Program

Mar 24, 2016

Overview

The Sexual Risk Reduction (SRR) Intervention is a group-based intervention that is designed to reduce sexual risk behaviors in teenage girls in low-income urban settings. In an experimental evaluation, the intervention was found to have significant results in reducing both protected and unprotected sex and increasing abstinence.

DESCRIPTION OF PROGRAM

Target population: Teenage girls in low-income urban settings

The SRR Intervention is a group based intervention consisting of four, weekly, 120-minute sessions, and two 90-minute booster sessions at 3 and 6 months after the intervention. The intervention is designed to reduce sexual risk taking in girls and maintain the behavior change that reduces vaginal sex exposure, unprotected vaginal sex, number of partners, and unintended pregnancies.

EVALUATION OF PROGRAM

Morrison-Beedy, D., Jones, S.H., Xia, Y., Tu, X., Crean, H.F., & Care, M.P. (2013). Reducing sexual risk behavior in adolescent girls: Results from a randomized controlled trial. Journal of Adolescent Health, 52, 314-321.

Evaluated population: A total of 639 girls, ages 15-19, who were not married, not pregnant, and had not given birth within the past 3 months participated in the study. The participants were predominantly low-income African American, and their mean age was 16.5 years.

Approach: Participants were recruited from youth development centers, adolescent health services, and school-based centers in upstate New York. The girls were randomly assigned to two groups: SRR (experimental group) or the control group (General Health Promotion [GHP]) at baseline. The GHP intervention was focused on nutrition, breast health, and anger management topics. It provided information on general health, as well as motivational strategies to change specific behaviors and communication strategies. The baseline assessment gathered information on demographics and health behaviors, including sexual practices and behaviors. Follow-up assessments were administered a three, six, and 12- months post-intervention. Data from participant medical charges were also collected at the end of the study.

Results: After 12-month post-intervention, girls in the SRR group had significantly fewer sexual experiences, fewer unprotected vaginal sexual experiences, fewer unprotected sexual experiences with steady partners, and had a significant effect on abstinence at each follow-up point compared with the control group. Girls in the SRR group had significantly fewer partners than those in the control group at three, six, and 12- month follow-up points. Participants in the SRR group had fewer pregnancies than the control group; however, these results were not statistically significant. There were no differences between groups in STI status.

SOURCES FOR MORE INFORMATION

References:

Morrison-Beedy, D., Jones, S.H., Xia, Y., Tu, X., Crean, H.F., & Care, M.P. (2013). Reducing sexual risk behavior in adolescent girls: Results from a randomized controlled trial. Journal of Adolescent Health, 52, 314-321.

KEYWORDS: Adolescents, youth, young adults, female only, black/African American, Hispanic/Latino, Urban, Clinic/Provider-Based, STD/HIB/

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