PURPOSE: This paper presents results from a randomized controlled trial that assessed the short- and longer-term impact of a skills-based HIV/STI/pregnancy prevention curriculum, service learning, and the combination. METHODS: The study featured a four-arm experimental design involving 47 classrooms (765 youth) from continuation high schools. Classrooms were randomly assigned to one of four conditions: (1) HIV/STI/pregnancy prevention curriculum only; (2) service learning only; (3) HIV/STI/pregnancy prevention curriculum plus service learning; or (4) an attention control curriculum. Students completed 3 surveys over 18 months. Multi-level analysis was used to adjust for the correlation among students within the same classroom and school, and the correlation of repeated measurements. RESULTS:Participants were 53% male (mean age: 16.2 years). The majority of youth reported being Hispanic/Latino or African-American (37.9% and 22.3%, respectively). Students in the HIV/STI/pregnancy prevention curriculum condition were less likely to have vaginal intercourse without a condom in the 3 months prior to the survey [odds ratio (OR) = .58, p = .04]; these effects diminished by final follow-up. The program also significantly reduced students' exposure to risky situations. These changes were not significant in the service learning only or combined intervention conditions relative to control. CONCLUSION: This study is one of a few controlled studies of HIV/STI and pregnancy prevention programs in continuation settings, and suggests the curriculum was effective in changing selected risk behaviors in the short term.
RCT Entities:
PURPOSE: This paper presents results from a randomized controlled trial that assessed the short- and longer-term impact of a skills-based HIV/STI/pregnancy prevention curriculum, service learning, and the combination. METHODS: The study featured a four-arm experimental design involving 47 classrooms (765 youth) from continuation high schools. Classrooms were randomly assigned to one of four conditions: (1) HIV/STI/pregnancy prevention curriculum only; (2) service learning only; (3) HIV/STI/pregnancy prevention curriculum plus service learning; or (4) an attention control curriculum. Students completed 3 surveys over 18 months. Multi-level analysis was used to adjust for the correlation among students within the same classroom and school, and the correlation of repeated measurements. RESULTS:Participants were 53% male (mean age: 16.2 years). The majority of youth reported being Hispanic/Latino or African-American (37.9% and 22.3%, respectively). Students in the HIV/STI/pregnancy prevention curriculum condition were less likely to have vaginal intercourse without a condom in the 3 months prior to the survey [odds ratio (OR) = .58, p = .04]; these effects diminished by final follow-up. The program also significantly reduced students' exposure to risky situations. These changes were not significant in the service learning only or combined intervention conditions relative to control. CONCLUSION: This study is one of a few controlled studies of HIV/STI and pregnancy prevention programs in continuation settings, and suggests the curriculum was effective in changing selected risk behaviors in the short term.
Authors: Nancy D Brener; Laura Kann; Tim McManus; Steven A Kinchen; Elizabeth C Sundberg; James G Ross Journal: J Adolesc Health Date: 2002-10 Impact factor: 5.012
Authors: Helen B Chin; Theresa Ann Sipe; Randy Elder; Shawna L Mercer; Sajal K Chattopadhyay; Verughese Jacob; Holly R Wethington; Doug Kirby; Donna B Elliston; Matt Griffith; Stella O Chuke; Susan C Briss; Irene Ericksen; Jennifer S Galbraith; Jeffrey H Herbst; Robert L Johnson; Joan M Kraft; Seth M Noar; Lisa M Romero; John Santelli Journal: Am J Prev Med Date: 2012-03 Impact factor: 5.043
Authors: Susan R Tortolero; Christine M Markham; Robert C Addy; Elizabeth R Baumler; Soledad Liliana Escobar-Chaves; Karen M Basen-Engquist; Nicole K McKirahan; Guy S Parcel Journal: Contemp Clin Trials Date: 2007-06-02 Impact factor: 2.226
Authors: Lilia Espinoza; Jean L Richardson; Kristin Ferguson; Chih-Ping Chou; Lourdes Baezconde-Garbanati; Alan W Stacy Journal: Subst Use Misuse Date: 2019-01-17 Impact factor: 2.164
Authors: Larry K Brown; Laura Whiteley; Christopher D Houck; Lacey K Craker; Ashley Lowery; Nancy Beausoleil; Geri Donenberg Journal: J Am Acad Child Adolesc Psychiatry Date: 2017-03-31 Impact factor: 8.829
Authors: Alexandra Morales; José P Espada; Mireia Orgilés; Silvia Escribano; Blair T Johnson; Marguerita Lightfoot Journal: PLoS One Date: 2018-06-28 Impact factor: 3.240
Authors: Maria Grandahl; Andreas Rosenblad; Christina Stenhammar; Tanja Tydén; Ragnar Westerling; Margareta Larsson; Marie Oscarsson; Bengt Andrae; Tina Dalianis; Tryggve Nevéus Journal: BMJ Open Date: 2016-01-27 Impact factor: 2.692
Authors: Rehana A Salam; Anadil Faqqah; Nida Sajjad; Zohra S Lassi; Jai K Das; Miriam Kaufman; Zulfiqar A Bhutta Journal: J Adolesc Health Date: 2016-10 Impact factor: 5.012