CDC-NCHSTP-DHAP: Compendium of HIV Prevention = Interventions with Evidence of Effectiveness - Section 1 - Summaries of = HIV Prevention Interventions

From: Subject: CDC-NCHSTP-DHAP: Compendium of HIV Prevention Interventions with Evidence of Effectiveness - Section 1 - Summaries of HIV Prevention Interventions Date: Fri, 25 Oct 2002 01:00:01 -0500 MIME-Version: 1.0 Content-Type: multipart/related; boundary="----=_NextPart_000_0075_01C27BC1.D90233E0"; type="text/html" X-MimeOLE: Produced By Microsoft MimeOLE V5.00.2919.6600 This is a multi-part message in MIME format. ------=_NextPart_000_0075_01C27BC1.D90233E0 Content-Type: text/html; charset="Windows-1252" Content-Transfer-Encoding: quoted-printable Content-Location: http://www.cdc.gov/hiv/pubs/hivcompendium/section1-21.htm CDC-NCHSTP-DHAP: Compendium of HIV Prevention = Interventions with Evidence of Effectiveness - Section 1 - Summaries of = HIV Prevention Interventions

National Center for HIV, STD and TB=20 Prevention
Divisions of HIV/AIDS Prevention=20

Reducing the Risk: Impact of a = New=20 Curriculum on Sexual Risk-taking

Kirby, D., Barth, R.P., Leland, N., & Fetro, = J.V.=20 (1991).
Family Planning Perspectives, 23 (6), 253 - = 263

Description of Intervention: Reducing = the=20 Risk

The intervention was based on social learning, social=20 inoculation, and cognitive behavioral theories. The = intervention was=20 carried out in 13 high schools in California. Health = education=20 classes offered the 15-session intervention as part of the = 10th=20 grade comprehensive health curriculum. Teachers who = volunteered to=20 implement the intervention curriculum attended a 3-day = training=20 session.

The curriculum included instruction on developing social = skills=20 to reduce sexual risk-taking behavior and used role play as = a means=20 of practicing and modeling those skills. Numerous activities = supported the norm that students should avoid unprotected=20 intercourse, either by not having sex or by using = contraceptives.=20 Students repeatedly role played situations where they = recognized=20 various forms of social pressure to have sex, examined the = "lines"=20 that young people use to obtain sex, were motivated to = resist these=20 pressures, and practiced effective strategies and skills to = refrain=20 from sex or unprotected sex. Over the 15 weeks, role plays = were less=20 scripted and more oriented to developing student's = confidence in=20 their ability to resist pressure. The curriculum also = emphasized=20 decision making and assertive communication skills, = encouraged=20 students to go to stores and clinics to obtain relevant = health=20 information, and required students to ask their parents = about their=20 views on abstinence and birth=20 control.

Intervention Goal(s): To determine the effects of a = classroom=20 intervention to postpone initiation of sexual intercourse and, = among those=20 sexually experienced, to reduce unprotected sex.

Intervention Setting: High school classrooms.

Population: Of the 758 students who participated in the = study,=20 47% were male and 53% were female; 2% were African American, 2% = were=20 American Indian, 9% were Asian, 20% were Hispanic, 62% were white, = and 5%=20 were of other racial/ethnic groups. The average age was 15 years, = and=20 about 37% of the participants were sexually experienced prior to = the=20 study.

Comparison Condition: Usual sexuality instruction = available in=20 the school.

Behavioral Findings: Students receiving the intervention = were=20 significantly less likely to initiate sexual intercourse than = those in the=20 comparison condition; intervention students who were already = sexually=20 experienced were significantly less likely to engage in = unprotected=20 intercourse than sexually active students in the comparison = condition.

Contact:
Nancy Shanfeld, PhD
ETR = Associates
PO=20 Box 1830
Santa Cruz, CA 95061

Phone: 408 438 4060=20
Fax: 408 438=20 4618

This study=20 meets CDC's HIV/AIDS Prevention Research Synthesis project = criteria for=20 relevance and methodological rigor and also has the positive and=20 significant behavioral/health findings required for the = Compendium. Date=20 added 1/99

Last Updated: August 31, = 2001=20
Centers for Disease Control & Prevention
National = Center for=20 HIV, STD, and TB Prevention
Divisions of HIV/AIDS=20 Prevention
Please send comments/suggestions/requests to: hivmail@cdc.gov

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