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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.
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