Replicating Reducing the Risk: 12-Month Impacts of a Cluster Randomized Controlled Trial
To test the effectiveness of Reducing the Risk, an evidence-based sexual health curriculum designed to help prevent adolescent pregnancy and sexually transmitted infections, on youth sexual behavior and intermediate outcomes thought to lead to these behaviors. Classes within schools in St. Louis, Mi...
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| Veröffentlicht in: | American journal of public health (1971) 2016-09, Vol.106 (S1), p.S45-S52 |
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| container_end_page | S52 |
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| container_issue | S1 |
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| container_title | American journal of public health (1971) |
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| creator | Kelsey, Meredith Blocklin, Michelle Layzer, Jean Price, Cristofer Juras, Randall Freiman, Lesley |
| description | To test the effectiveness of Reducing the Risk, an evidence-based sexual health curriculum designed to help prevent adolescent pregnancy and sexually transmitted infections, on youth sexual behavior and intermediate outcomes thought to lead to these behaviors.
Classes within schools in St. Louis, Missouri; Austin, Texas; and San Diego, California; were randomly assigned to receive Reducing the Risk or "business as usual." Youths completed Web-based surveys at baseline (preintervention, August 2012-January 2014) and 12 months later (August 2013-January 2015). Intent-to-treat analyses were conducted across sites; we tested for differences in impacts between sites and other subgroups.
The program had no overall impact on sexual behaviors. However, at 1 site, program participants were significantly less likely to have engaged in recent sexual intercourse than were control group members. There were positive overall impacts on intermediate outcomes (e.g., knowledge, attitudes).
After 12 months, Reducing the Risk was unsuccessful at changing sexual behaviors. Other results were mixed, but promising evidence (e.g., behavioral impacts at 1 site, impacts on intermediate outcomes) suggests potential for more widespread behavioral impacts over a longer term. |
| doi_str_mv | 10.2105/AJPH.2016.303409 |
| format | Article |
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Classes within schools in St. Louis, Missouri; Austin, Texas; and San Diego, California; were randomly assigned to receive Reducing the Risk or "business as usual." Youths completed Web-based surveys at baseline (preintervention, August 2012-January 2014) and 12 months later (August 2013-January 2015). Intent-to-treat analyses were conducted across sites; we tested for differences in impacts between sites and other subgroups.
The program had no overall impact on sexual behaviors. However, at 1 site, program participants were significantly less likely to have engaged in recent sexual intercourse than were control group members. There were positive overall impacts on intermediate outcomes (e.g., knowledge, attitudes).
After 12 months, Reducing the Risk was unsuccessful at changing sexual behaviors. Other results were mixed, but promising evidence (e.g., behavioral impacts at 1 site, impacts on intermediate outcomes) suggests potential for more widespread behavioral impacts over a longer term.</description><identifier>ISSN: 0090-0036</identifier><identifier>EISSN: 1541-0048</identifier><identifier>DOI: 10.2105/AJPH.2016.303409</identifier><identifier>PMID: 27689492</identifier><language>eng</language><publisher>United States: American Public Health Association</publisher><subject>Adolescent Health ; Adolescents ; AJPH Research ; Behavior ; Classrooms ; Computers ; Contraception ; Curricula ; Design ; HIV/AIDS ; Mental health ; Pregnancy ; Prevention ; Public health ; Risk ; Schools ; Secondary schools ; Sexual behavior ; Sexual Health ; Sexual intercourse ; Sexually transmitted diseases ; STD ; Students ; Subgroups ; Teenage pregnancy ; Teenagers</subject><ispartof>American journal of public health (1971), 2016-09, Vol.106 (S1), p.S45-S52</ispartof><rights>Copyright American Public Health Association Sep 2016</rights><rights>American Public Health Association 2016 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c424t-f85d95e1379bf22673ad33e337f08bce081fc866a8e06d133b74c80d95ac191a3</citedby><cites>FETCH-LOGICAL-c424t-f85d95e1379bf22673ad33e337f08bce081fc866a8e06d133b74c80d95ac191a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5049453/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5049453/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27866,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27689492$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kelsey, Meredith</creatorcontrib><creatorcontrib>Blocklin, Michelle</creatorcontrib><creatorcontrib>Layzer, Jean</creatorcontrib><creatorcontrib>Price, Cristofer</creatorcontrib><creatorcontrib>Juras, Randall</creatorcontrib><creatorcontrib>Freiman, Lesley</creatorcontrib><title>Replicating Reducing the Risk: 12-Month Impacts of a Cluster Randomized Controlled Trial</title><title>American journal of public health (1971)</title><addtitle>Am J Public Health</addtitle><description>To test the effectiveness of Reducing the Risk, an evidence-based sexual health curriculum designed to help prevent adolescent pregnancy and sexually transmitted infections, on youth sexual behavior and intermediate outcomes thought to lead to these behaviors.
