To ensure that Reducing the Risk, a successful teen pregnancy prevention education curriculum, remains relevant for today's youth, covers all information youth need to know in order to make better choices, and is delivered in a standardized way, adaptations were made and enhancements were added. This article describes results of a pilot execution of initial adaptations to Reducing the Risk with 13 youth from impoverished neighborhoods between the ages of 14 and 18. After each pilot day, a focus group was held with these 13 youth and further adaptations and enhancements were added to the curriculum. The full adapted and enhanced version of Reducing the Risk was then tested as part of a larger efficacy study utilizing a three-arm cluster randomized controlled trial comparing the enhanced Reducing the Risk curriculum version with another curriculum that embeds sex education in the context of healthy relationship skill building, Love Notes, and a control condition curriculum. In order for other sites to repli...

Enhancement of "Reducing the Risk" for the 21st Century: Improvement to a Curriculum Developed to Prevent Teen Pregnancy and STI Transmission.

A crucial aspect of human development is sexuality which has implications for health, particularly in adolescence, since unfavorable sexual experiences may result in physical and mental problems. Sexuality education interventions (SEI) are one of the most used actions to promote sexual health in adolescents. Nevertheless, there is variability across their components; therefore, key elements for an effective SEI targeted at adolescents (A-SEI) are not well known. Based on this background, this study aims to identify the shared components of successful A-SEI through a systematic review of randomized controlled trials (RCT). This study followed the preferred reporting items for systematic reviews and meta-analyses statement. A search was conducted in CINAHL, PsycInfo, PubMed, and Web of Science between November and December 2021. A total of 21 studies passed the inclusion test after the review of 8318 reports. A total of 18 A-SEIs were identified in these studies. The components analyzed were the intervention’s approach, dose, type of intervention, theoretical framework, facilitators’ training, and intervention methodology. The results established that components that should be present in the design of an effective A-SEI are behavior change theoretical models, the use of participatory methodology, be targeted at mixed-sex groups, facilitators’ training, and at least ten hours of weekly intervention.

/pdf/shared-components-of-worldwide-successful-sexuality-243pui87.pdf

Shared Components of Worldwide Successful Sexuality Education Interventions for Adolescents: A Systematic Review of Randomized Trials

Monitoring unplanned sexual health curricula adaptations: Using results to improve fidelity and support implementation.

Maintaining Program Fidelity in a Changing World: National Implementation of a School-Based HIV Prevention Program.

Comprehensive sexuality education (CSE) is critical in addressing negative sexual and reproductive health (SRH) outcomes among adolescents. Yet in many low- and middle-income countries (LMICs) including Zambia, little is known about the impact, realities of CSE implementation, the quality of teaching and the comprehensiveness of the content covered. 

Process evaluation of comprehensive sexuality education programme in Zambia: a focus on contextual factors, mechanisms of impact, quality of development and implementation process

How to ensure fidelity in implementing an evidence based teen pregnancy prevention curriculum

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How to ensure fidelity in implementing an evidence based teen pregnancy prevention curriculum