for high-risk youth, including African-Americans, YAPP aims to prevent
STDs, HIV/AIDS and substance abuse among high-risk junior high school
students. Guiding the program is social cognitive theory, which targets
teens' knowledge, attitudes, self-efficacy, intentions and behaviors
regarding high-risk activities. The intervention includes ten sessions
for 7th grade students, delivered in regularly scheduled health or
science classes, and a five-part booster session offered one year
later, when the teens have entered 8th grade. Classes cover transmission
and prevention of STDs and HIV/AIDS, the importance of using condoms
for those who choose to have sex, and the development of decision-making
and resistance/negotiation skills. In addition to lectures and class
discussions, active learning is emphasized, with opportunities for
students to participate in small group exercises and role plays. There
are also homework activities and opportunities for parental involvement.
A field study of the intervention was conducted in fifteen high-risk
school districts in Chicago. Research focused on the group of students
who first became sexually active during the study period. Following
the booster session, these students were more likely than a control
group of peers to report using condoms with foam; they also expressed
greater intention to use condoms with foam in the future.
is most suitable for 7th grade classrooms, with the five session booster
program offered in 8th grade classrooms one year later. The intervention
could also be used in community-based organizations serving teens
between the ages of 12 and 14 years.
The original sample
included 1,459 7th grade students, of whom 48% were male. The booster
program for 8th grade students involved 1,001 teens.
58% African-American, 16% Latino, 21% White, 5% other.
During the first
year of the program, ten class sessions are offered, one per day over
a two week period. A one week, five session booster program should
be held one year later.
Ideally the program
should be led by a professional, master's level health educator who
has received special training in HIVAIDS; one instructor is required
per classroom. However, YAPP was designed for regular classroom teachers
(with modest training) to deliver YAPP to their classes. The additional
training is recommended to familiarize instructors with the YAPP curriculum.