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| Name | Class |
|---|---|
| University of Southern California | OTHER |
| Planned Parenthood Los Angeles | UNKNOWN |
| Ford Foundation | OTHER |
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This study examines the effectiveness of the Sexuality Education Initiative (SEI), a comprehensive, multi-component, rights-based sexuality education program developed and implemented by Planned Parenthood Los Angeles for high school students. The primary goal of the SEI is to improve the sexual and reproductive health of youth attending Los Angeles high schools. The SEI consists of four intervention components: (1) a 12-session gender-sensitive, rights-based, comprehensive sexuality education curriculum, (2) a peer education and advocacy component, (3) a parent education component, and (4) clinical services linkages. It is hypothesized that the 12-session classroom curriculum is more effective than a 3-session control sex education curriculum. It is also hypothesized that the full SEI package (all four components) is more effective than the control condition (control curriculum and clinical services only).
This study examines the effectiveness of the Sexuality Education Initiative (SEI), a comprehensive, multi-component, rights-based sexuality education program developed and implemented by Planned Parenthood Los Angeles for high school students. The primary goal of the SEI is to improve the sexual and reproductive health of youth attending Los Angeles high schools. The SEI consists of four intervention components: (1) a 12-session gender-sensitive, rights-based, comprehensive sexuality education curriculum, (2) a peer education and advocacy component, (3) a parent education component, and (4) clinical services linkages.
The evaluation design involves two levels of randomization: First, all schools are randomized into one of two conditions: receiving all three SEI school wide components (peer, parent, clinical services) or receiving only one of these three school wide components (clinical services). Schools are randomized within matched pairs of demographically similar schools. Second, within each school, classrooms are randomized into one of two conditions: a basic 3-session sex education curriculum (control) or the 12-session SEI curriculum (intervention). Thus, all participating 9th grade students will receive at least three sexuality education curriculum sessions and access to on-site clinic services.
The primary research questions for the evaluation are:
The first hypothesis is that the 12-session SEI gender-sensitive, rights-based curriculum is more effective than the 3-session comparison curriculum in improving sexual health outcomes (as defined in section 7) among program participants one year after participation in the program. The second hypothesis is that the full SEI program (all four components as a package) is more effective than the comparison condition (only the 3-session comparison curriculum and the clinical services linkages) in improving sexual health outcomes one year after participation.
In addition to addressing these questions using the designated primary and secondary outcomes, this study will examine changes in the following short-term outcomes that measure critical concepts being addressed by the curriculum and serve as the hypothesized mediators in the SEI theory of change:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| SEI Classroom Curriculum | Experimental | Participants receive the SEI classroom curriculum. |
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| Control Classroom Curriculum | Active Comparator | Participants receive the control classroom curriculum. |
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| SEI Curriculum + 3 School Components | Experimental | Participants receive SEI classroom curriculum and three school wide components (peer advocacy and education, parent education, clinical services linkages). |
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| Control Curriculum + 1 School Component | Active Comparator | Participants receive control classroom curriculum and one of the three school wide components (clinical services linkages). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| SEI Classroom Curriculum | Behavioral | Participants receive the 12-session Sexuality Education Initiative (SEI) classroom curriculum. The SEI classroom curriculum covers anatomy, abstinence, contraception and protection, STIs and HIV/AIDS, media messages, gender, relationships, rights and responsibilities, pregnancy, sexuality, peer pressure, negotiation and coercion, and decision making. These sessions are delivered over a two-month period. Each curriculum session is about 45 minutes in length. |
| Measure | Description | Time Frame |
|---|---|---|
| Percent of Participants With Pregnancy Risk | Between-arm difference in percent of youth who report engaging in recent sexual intercourse but not using birth control and/or condoms | 1 year |
| Percent of Participants With Sexually Transmitted Infection (STI) Risk | Between-arm difference in percent of youth who report engaging in recent vaginal, anal and/or oral sexual intercourse but not using condoms | 1 year |
| Percent of Participants With Multiple Sexual Partners | Between-arm difference in percent of youth who report having more than one recent vaginal, anal and/or oral sexual partner | 1 year |
| Percent of Participants Who Ever Used Sexual and Reproductive Health Services | Between-arm difference in percent of youth who report ever using sexual and reproductive health services | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Percent of Participants Who Ever Had Sex | Between-arm difference in percent of youth who report ever engaging in vaginal and/or anal sexual intercourse | 1 year |
| Percent of Participants Who Ever Had Oral Sex |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Norman A. Constantine, PhD | Public Health Institute | Principal Investigator |
| Louise A. Rohrbach, PhD, MPH | University of Southern California | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Planned Parenthood Los Angeles | Los Angeles | California | 90007 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25886554 | Derived | Constantine NA, Jerman P, Berglas NF, Angulo-Olaiz F, Chou CP, Rohrbach LA. Short-term effects of a rights-based sexuality education curriculum for high-school students: a cluster-randomized trial. BMC Public Health. 2015 Mar 26;15:293. doi: 10.1186/s12889-015-1625-5. |
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1909 participants were enrolled.
