TEEN HEALTH PROJECT, an HIV-prevention intervention for adolescents,
was originally developed for adolescents age 12 to 17 living in low income
housing developments. It was modeled after an effective HIV prevention
program developed for and evaluated with adult women in
similar living situations. The intervention draws on several earlier group
interventions with demonstrated efficacy, and adds the community-level
component for longer-term engagement and involvement of the
The purpose of the study was to evaluate whether the effects of a
community-level HIV risk reduction intervention would be stronger and
maintained when the intervention targeted change in individual-level
risk reduction beliefs and skills as well as change in the social and peer
Participants (n = 1,172) were recruited from 15 low income housing
developments in three states. Housing developments were randomly
assigned in equal numbers to the community-level intervention (five
developments; the focus of this User's Guide and PASHA replication
kit), a workshop-only condition (five developments), or an AIDS
education only wait-list control condition (five developments). The
community-level program used teen opinion leaders to develop and
implement monthly HIV-prevention activities and quarterly events in
Assessments were conducted at baseline, approximately 3 months after
completion of the educational sessions, and again approximately 18
months after baseline. Adolescents who reported never engaging in
sexual intercourse at baseline (n = 841, 71.8%) and who completed
follow-up measures comprise the cohort for evaluating intervention
effects on continued abstinence outcomes.
At long-term follow-up, adolescents living in the community-level
housing developments were more likely to have remained abstinent
than their control group peers (t(1, 10) = 2.22, P< .05). The difference in
abstinence rates between the community-level and workshop-only
groups approached significance (P = 0.07).
Also at long-term follow-up, condom use rates among control group
participants were lower than rates in either the community-level or
workshop-only groups. In addition to treatment, higher baseline levels
of abstinence self-efficacy (b = 0.18, SE = 0.09; f(1,261) = 4.61; P <
0.05), abstinence outcome expectations (b = 0.42, SE = 0.18; f(1,255) =
5.29; P < 0.05) and utilization of condom-related behavior skills (b =
0.40, SE = 0.10; f(1,255) = 15.62; P = 0.0001) increased condom use at
TEEN HEALTH PROJECT (THP), while originally designed for use in low income
housing developments, may be suitable for use in other
community-based settings that work with groups of adolescents. THP
developers recommend that workshop groups be divided by gender
and by ages (e.g., 12-14 and 15-17).
The original intervention sample consisted of 1,172
adolescents, aged 12-17. The sample was evenly
divided male (N = 587) and female (N = 585).
51% African American, 20% Asian, 10% East African,
5% White, 3% Hispanic, 3% Ukrainian, 2% Russian, 1%
Native American, 5% Other
The two THP workshops last approximately 3 hours each, and are
typically offered one week apart. The two follow-up sessions, semi-structured
with a focus on workshop content lasting 90 to 120 minutes,
are offered over the next four to five months.
In addition, there is one loosely formatted 90-minute parent education
session, giving parents an opportunity to hear about what their teens are
learning. Parents also participate in parent-teen communication skills-building
exercises, and have the option of viewing a condom
The Teen Health Project Leadership Council (Health Council),
comprised of opinion leaders nominated by their workshop peers and
facilitators, meets each week for 90 minutes. Their meetings begin
between the first and second follow-up sessions, and continue on a
weekly basis for six months as they plan and implement monthly
activities and quarterly events.
In the original implementation, workshop and follow-up sessions were
led by two co-facilitators. The Health Council sessions also involved co-facilitators.
No specialized background is required to implement THP.
However, facilitators will want to familiarize themselves with all the
materials, including handouts (appendices) in the red envelopes. In
addition, facilitators will want to check the URLs for the streaming
videos, listed in the Curriculum manual, to ensure that they are still
active. In addition, the What Worked: Notes from the Field booklet
provides a variety of activities and notes from the original
implementation including a follow-up session outline, a parent session
outline, and meeting notes from a Health Council meeting (including
slogans and t-shirt designs).