Evaluation of Are You Ready?
AYR
1 other identifier
interventional
1,850
1 country
1
Brief Summary
The goal of this randomized trial is to learn if the Are You Ready? (AYR) intervention has a positive impact on the sexual and mental health behaviors of sexually active youth between the ages of 14 and 22 years old who are at risk for or involved in the juvenile justice and/or child welfare systems. The primary research questions it aims to answer are:
- Three months after being offered the intervention, does AYR impact youth's receipt of sexually transmitted infection testing in the past three months?
- Three months after being offered the intervention, does AYR impact youth's use of coping skills?
- Nine months after being offered the intervention, does AYR impact youth's frequency of having vaginal and anal sex without condoms in the past three months? Researchers will compare participants randomized to receive AYR (treatment group) to participants randomized to receive a control condition that contains no sexual or reproductive health information (control group). Participants randomized to the treatment group will be offered AYR as a virtual or in-person, 2.5 hour group session. Participants randomized to the control group will be offered a virtually delivered control condition.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Nov 2024
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
August 28, 2024
CompletedFirst Posted
Study publicly available on registry
August 30, 2024
CompletedStudy Start
First participant enrolled
November 15, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2028
ExpectedStudy Completion
Last participant's last visit for all outcomes
September 14, 2028
April 24, 2026
November 1, 2025
3.7 years
August 28, 2024
April 21, 2026
Conditions
Outcome Measures
Primary Outcomes (3)
Receipt of sexually transmitted infection (STI) testing in the past three months
Participants are asked the following item: 1\) Have you been tested for sexually transmitted infections (STIs) in the past 3 months? The resulting variable is dichotomous with values 0 or 1, where 0 indicates a person who has not received STI testing in the past three months and 1 indicates a person who has received STI testing in the past three months.
Assessed three months after the intervention period has ended (four months post-baseline)
Use of coping skills
Participants are asked on a 4-point scale ranging from "I did not use" (1) to "I used almost all the time" (4) how often they used the following strategies: 1. I talked to someone to find out more about the situation. 2. I let people know what I needed. 3. I talked to someone who could act in some way to change the situation. 4. I asked for ideas from a friend who I could trust. 5. I made a great effort to make things work. 6. I spent time with someone I wanted to be with. 7. I tried to look after my health by eating food that was good for me. 8. I tried to eat regularly. 9. I made a plan of action and followed it through. 10. I tried to release my anger by exercising. 11. I tried to look after myself by getting plenty of sleep. 12. I tried to be physically fit. The measure is calculated as the average response to all 12 items in the scale.
Assessed three months after the intervention period has ended (four months post-baseline)
Times having vaginal and anal sex without condoms in the past three months
Participants are asked the following two items: 1. In the past 3 months, how many times have you had vaginal sex without you or your sexual partner using a condom? 2. In the past 3 months, how many times have you had anal sex without you or your sexual partner using a condom? The resulting variable is continuous with values that range from 0 to k, where 0 indicates that a person has not engaged in vaginal and anal sex without a condom in the past three months, and k indicates the number of times the person has engaged in vaginal and anal sex without a condom in the past three months.
Assessed nine months after the intervention period has ended (ten months post-baseline)
Study Arms (2)
Are You Ready?
EXPERIMENTALSocial Media Awareness Shorts
SHAM COMPARATORInterventions
SMAS is a virtually delivered, individual-based health program focused on social media use awareness. Participants are directed to a learning management platform that contains a pre-recorded, facilitated program. The program involves watching several short films and independently completing several activities related to social media use. The program does not include information related to the primary outcomes for this study.
AYR is a group-based entertainment education (EE) intervention designed for sexually active youth who are at risk for or involved in the juvenile justice and/or child welfare systems. AYR is delivered in one, 2.5-hour (150-minute) session with a group of between 2 to 20 youth. The session includes screening a 40-minute video, "Happy Birthday, Leonard" and group-based discussions led by one to two facilitators. Discussions are guided by a participant workbook with journal prompts and handouts. The session includes two modules; each module involves screening approximately 20 minutes of "Happy Birthday, Leonard" followed by a 40-minute group discussion. Module 1 includes topics related to contraception, condom use (with a condom demonstration), healthy communication, and stress management. Module 2 includes topics related to condom negotiation, communication styles, and intergenerational cycles.
Eligibility Criteria
You may qualify if:
- At risk for or involved in the juvenile justice and/or child welfare systems
- Has had vaginal or anal sex in the last 6 months or has ever had vaginal or anal sex and self-report likelihood of having sex in the next 6 months
- Comfortable reading, speaking, and writing in English
- United States resident
You may not qualify if:
- Has received other known sexual and reproductive health evidence-based interventions implemented in their local area.
- Enrolled in an ongoing PRG-run TPP study
- Identified as fraudulent
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- The Policy & Research Grouplead
- Department of Health and Human Servicescollaborator
- Mathematica Policy Research, Inc.collaborator
- Reproductive Health National Training Centercollaborator
- Institute of Women & Ethnic Studiescollaborator
Study Sites (1)
The Policy & Research Group
New Orleans, Louisiana, 70118, United States
Study Officials
- PRINCIPAL INVESTIGATOR
Sarah Walsh, PhD
The Policy & Research Group
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 28, 2024
First Posted
August 30, 2024
Study Start
November 15, 2024
Primary Completion (Estimated)
August 1, 2028
Study Completion (Estimated)
September 14, 2028
Last Updated
April 24, 2026
Record last verified: 2025-11
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- SAP
- Time Frame
- The individual participant dataset will become available twelve months after the study has concluded.
A dataset will be prepared at the conclusion of the study, which includes de-identified individual-level data on all study participants who contributed self-report data. Respondents will be represented only by a research ID number. Included in the dataset will be self-report data collected across all survey administrations (including demographic characteristics, sexual behaviors, and theoretical antecedents to those behaviors) and select information on program participation (e.g., which program components were completed). Basic data cleaning steps will be taken in order to ensure data are unidentifiable and to increase usability.