Dietary Modification, Eating Behaviors, Pregnancy, Abdominal, Sexual Behavior, Sexually Transmitted Diseases, Sexually Transmitted Infection
Conditions
Keywords
pregnancy, adolescents, sexually transmitted diseases, decision making, prevention education
Brief summary
The purpose of Making Healthy Decisions is to design and rigorously evaluate a new sexual health education program, Your Move (YM) against a nutrition control program, Eat Smart (ES). YM is intended to improve teen females' (ages 14-19) ability to make healthy sexual decisions with the ultimate goal of reducing unplanned pregnancies and STIs.
Detailed description
Making Healthy Decisions includes two technology-based interventions designed to improve teen females' healthy decision making in relation to sexual relationships (YM) and nutrition (ES). Health educators from Planned Parenthood are trained to implement both YM and ES at youth-serving community organizations in their geographic area across several U.S. states. In a multi-site randomized controlled trial, females ages 14-19 are recruited from their local community-based organization (CBO) into groups/cohorts of 8-12. Each cohort is randomly assigned to participate in one of the two interventions prior to baseline data collection. Participants attend seven 75-minute program sessions that include facilitator-led games, activities, and discussions as well as personal reflection time in which girls practiced healthy decision making individually on an electronic tablet. Self-reported survey data related to attitudes, knowledge, and behavior around sex and nutrition are collected at baseline as well as 3 months after the intervention ends.
Interventions
BEHAVIORALYour Move
Your Move (YM) is an interactive sex education intervention. Groups of girls are randomly assigned to YM or Eat Smart (ES), a control interactive nutrition education intervention. Each program consist of seven 75-minute sessions, and each session contains 60 minutes of facilitator-led discussion, video clips, activities, and games as well as 15 minutes of personal reflection time during which girls practice the decision making skills they have learned. Participants complete online surveys about their attitudes, knowledge, and behavior related to food and nutrition and relationships and sex at baseline and also 3 months after the program ends.
BEHAVIORALEat Smart
Eat Smart (ES) is an interactive nutrition education intervention. Groups of girls are randomly assigned to ES or Your Move, an interactive sex education intervention. Each program consist of seven 75-minute sessions, and each session contains 60 minutes of facilitator-led discussion, video clips, activities, and games as well as 15 minutes of personal reflection time during which girls practice the decision making skills they have learned. Participants complete online surveys about their attitudes, knowledge, and behavior related to food and nutrition and relationships and sex at baseline and also 3 months after the program ends.
Sponsors
ETR Associates
Carnegie Mellon University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
14 Years to 19 Years
Healthy volunteers
No
Inclusion criteria
* Female (or identify as female); age 14-19
Exclusion criteria
* Male (or identify as male); female older than 19 or younger than 14
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of sexual partners for vaginal intercourse | 3 months post intervention | Number of partners with whom had vaginal sex |
| Number of incidents of vaginal sex without using hormonal contraception, copper IUD, or condoms | 3 months post intervention | Number of times reported having vaginal sex without hormonal contraception, copper IUD, condoms, or insertive condoms |
| Number of incidents of vaginal sex without condoms | 3 months post intervention | Number of times reported having vaginal sex without using condoms or insertive condoms |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of sexual partners for vaginal, oral, or anal intercourse | 3 months post intervention | Number of partners with whom had vaginal, oral, or anal sex |
| Number of incidents of vaginal intercourse | 3 months post intervention | Number of times had vaginal intercourse in the past 3 months |
| Perceived self efficacy to communicate about sexual boundaries and condom use | 3 months post intervention | Efficacy in communicating about sexual activity and condom use |
| Condom errors or failure | 3 months post intervention | Experienced any of 10 specific condom errors/failures during any condom use in the past 3 months (breakage, slippage, starting sex before putting condom on, removing condom before sex complete, open package with sharp object, use oil-based lubricant, put on condom before full erection, put on condom inside out and or flip it, had a problem that damaged condom & did not have another available, squeeze air from tip) |
| Number of incidents of vaginal, oral, or anal sex without using condoms | 3 months post intervention | Number of times reported having vaginal, oral, or anal sex without using condoms or insertive condoms |
Other
| Measure | Time frame | Description |
|---|---|---|
| Nutrition behavior timeframe | 3 months post intervention | Number of days report eating fruit, vegetables, too much food, not enough food, dining out, preparing meal at home, and eating breakfast |
| Nutrition behavior about quantity of fruit consumed | 3 months post intervention | Amount (# of cups) of fruit consumed on a typical day |
| Nutrition behavior about quantity of vegetables consumed | 3 months post intervention | Amount (# of cups) of vegetables consumed on a typical day |
| STI knowledge | 3 months post intervention | Count of number of STI knowledge items correct out of 13. |
| Nutrition behavior about food information when dining out | 3 months post intervention | Notice or check nutrition information (on menu or online) when dining out |
| Nutrition behavior about food information when shopping | 3 months post intervention | Notice or check nutrition information (food labels) when shopping |
| Nutrition behavior about quantity of sweetened beverage consumed | 3 months post intervention | Amount (# of cups) of sweetened beverage consumed on a typical day |
| Perceived self efficacy to use condoms | 3 months post intervention | Perceived efficacy to get and use condoms. |
| Personal beliefs about what causes infertility | 3 months post intervention | General beliefs about infertility/fear about ability to get pregnant. |
| Number of sexual partners without using condoms | 3 months post intervention | Number of partners with whom had vaginal, oral, or anal sex without using condoms or insertive condoms |
| Birth control use | 3 months post intervention | Use and consistency of use of 14 birth control methods (birth control pills, patch, Depo Provera, ring, IUD, implant, condoms, female condoms, diaphragm, cervical cap, sponge, spermicide, safe time of month, pull out), and emergency contraception |
| Nutrition knowledge | 3 months post intervention | Count of number of nutrition knowledge items correct out of 10. |
| Personal attitudes toward healthy eating | 3 months post intervention | Mean score of 8 items on a 7 point scale on a newly developed questionnaire assessing healthy eating |
| Perceived self efficacy toward making healthy eating choices | 3 months post intervention | Perceived efficacy to eat recommended number of servings of fruit and vegetables each day, avoid sugary drinks and eat breakfast daily |
Countries
United States
Outcome results
None listed