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Evidence-Based Programs

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SHARP (Sexual Health and Adolescent Risk Prevention)

Overview of the Curriculum

Sexual Health and Adolescent Risk Prevention (SHARP) was formerly known as HIV Risk Reduction Among Detained Adolescents. This single-session, group-based intervention is designed to reduce sexual risk behaviors among high-risk adolescents in juvenile detention facilities. The program is delivered in small groups of up to 10 youth and seeks to increase condom use and reduce alcohol-related sexual risk behavior.

Curriculum Objectives

Overall, SHARP program goals are to deepen STI/HIV knowledge, improve correct condom use, reduce sexual risks and alcohol use and set long-term goals to utilize knowledge and skills learned during the session.

Curriculum Sessions

Component 1: Sexual Risk Reduction Intervention
SHARP is an intensive, interactive single-session (divided into five sections) intervention lasting 3-4 hours that incorporates videos, lecture, group discussion and activities. The groups are organized by gender, either all male or all female, with no more than 10 per session (but on average, the ideal number per session is between 3-5 participants per session). This component of the intervention is led by a trained facilitator. The session encourages condom use among participants through the activities and condom use demonstrations. A videogame is used to help participants consider how unprotected sex may impact their future goals in life. At the end of the session, participants are asked to identify a "Safer Sex" goal to achieve in the next three months.

Component 2: Motivational Enhancement Therapy
Immediately following the first component of the intervention, participants engage in a one-hour group discussion of alcohol use and sexual activity. A trained facilitator leads the discussion following the techniques of motivational enhancement therapy, a method for encouraging change in health risk behaviors through open, supportive, and non-confrontational discussion. Topics for discussion include participants' current drinking behaviors, the health consequences of alcohol use, and strategies for reducing sexual risk behaviors in the context of drinking.

Unique Features of the Curriculum

Developed for youth in temporary adolescent detention facilities, SHARP addresses sexual risk reduction as well as substance (particularly alcohol) use and its related effects upon sexual activity. The intervention may also be suitable for use in other detention or in-patient facilities as well as community-based and clinical settings.

Ordering and Training Information

Ordering: You may order the program materials through Sociometrics Corporation.

Program Archive on Sexuality, Health, and Adolescence (PASHA)
Sociometrics Corporation
170 State Street, Suite 260
Los Altos, CA 94022-2812
Tel. (650) 949-3282
Fax (650) 949-3299
Email: socio@socio.com

The Program Archive on Sexuality, Health, and Adolescence (PASHA), funded by the National Institute of Child Health and Human Development and the Office of Adolescent Health in the Department of Health and Human Services, is a collection of effective program replication kits designed to reduce teen pregnancy and STI/HIV/AIDS in adolescents.

Training: In the original implementation of the intervention, group leaders received training in the curriculum and motivational enhancement therapy techniques. SHARP was conducted by a gender-matched masters-level intervention leader who had been trained in the provision of each intervention condition, including specific training in Motivational Interviewing (MI) and Motivational Enhanced Therapy (MET). The developers of SHARP have developed a two-day training session that they hold at the University of New Mexico. If you would like more to learn more about this training opportunity, please contact Dr. Angela Bryan at abryan@unm.edu for information about pricing and scheduling.

In the event that the original developer is unable to provide training for their program, Sociometrics has trainers on staff who can conduct training for any archive program. Please contact PASHA staff at Sociometrics (650) 949-3282 between 8 a.m. and 5 p.m. Pacific Standard Time.

Evaluation Fact Sheet

Intervention

This program is an intensive, interactive single-session intervention lasting 3-4 hours that incorporates videos, lecture, group discussion and activities. Overall, SHARP program goals are to deepen STI/HIV knowledge, improve correct condom use, reduce sexual risks and alcohol use and set long-term goals to utilize knowledge and skills learned during the session.

Adolescents in general are at high risk for sexually transmitted infections (STIs), including HIV. Even higher rates of STIs have been observed among youth involved with the criminal justice system. Typically, these adolescents are younger at first intercourse, have a higher number of sexual partners, and report lower rates of condom use than their peers. Few interventions for adolescents target both substance use and sexual risk reduction. SHARP aims to fill these gaps.

Behavioral Findings

The enhanced intervention condition (SHARP + Motivational Enhancement Therapy) was statistically different and more significant than the control condition (HIV Information only). Any decrease in alcohol problems over time was statistically significant in the SHARP condition and the SHARP + Motivational Enhancement Therapy, when compared to HIV Information only. At the six-, nine-, and twelve-month follow-ups: adolescents participating in the intervention reported more consistent condom use.

Research Design

SHARP was evaluated using a randomized controlled trial with three group-based conditions. These three conditions were HIV information only (control group); SHARP program (intervention group) and SHARP + Motivational Enhancement Therapy (enhanced intervention group). The study was conducted over a 12 month period, with data collected in five waves (baseline, 3, 6, 9 and 12 months). The original intervention sample consisted of 484 adolescents with a mean age of 15.8 (SD = 1.1) and 82.7% were boys. They were recruited from three juvenile detention facilities in Denver Colorado from January 2004 to July 2006 The mean age was 15.8 and the participants were 36.6% white, 28.5% Hispanic, 12.9% black, 4.8% Native American, 3.5% Asian, 12.6% biracial, and 2.1% other ethnicity.

References

Bryan, A.D., Schmiege, S.J., & M.R. Broaddus. (2009). HIV Risk Reduction Among Detained Adolescents: A Randomized, Controlled Trial. Pediatrics, 124(6), e1180-e1188.