In Year 1 (2011-12), eight schools participated. Following the first year, one matched pair of schools dropped out due to school administration changes and a new matched pair of schools with similar student characteristics was added for Year 2 (2012-13). Thus, ten schools participated in intervention delivery over the study period.
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| ID | Title | Description |
|---|---|---|
| FG000 | SEI Classroom Curriculum | Participants receive the SEI classroom curriculum. SEI Classroom Curriculum: Participants receive the 12-session Sexuality Education Initiative (SEI) classroom curriculum. The SEI classroom curriculum covers anatomy, abstinence, contraception and protection, STIs and HIV/AIDS, media messages, gender, relationships, rights and responsibilities, pregnancy, sexuality, peer pressure, negotiation and coercion, and decision making. These sessions are delivered over a two-month period. Each curriculum session is about 45 minutes in length. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Control Classroom Curriculum | Behavioral | Participants receive the 3-session basic control curriculum. The control curriculum includes 3 sessions on sexually transmitted infections, anatomy and birth control delivered over a two- or three-week period. Each curriculum session is about 45 minutes in length. |
|
| SEI Curriculum + 3 School Components | Behavioral | Participants receive SEI classroom curriculum and all three school wide components. The peer education/advocacy component recruits, trains and supervises students through an after-school leadership program to serve as resources to peers, organize health events, and refer students to school-based clinic services. The parent education component provides sessions for parents of students, covering reproductive health, teen pregnancy, and parent-teen communication, together with a parent education booklet for widespread use. The clinical services linkages includes health services on campus, including pregnancy/STI testing, contraceptive consultation and prescriptions, condom distribution, counseling, and referrals. It includes training for teachers and staff to distribute condoms as needed. |
|
| Control Curriculum + 1 School Component | Behavioral | Participants receive control classroom curriculum and one of the three school wide components, the clinical services linkages. This component includes health services on campus for students, including pregnancy and STI testing, contraceptive consultation and prescriptions, condom distribution, counseling, and referrals. It also includes training for teachers and school staff to distribute condoms to students as needed. |
|
Between-arm difference in percent of youth who report ever engaging in oral sexual intercourse
| 1 year |
| Percent of Participants With Recent Sexual Activity | Between-arm difference in percent of youth who report engaging in vaginal and/or anal sexual intercourse during the last 3 months | 1 year |
| Percent of Participants With Recent Oral Sex Activity | Between-arm difference in percent of youth who report engaging in oral sexual intercourse in the last 3 months | 1 year |
| Percent of Participants Who Used Condom at Last Sex | Between-arm difference in percent of youth who report using a condom the last time they had sexual intercourse | 1 year |
| Percent of Participants Who Used Contraceptive at Last Sex | Between-arm difference in percent of youth who report using birth control and/or condoms the last time they had sexual intercourse | 1 year |
| Percent of Participants Who Currently Have Condom | Between-arm difference in percent of youth who report currently having a condom with them (e.g., in a pocket, purse or backpack) | 1 year |
| FG001 | Control Classroom Curriculum | Participants receive the control classroom curriculum. Control Classroom Curriculum: Participants receive the 3-session basic control curriculum. The control curriculum includes 3 sessions on sexually transmitted infections, anatomy and birth control delivered over a two- or three-week period. Each curriculum session is about 45 minutes in length. |
| SEI Curriculum Only |
|
| SEI Curriculum + 3 SchoolWide Components |
|
| Ctrl Curriculum Only |
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| Ctrl Curriculm +1 SchoolWide Component |
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| COMPLETED |
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| NOT COMPLETED |
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Intervention groups were similar on baseline characteristics.
