Susan C Potter1, Karin K Coyle1, Jill R Glassman1, Sarah Kershner1, Mary S Prince1. 1. Susan C. Potter, Karin K. Coyle, and Jill R. Glassman are with ETR, Scotts Valley, CA. Sarah Kershner and Mary S. Prince are with the South Carolina Campaign to Prevent Teen Pregnancy, Columbia.
Abstract
OBJECTIVES: To evaluate the effectiveness of an evidence-based HIV/sexually transmitted infection (STI)/pregnancy prevention program for middle schools implemented by school staff in South Carolina. METHODS:Twenty-four schools, representing 3143 youths, participated in a randomized trial from 2011 to 2014. Students completed surveys before programming (fall of seventh grade), after completing the 2-year It's Your Game…Keep It Real program (spring of eighth grade), and 1-year postprogram (spring of ninth grade). RESULTS: There was no statistically significant effect on initiation of vaginal sex between baseline and eighth grade. Significantly fewer students in the comparison condition reported initiating sex at ninth grade, relative to the intervention condition. No group differences existed on other behavioral outcomes that addressed sexual activity in the past 3 months at ninth grade. Seven of 26 psychosocial outcomes (3 knowledge, 1 attitude, 1 self-efficacy, 2 personal limits) were positively affected at eighth grade; 4 remained significant at ninth grade. CONCLUSIONS: The original studies' behavioral effects were not replicated in this population, possibly as a result of this being an effectiveness trial instead of an efficacy trial, counterfactual exposure design issues, or postprogram exposure to evidence-based programming.
RCT Entities:
OBJECTIVES: To evaluate the effectiveness of an evidence-based HIV/sexually transmitted infection (STI)/pregnancy prevention program for middle schools implemented by school staff in South Carolina. METHODS: Twenty-four schools, representing 3143 youths, participated in a randomized trial from 2011 to 2014. Students completed surveys before programming (fall of seventh grade), after completing the 2-year It's Your Game…Keep It Real program (spring of eighth grade), and 1-year postprogram (spring of ninth grade). RESULTS: There was no statistically significant effect on initiation of vaginal sex between baseline and eighth grade. Significantly fewer students in the comparison condition reported initiating sex at ninth grade, relative to the intervention condition. No group differences existed on other behavioral outcomes that addressed sexual activity in the past 3 months at ninth grade. Seven of 26 psychosocial outcomes (3 knowledge, 1 attitude, 1 self-efficacy, 2 personal limits) were positively affected at eighth grade; 4 remained significant at ninth grade. CONCLUSIONS: The original studies' behavioral effects were not replicated in this population, possibly as a result of this being an effectiveness trial instead of an efficacy trial, counterfactual exposure design issues, or postprogram exposure to evidence-based programming.
Authors: Brian Goesling; Silvie Colman; Christopher Trenholm; Mary Terzian; Kristin Moore Journal: J Adolesc Health Date: 2014-02-11 Impact factor: 5.012
Authors: Christine M Markham; Melissa F Peskin; Ross Shegog; Elizabeth R Baumler; Robert C Addy; Melanie Thiel; Soledad Liliana Escobar-Chaves; Leah Robin; Susan R Tortolero Journal: J Adolesc Health Date: 2014-02 Impact factor: 5.012
Authors: Susan R Tortolero; Christine M Markham; Melissa Fleschler Peskin; Ross Shegog; Robert C Addy; S Liliana Escobar-Chaves; Elizabeth R Baumler Journal: J Adolesc Health Date: 2009-08-18 Impact factor: 5.012
Authors: Melissa F Peskin; Ross Shegog; Christine M Markham; Melanie Thiel; Elizabeth R Baumler; Robert C Addy; Efrat K Gabay; Susan Tortolero Emery Journal: J Adolesc Health Date: 2015-03-01 Impact factor: 5.012
Authors: Christine M Markham; Susan R Tortolero; Melissa Fleschler Peskin; Ross Shegog; Melanie Thiel; Elizabeth R Baumler; Robert C Addy; Soledad Liliana Escobar-Chaves; Belinda Reininger; Leah Robin Journal: J Adolesc Health Date: 2011-10-07 Impact factor: 5.012
Authors: Elizabeth Baumler; Jill Glassman; Susan Tortolero; Christine Markham; Ross Shegog; Melissa Peskin; Robert Addy; Heather Franks Journal: AIDS Res Treat Date: 2012-06-28
Authors: Melissa F Peskin; Karin K Coyle; Pamela M Anderson; B A Laris; Jill R Glassman; Heather M Franks; Melanie A Thiel; Susan C Potter; Tracy Unti; Sharon Edwards; Kimberly Johnson-Baker; Paula M Cuccaro; Pamela Diamond; Christine M Markham; Ross Shegog; Elizabeth R Baumler; Efrat K Gabay; Susan Tortolero Emery Journal: J Prim Prev Date: 2019-06