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| Name | Class |
|---|---|
| ETR Associates | OTHER |
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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Your Move | Experimental | Sex education intervention |
|
| Eat Smart | Active Comparator | Nutrition education intervention |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Your Move | Behavioral | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of sexual partners for vaginal intercourse | Number of partners with whom had vaginal sex | 3 months post intervention |
| Number of incidents of vaginal sex without using hormonal contraception, copper IUD, or condoms | Number of times reported having vaginal sex without hormonal contraception, copper IUD, condoms, or insertive condoms | 3 months post intervention |
| Number of incidents of vaginal sex without condoms | Number of times reported having vaginal sex without using condoms or insertive condoms | 3 months post intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Number of incidents of vaginal intercourse | Number of times had vaginal intercourse in the past 3 months | 3 months post intervention |
| Condom errors or failure | 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) |
| Measure | Description | Time Frame |
|---|---|---|
| STI knowledge | Count of number of STI knowledge items correct out of 13. | 3 months post intervention |
| Perceived self efficacy to use condoms | Perceived efficacy to get and use condoms. |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Julie Downs, PhD | Carnegie Mellon University | Principal Investigator |
| Pam Murray, MD, MHP | West Virginia University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Carnegie Mellon University | Pittsburgh | Pennsylvania | 15213 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26149165 | Result | Downs JS, Bruine de Bruin W, Fischhoff B, Murray PJ. Behavioral Decision Research Intervention Reduces Risky Sexual Behavior. Curr HIV Res. 2015;13(5):439-46. doi: 10.2174/1570162x13666150511145328. | |
| 25225369 | Result | Downs JS. Prescriptive scientific narratives for communicating usable science. Proc Natl Acad Sci U S A. 2014 Sep 16;111 Suppl 4(Suppl 4):13627-33. doi: 10.1073/pnas.1317502111. Epub 2014 Sep 15. |
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|
| Eat Smart | Behavioral | 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. |
|
| 3 months post intervention |
| Number of incidents of vaginal, oral, or anal sex without using condoms | Number of times reported having vaginal, oral, or anal sex without using condoms or insertive condoms | 3 months post intervention |
| Number of sexual partners for vaginal, oral, or anal intercourse | Number of partners with whom had vaginal, oral, or anal sex | 3 months post intervention |
| Perceived self efficacy to communicate about sexual boundaries and condom use | Efficacy in communicating about sexual activity and condom use | 3 months post intervention |
| 3 months post intervention |
| Personal beliefs about what causes infertility | General beliefs about infertility/fear about ability to get pregnant. | 3 months post intervention |
| Number of sexual partners without using condoms | Number of partners with whom had vaginal, oral, or anal sex without using condoms or insertive condoms | 3 months post intervention |
| Birth control use | 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 | 3 months post intervention |
| Nutrition knowledge | Count of number of nutrition knowledge items correct out of 10. | 3 months post intervention |
| Personal attitudes toward healthy eating | Mean score of 8 items on a 7 point scale on a newly developed questionnaire assessing healthy eating | 3 months post intervention |
| Perceived self efficacy toward making healthy eating choices | Perceived efficacy to eat recommended number of servings of fruit and vegetables each day, avoid sugary drinks and eat breakfast daily | 3 months post intervention |
| Nutrition behavior timeframe | Number of days report eating fruit, vegetables, too much food, not enough food, dining out, preparing meal at home, and eating breakfast | 3 months post intervention |
| Nutrition behavior about quantity of fruit consumed | Amount (# of cups) of fruit consumed on a typical day | 3 months post intervention |
| Nutrition behavior about quantity of vegetables consumed | Amount (# of cups) of vegetables consumed on a typical day | 3 months post intervention |
| Nutrition behavior about quantity of sweetened beverage consumed | Amount (# of cups) of sweetened beverage consumed on a typical day | 3 months post intervention |
| Nutrition behavior about food information when dining out | Notice or check nutrition information (on menu or online) when dining out | 3 months post intervention |
| Nutrition behavior about food information when shopping | Notice or check nutrition information (food labels) when shopping | 3 months post intervention |
| 15279915 | Result | Downs JS, Murray PJ, Bruine de Bruin W, Penrose J, Palmgren C, Fischhoff B. Interactive video behavioral intervention to reduce adolescent females' STD risk: a randomized controlled trial. Soc Sci Med. 2004 Oct;59(8):1561-72. doi: 10.1016/j.socscimed.2004.01.032. |
| ID | Term |
|---|---|
| D011269 | Pregnancy, Abdominal |
| D012725 | Sexual Behavior |
| D012749 | Sexually Transmitted Diseases |
| D005247 | Feeding Behavior |
| ID | Term |
|---|---|
| D011271 | Pregnancy, Ectopic |
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D001519 | Behavior |
| D003141 | Communicable Diseases |
| D007239 | Infections |
| D000091662 | Genital Diseases |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001522 | Behavior, Animal |
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