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| ID | Type | Description | Link |
|---|---|---|---|
| 5K99MD019060-02 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Institute on Minority Health and Health Disparities (NIMHD) | NIH |
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The purpose of this study is to test the effectiveness, likability, and implementation potential of PACT, an adapted digital program to teach non-heterosexual adolescent boys about sexual consent and condom negotiation in a randomized controlled trial over 9 months.
Because the PACT (Promoting Affirmative Consent among Teens) digital health intervention showed evidence of effectiveness at improving sexual consent cognitions in its first trial, and was found generally likable among adolescents, the research team has adapted the program to serve as sexual assertiveness (consent and condom negotiation) training. This adapted version is tailored to the specific needs of adolescent sexual minority males (ASMM), a population that has been historically underserved by traditional sex education while also experiencing disproportionately high rates of both sexual violence victimization and condom non-use. The evaluation of the adapted PACT program (now titled Promoting Assertive Communication among Teens) will take place in an RCT with a Type 1 effectiveness-implementation hybrid design. Surveys will be administered at pre-intervention, post-intervention, 3-month follow-up, and 9-month follow-up. The investigators will assess acceptability, implementation factors, and main and secondary outcomes related to consent and condom negotiation/use.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Promoting Assertive Communication among Teens (PACT) | Experimental | A 30-minute digital program designed to teach adolescent sexual minority males information and skills regarding two dimensions of sexual assertiveness: consent and condom negotiation. |
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| Healthy Minds | Active Comparator | An attention-matched digital program focused on growth mindsets and mental health, designed for a general population of adolescents. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Promoting Assertive Communication among Teens (PACT) | Other | See Arm Description |
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| Measure | Description | Time Frame |
|---|---|---|
| Condom negotiation intentions | Participants' likelihood of using a condom during sexual intercourse with a partner | Baseline, immediately post-intervention, 3 months, 9 months |
| Affirmative consent intentions | Participants' likelihood of 1) ensuring consent is obtained from a partner prior to sexual intercourse and 2) communicating their consent affirmatively to a partner prior to intercourse | Baseline, immediately post-intervention, 3 months, 9 months |
| Condom negotiation self-efficacy | Participants' confidence in their ability to assert their desire to use a condom with a partner (5-point likert, strongly disagree to strongly agree, higher scores = higher self-efficacy) | Baseline, immediately post-intervention, 3 months, 9 months |
| Affirmative consent self-efficacy | Participants' confidence in their ability to communicate sexual consent with a partner (4-point likert, "not at all confident" to "very confident", higher scores = higher self-efficacy) | Baseline, immediately post-intervention, 3 months, 9 months |
| Measure | Description | Time Frame |
|---|---|---|
| Condom use | Behavioral outcome measuring whether a condom was used for sexual intercourse | Baseline, 3 months, 9 months |
| Condom negotiation | Behavioral outcome measuring discussion about condom use prior to sexual intercourse |
| Measure | Description | Time Frame |
|---|---|---|
| Dose | How much of the intervention did participants complete? | Immediately post-intervention |
| Cost | How much does it cost to implement the intervention? |
Inclusion Criteria:
Exclusion Criteria:
Participants will be eligible if they consider themselves "queer teen guys." Although a large percentage of the sample will be male-assigned at birth, the investigators anticipate that the total sample will also include gender-diverse adolescents, including those who are trans boys, transmasculine, non-binary, agender, genderqueer, and gender nonconforming.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Hannah Javidi, PhD | Contact | 7042807859 | hjavidi@ncat.edu | |
| Eric Walsh-Buhi, PhD, MPH | Contact | erwals@iu.edu |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| North Carolina A&T State University | Greensboro | North Carolina | 27611 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37186689 | Background | Javidi H, Widman L, Maheux AJ, McCrimmon J, Evans-Paulson R, Becker W. PACT: Developing and Evaluating a Digital Sexual Consent Program for Youth. J Sex Res. 2024 Mar-Apr;61(3):466-480. doi: 10.1080/00224499.2023.2208560. Epub 2023 May 15. |
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| ID | Term |
|---|---|
| D047568 | Unsafe Sex |
| ID | Term |
|---|---|
| D012725 | Sexual Behavior |
| D001519 | Behavior |
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PACT (Promoting Assertive Communication among Teens) is a brief online (web-based) educational program that can be taken on participants' personal devices.
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| Healthy Minds | Other | See Arm Description |
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| Baseline, 3 months, 9 months |
| Affirmative consent communication | Behavioral outcome measuring affirmative consent communication before and during sexual intercourse | Baseline, 3 months, 9 months |
| Condom attitudes | Participants' beliefs about the importance of condom use (items from the Condom Attitudes scale, strongly disagree to strongly agree, higher scores = more positive attitudes) | Baseline, immediately post-intervention, 3 months, 9 months |
| Affirmative consent attitudes | Participants' beliefs about the importance of affirmative consent (items from the Sexual Consent Scale-Revised, strongly disagree to strongly agree, higher scores = more positive attitudes) | Baseline, immediately post-intervention, 3 months, 9 months |
| Condom norms | Participants' personal and perceived norms about condom use (condom norms items from the Psychosocial Scales, higher score = more positive norms) | Baseline, immediately post-intervention, 3 months, 9 months |
| Affirmative consent norms | Participants' personal and perceived norms about affirmative consent (Norms items from Sexual Consent Scale-Revised, strongly disagree to strongly agree, higher scores = more positive norms) | Baseline, immediately post-intervention, 3 months, 9 months |
| Acceptability | Participants' perceptions of the likability and usefulness of the program (items adapted from Acceptability of Intervention measure, "not at all" to "a lot", higher scores = higher acceptability) | Immediately post-intervention |
| Baseline |