Reducing the Risk


Richard Barth, M.S.W., Ph.D.

FOCUS

SUMMARY

Reducing the Risk is a high-school-level sexuality education curriculum designed to reduce the frequency of unprotected sexual intercourse through: (1) delaying or reducing the frequency of intercourse; or (2) increasing contraceptive and STD-protection awareness. The 16-session curriculum is intended to serve as one component of a family life education course, rather than as a comprehensive, stand-alone program. Based on social learning theory, the curriculum aims to change student norms about unprotected sex and perceptions of peer sexual activity, as well as to strengthen parent-child communication concerning abstinence and contraception. The curriculum explicitly emphasizes that students should avoid unprotected intercourse, either by not having sex or (for students who choose to have sex) by using contraceptives. Lessons are reinforced through role-plays, homework activities, quizzes, and skill-building activities. A field study of the program was conducted in 13 California high schools. Participation in the program significantly increased teens' knowledge and communication with parents regarding abstinence and contraception. In addition, the program significantly reduced the likelihood that students who had not had intercourse at the start of the program would become sexually active by the 18-month follow-up assessment. However, program participation did not affect the frequency of sexual intercourse or the use of contraceptives among teens who were already sexually active at the start of the program.

SUITABLE FOR USE IN

Although the program was originally designed for high schools, it is equally suitable for use in community-based organizations.

ORIGINAL INTERVENTION SAMPLE

Age, Gender
The field study included male and female high school students whose average age was 15.

Race/Ethnicity
61 % White, 21 % Latino, 9% Asian, 2% African-American, 6% other.

PROGRAM LENGTH

The program consists of 16 lessons, each designed for a 45-minute class period. Most lessons can be expanded to fill two class periods by increasing practice and discussion time.

STAFFING REQUIREMENTS/TRAINING

Regular classroom teachers lead the program. During the original field study, teachers attended a three-day training session, which focused primarily on practice of the role plays and other class activities. The training also included three hours of instruction in reviewing procedures both for obtaining parent and student consent, and for collecting program evaluation data.

   Primary Pregnancy Prevention
   Secondary Pregnancy Prevention
   STD/HIV/AIDS Prevention

ORIGINAL SITE
   School-Based
   Community-Based
   Clinic-Based

APPROACH
   Abstinence
   Behavioral Skills Development
   Community Outreach
   Contraceptive Access
   Contraceptive Education
   Life Option Enhancement
   Self-Efficacy/Self-Esteem
   Sexuality/STD/HIV/AIDS Education

COMPONENTS
   Adult Involvement
   Case Management
   Group Discussion
   Lectures
   Peer Counseling/Instruction
   Public Service Announcements
   Role Play
   Video
   Other
Clinic and store visits
   

PASHA PROGRAM PACKAGE

The PASHA Program Package for this program includes:

1 PASHA User's Guide 1 Transitions, March 2003 (newsletter reprint)
1 Reducing the Risk Teacher's Handbook 1 Original Evaluation Instruments: Girl's Questionnaire
1 Reducing the Risk Student Workbook 1 Original Evaluation Instruments: Boy's Questionnaire
25 STD Facts pamphlets 1 Prevention Minimum Evaluation Data Set
25 HIV: Get the Answers pamphlets 1 Local Evaluator Consultant Network Directory

Telephone technical support on implementation and evaluation for year

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