Reproductive Health Counseling for Young Men
Ross Danielson, Anne Plunkett, Shirley Marcy, William Wiest & Merwin Greenlick

FOCUS

SUMMARY

Originally developed for boys between 15 and 18 years of age, this is a one-hour, single-session, clinic-based intervention. The program is designed to meet the needs of sexually active and inactive teens, and to promote abstinence as well as contraception. The session begins with a video presentation that is viewed privately by each teen. The materials address reproductive anatomy, fertility, hernia, testicular self-examination, STDs (including HIV/AIDS), contraception (including abstinence), communication skills, and access to health services. A half-hour private consultation with a health care practitioner follows the presentation. Guided by the young men's interests, the consultation may include such topics as sexuality, fertility goals, and reproductive health risks, along with rehearsal and modeling of sexual communication. A field study of the intervention was conducted with 1,195 high school-aged males visiting health maintenance organizations in two Northwestern cities. Compared to a control group of their peers, sexually active program participants were significantly more likely to use effective contraception at the one-year follow-up assessment, especially if they were not yet sexually active at the time of the intervention. Sexually active female partners of program participants were also more likely to use effective contraception at the follow-up.

SUITABLE FOR USE IN

This program is suitable for use in hospital- or community-based clinics.

ORIGINAL INTERVENTION SAMPLE

Age, Gender
The field study involved 1,195 adolescent males ranging in age from 15 to 18 years.

Race/Ethnicity
91 % White, 5% African-American, 4% Asian, 1 % other.

PROGRAM LENGTH

The intervention is one hour in length, evenly divided between the counseling session and video presentation.

STAFFING REQUIREMENTS/TRAINING

Health care practitioners serve as counselors and provide a brief introduction to the video presentation. In the field study, special training was held to introduce staff to the program's "developmental counseling" strategies, as well as to review the video presentation. Throughout the study, one of the program leaders was available to answer questions and lead occasional staff meetings.

   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 (Private counseling session)
   

PASHA PROGRAM PACKAGE

The PASHA Program Package for this program includes:

  • PASHA User's Guide
  • Reproductive Health Counseling for Young Men Program Manual
  • Reproductive Health Counseling for Young Men Program Script
  • Reproductive Health Counseling for Young Men DVD
  • A Set of Original Evaluation Instruments
  • Transitions, March 2003 (newsletter reprint)
  • HIV Infection and AIDS: What Everyone Should Know
  • Prevention Minimum Evaluation Data Set (PMEDS)
  • Local Evaluator Consultant Network Directory

  • Telephone technical support on implementation and evaluation for 1 year