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Evidence-Based Programs

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All4You!

Overview of the Curriculum

The primary goal of All4You! is to reduce the number of students who have unprotected sexual intercourse, which is associated with increased risk of HIV, other sexually transmitted diseases (STDs), and unplanned pregnancy. The program also aims to change key determinants related to sexual risk taking, such as attitudes, beliefs, and perceived norms. The target audience is students in alternative high school settings who are between ages 14 and 18. The intervention is designed to be delivered by health educators or classroom teachers during classroom sessions and service-learning visits in the community.

Curriculum Lessons

All4You! includes 14 lessons—9 featuring skill development and 5 involving service visits in the community. Classroom lessons range from 70–90 minutes each; service-learning visits require approximately 140 minutes, which includes travel time to and from a service-learning site.

Pre-Lesson: Preparing for All4You!

Lesson 1: It’s All4You!

Lesson 2: Sexually Transmitted Diseases

Lesson 3: What’s the Risk?

Lesson 4: Experience It!

Lesson 5: Using Our Skills in the Community—Visit #1

Lesson 6: Negotiation and Refusal Skills

Lesson 7: Using Our Skills in the Community—Visit #2

Lesson 8: Reduce Your Risk

Lesson 9: Using Our Skills in the Community—Visit #3

Lesson 10: You Can Handle It

Lesson 11: Using Our Skills in the Community—Visit #4

Lesson 12:< Staying Safe

Lesson 13: Using Our Skills in the Community—Visit #5

Lesson 14: It’s All4You

Unique Features of the Curriculum

  • Designed for youth in alternative schools, who tend to have higher rates of sexual risk-taking behaviors than students in mainstream high schools (www.cdc.gov/healthyyouth/yrbs/data/alternative/asyrbs98.pdf).
  • Includes a service-learning component, which has been shown to reduce pregnancy and sexual risk-taking behavior.
  • Addresses a broad range of determinants to sexual risk taking—both sexual and non-sexual.
  • Incorporates important elements common to evidence-based interventions, including interactive learning strategies and the development of communication, refusal, and condom use skills.
  • Uses in-class peer leaders to help with some classroom activities.
  • Uses music throughout the classroom activities.
  • Uses reflection to help youth personalize service-learning activities.

Theoretical Framework

The All4You! curriculum draws on three theories: Social Cognitive Theory, Theory of Planned Behavior, and Social Development Theory.

Ordering and Training Information

To learn more about All4You!, including ordering and training information visit: http://www.etr.org/ebi/programs/all4you/

Evaluation

Intervention

All4You! was evaluated between 2000 and 2003 in 24 alternative schools (specifically, community day schools) located in four large urban counties in northern California.

Research Design

All4You! was evaluated using a randomized, controlled trial. Thirteen schools were randomly assigned to receive the All4You! Intervention. The remaining 11 schools served as control sites. Self-report data from students at each study school were collected using trained data collectors. Baseline data were collected in class during school hours at the beginning of each semester. Follow-up data were collected at 6, 12, and 18 months after baseline.

Of eligible students, 98 percent returned parental consent forms, and 89 percent of these students (n = 988) completed baseline surveys.

At the 6-month follow-up, students in the intervention group were less likely to have had intercourse without a condom in the previous 3 months than were students in the control group (p = .002), and they were more likely to have used condoms during their last intercourse (p = .006). These effects diminished by the 12- and 18-month follow-ups.

Overall, intervention students scored higher on the HIV and condom knowledge scale (p = .01). This difference was significant at the 6- and 18-month follow-ups. Students in the intervention group also demonstrated a trend toward greater optimism that neared statistical significance (p = .08).

Research Study Citation

Coyle, K., Kirby, D., Robin, L., Banspach, S., Baumler, E., & Glassman, J. (2006). All4You! A randomized trial of an HIV, other STD, and pregnancy prevention intervention for alternative school students. AIDS Education & Prevention, 18(3), 187–203.

All4You! Adaptation Kit

Under a contract with the U.S. Department of Health and Human Services (HHS) Office of Adolescent Health (OAH), JBS Inc. subcontracted with ETR Associates to develop an adaptation kit for All4You!. The All4You! Adaptation Kit contains practical tools and resources to guide adolescent reproductive health practitioners in making effective adaptations and maintaining fidelity to the program's core components.

This adaptation kit provides clarity on how All4You! was designed, its core components, and the types of adaptations that are considered safe and those that should be avoided. For other available adaptation kits, go to Making Adaptations.

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