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| ID | Title | Description |
|---|---|---|
| BG000 | SEI Classroom Curriculum | Participants receive the SEI classroom curriculum. SEI Classroom Curriculum: Participants receive the 12-session Sexuality Education Initiative (SEI) classroom curriculum. The SEI classroom curriculum covers anatomy, abstinence, contraception and protection, STIs and HIV/AIDS, media messages, gender, relationships, rights and responsibilities, pregnancy, sexuality, peer pressure, negotiation and coercion, and decision making. These sessions are delivered over a two-month period. Each curriculum session is about 45 minutes in length. |
| BG001 | Control Classroom Curriculum | Participants receive the control classroom curriculum. Control Classroom Curriculum: Participants receive the 3-session basic control curriculum. The control curriculum includes 3 sessions on sexually transmitted infections, anatomy and birth control delivered over a two- or three-week period. Each curriculum session is about 45 minutes in length. |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants | Participants |
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| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||||
| Region of Enrollment | Number | participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Percent of Participants With Pregnancy Risk | Between-arm difference in percent of youth who report engaging in recent sexual intercourse but not using birth control and/or condoms | 412 participants completed the SEI Curriculum + 3 School Wide Components Arm/Group and 329 completed the Control Curriculum + 1 School Wide Component Arm/Group. Small fractional inconsistencies in reported and calculated outcome results are due to missing data and/or rounding of percentages. | Posted | Number | percentage of participants | 1 year |
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| Primary | Percent of Participants With Sexually Transmitted Infection (STI) Risk | Between-arm difference in percent of youth who report engaging in recent vaginal, anal and/or oral sexual intercourse but not using condoms | 412 participants completed the SEI Curriculum + 3 School Wide Components Arm/Group and 329 completed the Control Curriculum + 1 School Wide Component Arm/Group. Small fractional inconsistencies in reported and calculated outcome results are due to missing data and/or rounding of percentages. | Posted | Number | percentage of participants | 1 year |
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Primary | Percent of Participants With Multiple Sexual Partners | Between-arm difference in percent of youth who report having more than one recent vaginal, anal and/or oral sexual partner | 412 participants completed the SEI Curriculum + 3 School Wide Components Arm/Group and 329 completed the Control Curriculum + 1 School Wide Component Arm/Group. Small fractional inconsistencies in reported and calculated outcome results are due to missing data and/or rounding of percentages. | Posted | Number | percentage of participants | 1 year |
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| Primary | Percent of Participants Who Ever Used Sexual and Reproductive Health Services | Between-arm difference in percent of youth who report ever using sexual and reproductive health services | 412 participants completed the SEI Curriculum + 3 School Wide Components Arm/Group and 329 completed the Control Curriculum + 1 School Wide Component Arm/Group. Small fractional inconsistencies in reported and calculated outcome results are due to missing data and/or rounding of percentages. | Posted | Number | percentage of participants | 1 year |
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| Secondary | Percent of Participants Who Ever Had Sex | Between-arm difference in percent of youth who report ever engaging in vaginal and/or anal sexual intercourse | 412 participants completed the SEI Curriculum + 3 School Wide Components Arm/Group and 329 completed the Control Curriculum + 1 School Wide Component Arm/Group. Small fractional inconsistencies in reported and calculated outcome results are due to missing data and/or rounding of percentages. | Posted | Number | percentage of participants | 1 year |
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| Secondary | Percent of Participants Who Ever Had Oral Sex | Between-arm difference in percent of youth who report ever engaging in oral sexual intercourse | 412 participants completed the SEI Curriculum + 3 School Wide Components Arm/Group and 329 completed the Control Curriculum + 1 School Wide Component Arm/Group. Small fractional inconsistencies in reported and calculated outcome results are due to missing data and/or rounding of percentages. | Posted | Number | percentage of participants | 1 year |
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| Secondary | Percent of Participants With Recent Sexual Activity | Between-arm difference in percent of youth who report engaging in vaginal and/or anal sexual intercourse during the last 3 months | 412 participants completed the SEI Curriculum + 3 School Wide Components Arm/Group and 329 completed the Control Curriculum + 1 School Wide Component Arm/Group. Small fractional inconsistencies in reported and calculated outcome results are due to missing data and/or rounding of percentages. | Posted | Number | percentage of participants | 1 year |