Classes within schools in St. Louis, Missouri; Austin, Texas; and San Diego, California; were randomly assigned to receive Reducing the Risk or "business as usual." Youths completed Web-based surveys at baseline (preintervention, August 2012-January 2014) and 12 months later (August 2013-January 2015). Intent-to-treat analyses were conducted across sites; we tested for differences in impacts between sites and other subgroups.
The program had no overall impact on sexual behaviors. However, at 1 site, program participants were significantly less likely to have engaged in recent sexual intercourse than were control group members. There were positive overall impacts on intermediate outcomes (e.g., knowledge, attitudes).
After 12 months, Reducing the Risk was unsuccessful at changing sexual behaviors. Other results were mixed, but promising evidence (e.g., behavioral impacts at 1 site, impacts on intermediate outcomes) suggests potential for more widespread behavioral impacts over a longer term.</description><subject>Adolescent Health</subject><subject>Adolescents</subject><subject>AJPH Research</subject><subject>Behavior</subject><subject>Classrooms</subject><subject>Computers</subject><subject>Contraception</subject><subject>Curricula</subject><subject>Design</subject><subject>HIV/AIDS</subject><subject>Mental health</subject><subject>Pregnancy</subject><subject>Prevention</subject><subject>Public health</subject><subject>Risk</subject><subject>Schools</subject><subject>Secondary schools</subject><subject>Sexual behavior</subject><subject>Sexual Health</subject><subject>Sexual intercourse</subject><subject>Sexually transmitted diseases</subject><subject>STD</subject><subject>Students</subject><subject>Subgroups</subject><subject>Teenage 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evidence-based sexual health curriculum designed to help prevent adolescent pregnancy and sexually transmitted infections, on youth sexual behavior and intermediate outcomes thought to lead to these behaviors.
Classes within schools in St. Louis, Missouri; Austin, Texas; and San Diego, California; were randomly assigned to receive Reducing the Risk or "business as usual." Youths completed Web-based surveys at baseline (preintervention, August 2012-January 2014) and 12 months later (August 2013-January 2015). Intent-to-treat analyses were conducted across sites; we tested for differences in impacts between sites and other subgroups.
The program had no overall impact on sexual behaviors. However, at 1 site, program participants were significantly less likely to have engaged in recent sexual intercourse than were control group members. There were positive overall impacts on intermediate outcomes (e.g., knowledge, attitudes).
After 12 months, Reducing the Risk was unsuccessful at changing sexual behaviors. Other results were mixed, but promising evidence (e.g., behavioral impacts at 1 site, impacts on intermediate outcomes) suggests potential for more widespread behavioral impacts over a longer term.</abstract><cop>United States</cop><pub>American Public Health Association</pub><pmid>27689492</pmid><doi>10.2105/AJPH.2016.303409</doi><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
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| source | PAIS Index; EBSCOhost Business Source Complete; Education Source; PubMed Central; Alma/SFX Local Collection |
| subjects | Adolescent Health Adolescents AJPH Research Behavior Classrooms Computers Contraception Curricula Design HIV/AIDS Mental health Pregnancy Prevention Public health Risk Schools Secondary schools Sexual behavior Sexual Health Sexual intercourse Sexually transmitted diseases STD Students Subgroups Teenage pregnancy Teenagers |
| title | Replicating Reducing the Risk: 12-Month Impacts of a Cluster Randomized Controlled Trial |
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