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.
This program is
suitable for use in hospital- or community-based clinics.
The field study involved 1,195 adolescent males ranging in age
from 15 to 18 years.
91 % White, 5% African-American, 4% Asian, 1 % other.
is one hour in length, evenly divided between the counseling session
and video presentation.
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