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| Secondary | Percent of Participants With Recent Oral Sex Activity | Between-arm difference in percent of youth who report engaging in oral sexual intercourse in the last 3 months | 412 participants completed the SEI Curriculum + 3 School Wide Components Arm/Group and 329 completed the Control Curriculum + 1 School Wide Component Arm/Group. Small fractional inconsistencies in reported and calculated outcome results are due to missing data and/or rounding of percentages. | Posted | Number | percentage of participants | 1 year |
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| Secondary | Percent of Participants Who Used Condom at Last Sex | Between-arm difference in percent of youth who report using a condom the last time they had sexual intercourse | 412 participants completed the SEI Curriculum + 3 School Wide Components Arm/Group and 329 completed the Control Curriculum + 1 School Wide Component Arm/Group. Small fractional inconsistencies in reported and calculated outcome results are due to missing data and/or rounding of percentages. | Posted | Number | percentage of participants | 1 year |
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| Secondary | Percent of Participants Who Used Contraceptive at Last Sex | Between-arm difference in percent of youth who report using birth control and/or condoms the last time they had sexual intercourse | 412 participants completed the SEI Curriculum + 3 School Wide Components Arm/Group and 329 completed the Control Curriculum + 1 School Wide Component Arm/Group. Small fractional inconsistencies in reported and calculated outcome results are due to missing data and/or rounding of percentages. | Posted | Number | percentage of participants | 1 year |
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| Secondary | Percent of Participants Who Currently Have Condom | Between-arm difference in percent of youth who report currently having a condom with them (e.g., in a pocket, purse or backpack) | 412 participants completed the SEI Curriculum + 3 School Wide Components Arm/Group and 329 completed the Control Curriculum + 1 School Wide Component Arm/Group. Small fractional inconsistencies in reported and calculated outcome results are due to missing data and/or rounding of percentages. | Posted | Number | percentage of participants | 1 year |
|
2 years
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | SEI Classroom Curriculum | Participants receive the SEI classroom curriculum. SEI Classroom Curriculum: Participants receive the 12-session Sexuality Education Initiative (SEI) classroom curriculum. The SEI classroom curriculum covers anatomy, abstinence, contraception and protection, STIs and HIV/AIDS, media messages, gender, relationships, rights and responsibilities, pregnancy, sexuality, peer pressure, negotiation and coercion, and decision making. These sessions are delivered over a two-month period. Each curriculum session is about 45 minutes in length. | 0 | 1,025 | 0 | 1,025 | 0 | 1,025 |
| EG001 | Control Classroom Curriculum | Participants receive the control classroom curriculum. Control Classroom Curriculum: Participants receive the 3-session basic control curriculum. The control curriculum includes 3 sessions on sexually transmitted infections, anatomy and birth control delivered over a two- or three-week period. Each curriculum session is about 45 minutes in length. | 0 | 884 | 0 | 884 | 0 | 884 |
| EG002 | SEI Curriculum + 3 School Wide Components | Participants receive SEI classroom curriculum and three school wide components (peer advocacy and education, parent education, clinical services linkages). 3 School Wide Components: Participants receive all three school wide components. The peer education and advocacy component recruits, trains and supervises students through an after-school leadership program to serve as resources to peers, organize health events, and refer students to school-based clinic services. The parent education component provides sessions for parents of students, covering reproductive health, teen pregnancy, and parent-teen communication, together with a parent education booklet for widespread use. This clinical services linkages includes "clinic without walls" health services on campus, including pregnancy/STI testing, contraceptive consultation and prescriptions, condom distribution, counseling, and referrals. It includes training for teachers and staff to distribute condoms as needed. | 0 | 544 | 0 | 544 | 0 | 544 |
| EG003 | Control Curriculum + 1 School Wide Component | Participants receive control classroom curriculum and one of the three school wide components (clinical services linkages). 1 School Wide Component: Participants receive one of the three school wide components, the clinical services linkages. This component includes "clinic without walls" health services on campus for students, including pregnancy and STI testing, contraceptive consultation and prescriptions, condom distribution, counseling, and referrals. It also includes training for teachers and school staff to distribute condoms to students as needed. | 0 | 428 | 0 | 428 | 0 | 428 |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Norman A. Constantine, Ph.D. | PHI | 925-284-8118 | nconstantine@berkeley.edu |
| ID | Term |
|---|---|
| D012749 | Sexually Transmitted Diseases |
| D012725 | Sexual Behavior |
| D019529 | Sexuality |
| ID | Term |
|---|---|
| D003141 | Communicable Diseases |
| D007239 | Infections |
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001519 | Behavior |
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| >=65 years |
|
| Male |
|
Multilevel model to account for classroom/school clusters. Adjusted for student/classroom gender, student/classroom sexual experience, pretest score. |
| 0.3718 |
| Odds Ratio (OR) |
| 0.75 |
