An Evaluation of Re:MIX: a Teen Pregnancy Prevention Program With Young Parents as Peer Educators, EngenderHealth

NCT03114410 | Completed

• 1 other identifier: TP2AH000033-01-01
• Study Type: interventional
• Target: 621
• Locations: 1 country
• Sites: 1

Brief Summary

This study uses a cluster-level randomized controlled design to evaluate the efficacy of Re:MIX in reducing the incidences of early sexual behavior, unprotected sex, oral sex, pregnancy, and STIs. Re:MIX is a comprehensive in-school health curriculum and teen pregnancy prevention program for adolescents covering a broad range of topics related to sexual health and youth development, including healthy relationships, communication, gender, consent, reproductive anatomy, contraception, sexual decision making, clinics, parenthood, and life planning. Re:MIX also aims to connect students and peer educators with community resources and service linkages. The Re:MIX curriculum teaches mixed-gender groups of students in grades 8 to 10 to delay sex and use protection if they have sex. A co-facilitation team of young parent educators delivered the information with professional health educators using non-traditional approaches, such as game-based tools, technology, and storytelling. Youth received roughly nine hours and 10 minutes of group sessions during the school day over one semester (55 minutes per week for 10 weeks). Participants were in 8th, 9th, and 10th graders attending three public charter schools in Travis County, Texas. Comparison classes either received an alternative program that focused on health, nutrition, and fitness, or business as usual. This study was conducted as a Rigorous Evaluation of New or Innovative Approaches to Prevent Teen Pregnancy funded by the U.S. Department of Health and Human Services' Office of Adolescent Health.

Conditions

Sexual Behavior; Unprotected Sex

Outcome Measures

Primary Outcomes (2)

• Ever had sexual intercourse

  Single dichotomous item on self-report questionnaire.

  12 months after baseline

• Unprotected sexual intercourse in the past 3 months.

  Single dichotomous item on self-report questionnaire.

  12 months after baseline

Secondary Outcomes (4)

• Intentions

  3 and 12 months after baseline

• Knowledge

  3 and 12 months after baseline

• Attitudes

  3 and 12 months after baseline

• Self-efficacy in avoiding unwanted/unprotected sex and communication with partners

  3 and 12 months after baseline

Study Arms (2)

Re:MIX

EXPERIMENTAL

In the experimental arm, the Re:MIX curriculum was implemented. The Re:MIX curriculum is a comprehensive teen pregnancy prevention consisting of ten hour-long sessions, delivered approximately once per week. The Re:MIX curriculum is taught by a professional health educator, partnered with a young parent educator who is a young parent (aged 18-25).

Behavioral: Re:MIX, a multi-layer comprehensive teen pregnancy prevention intervention aimed at reducing pregnancy and STIs among youth ages 13-17

Comparison

NO INTERVENTION

In the comparison arm, teachers were given the option of implementing the Healthy Youth, Healthy You curriculum (focusing on nutrition, mental health, and fitness) or proceed with "business as usual" (no curriculum).

Interventions

Re:MIX, a multi-layer comprehensive teen pregnancy prevention intervention aimed at reducing pregnancy and STIs among youth ages 13-17 BEHAVIORAL

Re:MIX is a comprehensive in-school health curriculum and teen pregnancy prevention program for adolescents covering a broad range of topics related to sexual health and youth development, including healthy relationships, communication, gender, consent, reproductive anatomy, contraception, sexual decision making, clinics, parenthood, and life planning. Re:MIX also aims to connect students and young parent educators with community resources and service linkages. The Re:MIX curriculum teaches mixed-gender groups of students in grades 8 to 10 to delay sex and use protection if they have sex. A co-facilitation team of young parent educators delivered the information with professional health educators using non-traditional approaches, such as game-based tools, technology, and storytelling. Youth received roughly nine hours and 10 minutes of group sessions during the school day over one semester (55 minutes per week for 10 weeks).

Re:MIX

Eligibility Criteria

• Age: 12 Years - 18 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Students in 8-10th grade classrooms in three public charter schools in Travis County, Texas

You may not qualify if:

• None

Sponsors & Collaborators

• Child Trends: lead
• EngenderHealth: collaborator
• University of Texas at Austin: collaborator
• The Office of Adolescent Health, HHS: collaborator

Study Sites (1)

EngenderHealth

Austin, Texas, 78722, United States

Location

MeSH Terms

Conditions

Sexual Behavior; Unsafe Sex

Condition Hierarchy (Ancestors)

Behavior

Study Officials

• Jennifer Manlove, PhD

  Child Trends, Senior Program Area Director

  PRINCIPAL INVESTIGATOR

• Monica Armendariz

  EngenderHealth: Project Director/Co-Principal Investigator

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Senior Program Area Director

Study Record Dates

• First Submitted: March 16, 2017
• First Posted: April 14, 2017
• Study Start: July 1, 2016
• Primary Completion: December 17, 2019
• Study Completion: April 30, 2020
• Last Updated: May 1, 2020

Record last verified: 2020-04

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)