SSAGE\u2019s eligibility criteria, curriculum delivery, and curriculum content. Adolescents, caregivers, community stakeholders, and local experts contributed to identifying context-specific needs and informing program modifications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Key content adaptations addressed local conceptions of gender roles, identity, sexual and reproductive health, mental health, and family dynamics. The HCD process also informed practical modifications\u2014such as age-stratified sessions and trauma-sensitive facilitation protocols\u2014to improve cultural fit and participant engagement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This adaptation underscores the importance of tailoring gender-transformative programming to complex family structures and evolving social norms in displacement settings. The approach offers a replicable model for intervention adaptation in similar contexts and lays the foundation for a Hybrid Type-1 effectiveness-implementation trial of SSAGE in Colombia.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17455057261495653","type":"journal-article","created":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T21:24:12Z","timestamp":1791408252000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Placing adolescent girls\u2019 lives at the center: Using human-centered design to adapt gender-transformative programming for displaced families in Colombia"],"prefix":"10.1177","volume":"22","author":[{"given":"Ilana","family":"Seff","sequence":"first","affiliation":[{"name":"Bursky School of Public Health, Washington University in St. Louis"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julianne","family":"Deitch","sequence":"additional","affiliation":[{"name":"Women\u2019s Refugee Commission"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lena","family":"Schulhofer","sequence":"additional","affiliation":[{"name":"Bursky School of Public Health, Washington University in St. Louis"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolina","family":"Rodriguez","sequence":"additional","affiliation":[{"name":"Mercy Corps"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elvia Tamaity Ariza","family":"Pena","sequence":"additional","affiliation":[{"name":"Mercy Corps"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arturo Harker","family":"Roa","sequence":"additional","affiliation":[{"name":"School of Government, Universidad de Los Andes"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8775-9735","authenticated-orcid":false,"given":"Lindsay","family":"Stark","sequence":"additional","affiliation":[{"name":"Bursky School of Public Health, Washington University in St. Louis"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,7]]},"reference":[{"key":"e_1_3_8_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2020.104634"},{"key":"e_1_3_8_3_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13034-020-00327-5"},{"key":"e_1_3_8_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2020.101930"},{"key":"e_1_3_8_5_2","doi-asserted-by":"publisher","DOI":"10.1093\/tbm\/ibac052"},{"key":"e_1_3_8_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.adolescence.2015.09.011"},{"key":"e_1_3_8_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ssmph.2019.100480"},{"key":"e_1_3_8_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(19)30495-4"},{"key":"e_1_3_8_9_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgh-2018-000825"},{"key":"e_1_3_8_10_2","article-title":"Applying a gender lens to global health and well-being: Framing a Journal of Global Health special collection","volume":"10","author":"Stark L","unstructured":"Stark L, Seff I, Weber AM, et al. 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