| 2-Sided |
| 95 |
| 0.39 |
| 1.44 |
| Superiority |
| OG002 | SEI Curriculum + 3 School Wide Components | Participants receive SEI classroom curriculum and three school wide components (peer advocacy and education, parent education, clinical services linkages). 3 School Wide Components: Participants receive all three school wide components. The peer education and advocacy component recruits, trains and supervises students through an after-school leadership program to serve as resources to peers, organize health events, and refer students to school-based clinic services. The parent education component provides sessions for parents of students, covering reproductive health, teen pregnancy, and parent-teen communication, together with a parent education booklet for widespread use. This clinical services linkages includes "clinic without walls" health services on campus, including pregnancy/STI testing, contraceptive consultation and prescriptions, condom distribution, counseling, and referrals. It includes training for teachers and staff to distribute condoms as needed. |
| OG003 | Control Curriculum + 1 School Wide Component | Participants receive control classroom curriculum and one of the three school wide components (clinical services linkages). 1 School Wide Component: Participants receive one of the three school wide components, the clinical services linkages. This component includes "clinic without walls" health services on campus for students, including pregnancy and STI testing, contraceptive consultation and prescriptions, condom distribution, counseling, and referrals. It also includes training for teachers and school staff to distribute condoms to students as needed. |
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| OG002 | SEI Curriculum + 3 School Wide Components | Participants receive the SEI classroom curriculum and three school wide components (peer advocacy and education, parent education, clinical services linkages). 3 School Wide Components: Participants receive all three school wide components. The peer education and advocacy component recruits, trains and supervises students through an after-school leadership program to serve as resources to peers, organize health events, and refer students to school-based clinic services. The parent education component provides sessions for parents of students, covering reproductive health, teen pregnancy, and parent-teen communication, together with a parent education booklet for widespread use. This clinical services linkages includes "clinic without walls" health services on campus, including pregnancy/STI testing, contraceptive consultation and prescriptions, condom distribution, counseling, and referrals. It includes training for teachers and staff to distribute condoms as needed. |
| OG003 | Control Curriculum + 1 School Wide Component | Participants receive the control curriculum and one school wide component (clinical services linkages). 1 School Wide Component: Participants receive one of the three school wide components, the clinical services linkages. This component includes "clinic without walls" health services on campus for students, including pregnancy and STI testing, contraceptive consultation and prescriptions, condom distribution, counseling, and referrals. It also includes training for teachers and school staff to distribute condoms to students as needed. |
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| OG002 | SEI Curriculum + 3 School Wide Components | Participants receive the SEI classroom curriculum and three school wide components (peer advocacy and education, parent education, clinical services linkages). 3 School Wide Components: Participants receive all three school wide components. The peer education and advocacy component recruits, trains and supervises students through an after-school leadership program to serve as resources to peers, organize health events, and refer students to school-based clinic services. The parent education component provides sessions for parents of students, covering reproductive health, teen pregnancy, and parent-teen communication, together with a parent education booklet for widespread use. This clinical services linkages includes "clinic without walls" health services on campus, including pregnancy/STI testing, contraceptive consultation and prescriptions, condom distribution, counseling, and referrals. It includes training for teachers and staff to distribute condoms as needed. |
| OG003 | Control Curriculum + 1 School Wide Component | Participants receive the control curriculum and one school wide component (clinical services linkages). 1 School Wide Component: Participants receive one of the three school wide components, the clinical services linkages. This component includes "clinic without walls" health services on campus for students, including pregnancy and STI testing, contraceptive consultation and prescriptions, condom distribution, counseling, and referrals. It also includes training for teachers and school staff to distribute condoms to students as needed. |
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| OG002 | SEI Curriculum + 3 School Wide Components | Participants receive the SEI classroom curriculum and three school wide components (peer advocacy and education, parent education, clinical services linkages). 3 School Wide Components: Participants receive all three school wide components. The peer education and advocacy component recruits, trains and supervises students through an after-school leadership program to serve as resources to peers, organize health events, and refer students to school-based clinic services. The parent education component provides sessions for parents of students, covering reproductive health, teen pregnancy, and parent-teen communication, together with a parent education booklet for widespread use. This clinical services linkages includes "clinic without walls" health services on campus, including pregnancy/STI testing, contraceptive consultation and prescriptions, condom distribution, counseling, and referrals. It includes training for teachers and staff to distribute condoms as needed. |
