Evaluation of the Making Proud Choices! Teen Pregnancy Prevention Program

NCT04863326 | Completed

• 1 other identifier: HHSP23337014T
• Study Type: interventional
• Target: 2,810
• Locations: 0 countries
• Sites: N/A

Brief Summary

Under contract to the Office of Population Affairs (OPA), Mathematica is conducting an impact study of the Making Proud Choices! (MPC) teen pregnancy prevention program. The impact study is designed to estimate the impact of MPC, compared to the business-as-usual condition, on risk and protective factors, sexual behaviors, and longer term health goals including pregnancy and sexually transmitted infections.

Conditions

Teen Pregnancy Prevention

Outcome Measures

Primary Outcomes (20)

• Knowledge about HIV

  Proportion of knowledge items about HIV/STDs answered correctly.

  Survey administered 6 months post program

• Knowledge about pregnancy

  Proportion of knowledge items about pregnancy answered correctly.

  Survey administered 6 months post program

• Knowledge about condoms

  Proportion of knowledge items about condom use answered correctly.

  Survey administered 6 months post program

• Knowledge about other forms of contraception

  Proportion of knowledge items about contraceptive use answered correctly.

  Survey administered 6 months post program

• Belief that sex may adversely affect future goals

  Proportion of statements about how sexual activity will interfere with goals and dreams that the respondent agrees or strongly agrees with.

  Survey administered 6 months post program

• Belief that condoms can be pleasurable

  Proportion of statements about how condoms can be pleasurable that the respondent agrees or strongly agrees with.

  Survey administered 6 months post program

• Attitudes about condoms

  Proportion of statements about condom use that the respondent either agrees or strongly agrees with.

  Survey administered 6 months post program

• Condom self-efficacy

  Proportion of statements about self-efficacy using condoms that the respondent agrees or strongly agrees with.

  Survey administered 6 months post program

• Condom negotiation

  Proportion of statements about self-efficacy negotiating condom that the respondent agrees or strongly agrees with.

  Survey administered 6 months post program

• Refusal skills

  Proportion of statements about self-efficacy refusing sex with a partner that the respondent agrees or strongly agrees with.

  Survey administered 6 months post program

• Ever any sex (vaginal, oral, or anal)

  Binary variable representing if the respondent reported having ever had vaginal, oral, or anal sex.

  Survey administered 6 months post program

• Any sex (in past 3 months)

  Binary variable representing if the respondent reported having vaginal, oral, or anal sex in the three month period before completing the follow-up survey.

  Survey administered 6 months post program

• Times having any sex (in past 3 months)

  Count variable representing the total number of times respondent had vaginal, oral and/or anal sex in the three month period before completing the follow-up survey.

  Survey administered 6 months post program

• Count of vaginal sex partners (in the past 3 months)

  Count variable representing the number of partners for vaginal sex in the three month period before completing the follow-up survey.

  Survey administered 6 months post program

• Any sex without a condom (in past 3 months)

  Binary variable representing if respondent reported having any risk for STD/STI sex (sex without a condom) in the three month period before completing the follow-up survey.

  Survey administered 6 months post program

• Times having any sex without a condom in past 3 months

  Count variable representing the total number of times respondent had risky sex in the three months before completing follow-up survey.

  Survey administered 6 months post program

• Sex without birth control in past 3 months

  Binary variable representing if respondent reported having had unprotected vaginal sex in the three months before completing the follow-up survey.

  Survey administered 6 months post program

• Times having sex without birth control (in past 3 months)

  Count variable representing the total number of times the respondent had unprotected vaginal sex in the three month period before completing the follow-up survey.

  Survey administered 6 months post program

• Ever pregnant

  Binary variable representing if the respondent reported a pregnancy or has gotten someone pregnant.

  Survey administered 6 months post program

• Any sexually transmitted infection (STI)

  Binary variable representing if the respondent indicated having been told they have a sexually transmitted infection.

  Survey administered 6 months post program

Study Arms (2)

Making Proud Choices

EXPERIMENTAL

This evaluation tests the effect of the MPC School Edition, the version of the MPC 5th Edition designed for implementation in school. This edition includes 9.5 hours of content implemented in 14 40-minute modules. Schools assigned to the MPC condition received MPC in a targeted class.

Behavioral: Making Proud Choices

Business as usual

ACTIVE COMPARATOR

The control group continued with their regular programming in the targeted class, which was often a health or Reserve Officer Training Corps (ROTC) class.

Behavioral: Business as usual

Interventions

Making Proud Choices BEHAVIORAL

Making Proud Choices

Business as usual BEHAVIORAL

Business as usual

Eligibility Criteria

• Age: 13 Years - 19 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Enrolled in a study school
• Attending the targeted class (e.g. health class) for the first time

You may not qualify if:

• None

Sponsors & Collaborators

• Mathematica Policy Research, Inc.: lead
• Office of Population Affairs: collaborator

Related Publications (1)

• Cole R, Neelan TS, Langan A, Keating B, Walzer J, Asheer S, Zief S. The Impact of Making Proud Choices! on Youth's Sexual Health Attitudes, Knowledge, and Behaviors. J Adolesc Health. 2024 Apr;74(4):787-793. doi: 10.1016/j.jadohealth.2023.10.031. Epub 2023 Dec 13.

  PMID: 38099897 DERIVED

MeSH Terms

Interventions

Commerce

Intervention Hierarchy (Ancestors)

Technology, Industry, and Agriculture

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: The MPC curriculum aims to provide adolescents with the information and tools they need to reduce their risk of sexually transmitted diseases (STDs), HIV, and pregnancy. The curriculum emphasizes abstinence as the safest choice for avoiding pregnancy and STDs, but also encourages youth to use condoms and other methods of birth control if they do have sex. The curriculum includes video clips, student role-playing activities, and group discussions. It also involves skill-building activities for correct condom use, refusal techniques, and safer-sex negotiation, and opportunities for students to practice these skills.

Study Record Dates

• First Submitted: April 20, 2021
• First Posted: April 28, 2021
• Study Start: January 1, 2017
• Primary Completion: December 31, 2019
• Study Completion: December 31, 2019
• Last Updated: April 29, 2021

Record last verified: 2021-04