Development and Evaluation of an HIV, STD, and Pregnancy Prevention Program for Middle School Students
HIV Prevention Programs for Middle School Students
Studieoversigt
Status
Betingelser
Detaljeret beskrivelse
The purpose of this study is to develop and evaluate a school-based HIV, STD, and pregnancy prevention program for 7th and 8th grade middle school students using a randomized-controlled intervention trial. The intervention program consists of a classroom-based curriculum and an interactive CD-ROM. Ten middle schools were recruited to participate in this intervention trial. Five middle schools were randomized to the intervention group; and five middle schools were randomized to the control group. The study is also developing a model for obtaining community support for the development of HIV, STD and pregnancy prevention programs for middle school youth.
The primary hypothesis to be tested is: Students attending middle schools who receive a multi-component HIV, STD, pregnancy prevention intervention will postpone sexual activity or reduce levels of current sexual activity relative to those in the comparison condition. The major dependent variables are proportion of students that are sexually active, and the proportion initiating sexual intercourse. Intentions to engage in sexual activity, number of times of unprotected sexual intercourse, and number of sexual partners will also be examined. Secondary hypotheses will examine the effect of the multi-component HIV, STD, and pregnancy prevention intervention on the student's knowledge, self-efficacy, attitudes, perceived norms, barriers, and communication with parents.
The specific aims of this project are to:
- Develop a model for obtaining community-based support for HIV, STD, and pregnancy prevention interventions for middle school students.
- Adapt a tested, school-based, HIV, STD, and pregnancy prevention curriculum for middle school students using qualitative data from the target population, parents, and community representatives.
- Develop an interactive CD-ROM-based tailored HIV, STD and pregnancy prevention intervention to provide individualized learning opportunities for middle school students.
- Evaluate the effect of the multi-component intervention (classroom curriculum and CD-ROM intervention) on sexual behavior outcomes (proportion of students who initiate sexual intercourse, proportion of currently sexually active students having unprotected sexual intercourse, number of sexual partners, and intentions to have sexual intercourse) among middle school students.
- Evaluate the effect of the multi-component intervention on student impact variables such as knowledge, self-efficacy, attitudes, barriers, and perceived norms related to sexual risk-taking behavior and academic achievement among middle school students.
- Disseminate findings to the scientific community, school districts, and community agencies.
Undersøgelsestype
Tilmelding (Faktiske)
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiesteder
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Texas
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Houston, Texas, Forenede Stater, 77030
- University of Texas Houston Health Science Center - School of Public Health
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- 7th Grade
- Attend one of the ten recruited schools
Exclusion Criteria:
- Non-English speaking
- Physical disability that prevents student from completing intervention and survey
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Forebyggelse
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
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Eksperimentel: Intervention Group
HIV, STD, and pregnancy prevention curriculum
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This HIV, STD, and pregnancy intervention program entitled, "It's Your Game...Keep it Real", consists of 12 lessons delivered in Grades 7 and 8.
In each grade, the program integrates group-based classroom activities (e.g., role plays, group discussion, small group activities) with personalized journaling and individual tailored activities delivered on laptop computers.
A life skills decision-making paradigm (Select, Detect, Protect) underlies the activities, teaching students to select personal limits regarding risk behaviors, to detect signs or situations that might challenge these limits, and to use refusal skills and other tactics to protect these limits.
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Eksperimentel: Control Group
Standard sexual education curriculum
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Control curriculum consists of standard sexual education.
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Initiation of Sexual Intercourse
Tidsramme: Measured throughout the study, and at 2006/2007 school year
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The effect of the intervention on delayed sexual initiation at the 9th-grade follow-up for those students who reported no lifetime sexual activity at baseline was assessed as the primary outcome.
The primary hypothesis tested was that the intervention would decrease the number of adolescents who initiated sexual activity by the ninth grade relative to those in the comparison schools.
Sexual activity was defined as participation in vaginal, oral, or anal sex.
Sexual activity questions were defined in advance and were worded in a gender-neutral manner to illicit responses for same and opposite-sex partners.
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Measured throughout the study, and at 2006/2007 school year
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Sekundære resultatmål
Resultatmål |
Tidsramme |
|---|---|
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Knowledge
Tidsramme: Measured throughout the study
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Measured throughout the study
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Self-efficacy
Tidsramme: Measured throughout the study
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Measured throughout the study
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Attitudes
Tidsramme: Measured throughout the study
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Measured throughout the study
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Perceived Norms
Tidsramme: Measured throughout the study
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Measured throughout the study
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Barriers
Tidsramme: Measured throughout the study
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Measured throughout the study
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Communication With Parents
Tidsramme: Measured throughout the study
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Measured throughout the study
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Proportion of Students That Are Sexually Active
Tidsramme: Measured over a period of 30 days
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Measured over a period of 30 days
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Samarbejdspartnere og efterforskere
Samarbejdspartnere
Efterforskere
- Ledende efterforsker: Susan R. Tortolero, PhD, University of Texas Houston Health Science Center - School of Public Health
- Ledende efterforsker: Christine M. Markham, PhD, University of Texas Houston Health Science Center - School of Public Health
Publikationer og nyttige links
Datoer for undersøgelser
Studer store datoer
Studiestart
Primær færdiggørelse (Faktiske)
Studieafslutning (Faktiske)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- R01MH066640 (U.S. NIH-bevilling/kontrakt)
- R01MH066640-01 (U.S. NIH-bevilling/kontrakt)
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