| OG003 | Control Curriculum + 1 School Wide Component | Participants receive the control curriculum and one school wide component (clinical services linkages). 1 School Wide Component: Participants receive one of the three school wide components, the clinical services linkages. This component includes "clinic without walls" health services on campus for students, including pregnancy and STI testing, contraceptive consultation and prescriptions, condom distribution, counseling, and referrals. It also includes training for teachers and school staff to distribute condoms to students as needed. |
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| OG002 | SEI Curriculum + 3 School Wide Components | Participants receive the SEI classroom curriculum and three school wide components (peer advocacy and education, parent education, clinical services linkages). 3 School Wide Components: Participants receive all three school wide components. The peer education and advocacy component recruits, trains and supervises students through an after-school leadership program to serve as resources to peers, organize health events, and refer students to school-based clinic services. The parent education component provides sessions for parents of students, covering reproductive health, teen pregnancy, and parent-teen communication, together with a parent education booklet for widespread use. This clinical services linkages includes "clinic without walls" health services on campus, including pregnancy/STI testing, contraceptive consultation and prescriptions, condom distribution, counseling, and referrals. It includes training for teachers and staff to distribute condoms as needed. |
| OG003 | Control Curriculum + 1 School Wide Component | Participants receive the control curriculum and one school wide component (clinical services linkages). 1 School Wide Component: Participants receive one of the three school wide components, the clinical services linkages. This component includes "clinic without walls" health services on campus for students, including pregnancy and STI testing, contraceptive consultation and prescriptions, condom distribution, counseling, and referrals. It also includes training for teachers and school staff to distribute condoms to students as needed. |
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| OG002 | SEI Curriculum + 3 School Wide Components | Participants receive the SEI classroom curriculum and three school wide components (peer advocacy and education, parent education, clinical services linkages). 3 School Wide Components: Participants receive all three school wide components. The peer education and advocacy component recruits, trains and supervises students through an after-school leadership program to serve as resources to peers, organize health events, and refer students to school-based clinic services. The parent education component provides sessions for parents of students, covering reproductive health, teen pregnancy, and parent-teen communication, together with a parent education booklet for widespread use. This clinical services linkages includes "clinic without walls" health services on campus, including pregnancy/STI testing, contraceptive consultation and prescriptions, condom distribution, counseling, and referrals. It includes training for teachers and staff to distribute condoms as needed. |
| OG003 | Control Curriculum + 1 School Wide Component | Participants receive the control curriculum and one school wide component (clinical services linkages). 1 School Wide Component: Participants receive one of the three school wide components, the clinical services linkages. This component includes "clinic without walls" health services on campus for students, including pregnancy and STI testing, contraceptive consultation and prescriptions, condom distribution, counseling, and referrals. It also includes training for teachers and school staff to distribute condoms to students as needed. |
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| OG002 | SEI Curriculum + 3 School Wide Components | Participants receive the SEI classroom curriculum and three school wide components (peer advocacy and education, parent education, clinical services linkages). 3 School Wide Components: Participants receive all three school wide components. The peer education and advocacy component recruits, trains and supervises students through an after-school leadership program to serve as resources to peers, organize health events, and refer students to school-based clinic services. The parent education component provides sessions for parents of students, covering reproductive health, teen pregnancy, and parent-teen communication, together with a parent education booklet for widespread use. This clinical services linkages includes "clinic without walls" health services on campus, including pregnancy/STI testing, contraceptive consultation and prescriptions, condom distribution, counseling, and referrals. It includes training for teachers and staff to distribute condoms as needed. |
