Abstract A qualitative study is presented of the adoption process in six North Carolina school districts that were given the opportunity to adopt one of three curricula: Project SMART, Growing Healthy, and the Teenage Health Teaching Modules. Adoption represents a first major commitment by an organization toward using an innovation. Three themes are presented that characterize the curriculum adoption process in the six districts: (1) district decision making for curriculum adoption consisted of a three stage process, and at each stage, different decision makers played key roles; (2) the decision making process was influenced by the degree of engagedness of a “linking agent” within the district; and (3) a central office administrator facilitated the role played by the linking agent. Recommendations are provided that may increase adoption of innovative health curricula.
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