| OG003 | Control Curriculum + 1 School Wide Component | Participants receive the control curriculum and one school wide component (clinical services linkages). 1 School Wide Component: Participants receive one of the three school wide components, the clinical services linkages. This component includes "clinic without walls" health services on campus for students, including pregnancy and STI testing, contraceptive consultation and prescriptions, condom distribution, counseling, and referrals. It also includes training for teachers and school staff to distribute condoms to students as needed. |
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| OG002 | SEI Curriculum + 3 School Wide Components | Participants receive the SEI classroom curriculum and three school wide components (peer advocacy and education, parent education, clinical services linkages). 3 School Wide Components: Participants receive all three school wide components. The peer education and advocacy component recruits, trains and supervises students through an after-school leadership program to serve as resources to peers, organize health events, and refer students to school-based clinic services. The parent education component provides sessions for parents of students, covering reproductive health, teen pregnancy, and parent-teen communication, together with a parent education booklet for widespread use. This clinical services linkages includes "clinic without walls" health services on campus, including pregnancy/STI testing, contraceptive consultation and prescriptions, condom distribution, counseling, and referrals. It includes training for teachers and staff to distribute condoms as needed. |
| OG003 | Control Curriculum + 1 School Wide Component | Participants receive the control curriculum and one school wide component (clinical services linkages). 1 School Wide Component: Participants receive one of the three school wide components, the clinical services linkages. This component includes "clinic without walls" health services on campus for students, including pregnancy and STI testing, contraceptive consultation and prescriptions, condom distribution, counseling, and referrals. It also includes training for teachers and school staff to distribute condoms to students as needed. |
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| OG002 | SEI Curriculum + 3 School Wide Components | Participants receive the SEI classroom curriculum and three school wide components (peer advocacy and education, parent education, clinical services linkages). 3 School Wide Components: Participants receive all three school wide components. The peer education and advocacy component recruits, trains and supervises students through an after-school leadership program to serve as resources to peers, organize health events, and refer students to school-based clinic services. The parent education component provides sessions for parents of students, covering reproductive health, teen pregnancy, and parent-teen communication, together with a parent education booklet for widespread use. This clinical services linkages includes "clinic without walls" health services on campus, including pregnancy/STI testing, contraceptive consultation and prescriptions, condom distribution, counseling, and referrals. It includes training for teachers and staff to distribute condoms as needed. |
| OG003 | Control Curriculum + 1 School Wide Component | Participants receive the control curriculum and one school wide component (clinical services linkages). 1 School Wide Component: Participants receive one of the three school wide components, the clinical services linkages. This component includes "clinic without walls" health services on campus for students, including pregnancy and STI testing, contraceptive consultation and prescriptions, condom distribution, counseling, and referrals. It also includes training for teachers and school staff to distribute condoms to students as needed. |
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| OG002 | SEI Curriculum + 3 School Wide Components | Participants receive the SEI classroom curriculum and three school wide components (peer advocacy and education, parent education, clinical services linkages). 3 School Wide Components: Participants receive all three school wide components. The peer education and advocacy component recruits, trains and supervises students through an after-school leadership program to serve as resources to peers, organize health events, and refer students to school-based clinic services. The parent education component provides sessions for parents of students, covering reproductive health, teen pregnancy, and parent-teen communication, together with a parent education booklet for widespread use. This clinical services linkages includes "clinic without walls" health services on campus, including pregnancy/STI testing, contraceptive consultation and prescriptions, condom distribution, counseling, and referrals. It includes training for teachers and staff to distribute condoms as needed. |
| OG003 | Control Curriculum + 1 School Wide Component | Participants receive the control curriculum and one school wide component (clinical services linkages). 1 School Wide Component: Participants receive one of the three school wide components, the clinical services linkages. This component includes "clinic without walls" health services on campus for students, including pregnancy and STI testing, contraceptive consultation and prescriptions, condom distribution, counseling, and referrals. It also includes training for teachers and school staff to distribute condoms to students as needed. |
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