All4You! A Randomized Trial of an HIV, Other STDs, and Pregnancy Prevention Intervention for Alternative School Students

• Published in: AIDS education and prevention 2006-06, Vol.18 (3), p.187-203
• Main Authors: Coyle, Karin K, Kirby, Douglas B, Robin, Leah E, Banspach, Stephen W, Baumler, Elizabeth, Glassman, Jill R
• Format: Article
• Language: English
• Subjects: Acquired Immunodeficiency Syndrome (AIDS); Adolescent; AIDS; AIDS/HIV; Alternative education; At Risk Persons; Behavior Change; Biological and medical sciences; California; Community involvement; Condoms; Curriculum; Day Schools; Education, Special; Epidemiology. Vaccinations; Female; Follow-Up Studies; General aspects; Health Behavior; Health Knowledge, Attitudes, Practice; High Schools; HIV; HIV Infections - prevention & control; Human immunodeficiency virus; Human viral diseases; Humans; Infectious diseases; Intervention; Learning; Learning Activities; Male; Medical sciences; Nontraditional Education; Planification. Prevention (methods). Intervention. Evaluation; Pregnancy; Pregnancy, Unplanned; Prevention; Program Effectiveness; Public health. Hygiene; Public health. Hygiene-occupational medicine; Questionnaires; Risk taking; Schools; Sex education; Sexual Behavior; Sexual health; Sexuality; Sexually Transmitted Diseases; Sexually Transmitted Diseases - prevention & control; STD; Students; Students - psychology; Studies; Teenage pregnancy; Viral diseases; Viral diseases of the lymphoid tissue and the blood. Aids
• ISSN: 0899-9546; 1943-2755
• DOI: 10.1521/aeap.2006.18.3.187

This study evaluated All4You!, a theoretically based curriculum designed to reduce sexual risk behaviors associated with HIV, other STDs, and unintended pregnancy among students in alternative schools. The study featured a randomized controlled trial involving 24 community day schools in northern California. A cohort of 988 students was assessed four times during an 18-month period using a self report questionnaire. At the 6-month follow-up, the intervention reduced the frequency of intercourse without a condom during the previous 3 months, the frequency of intercourse without a condom with steady partners, and the number of times students reported having intercourse in the previous 3 months. It also increased condom use at last intercourse. These behavioral effects were no longer statistically significant at the 12- and 18-month follow-ups. The All4You! intervention was effective in reducing selected sexual risk behaviors among students in alternative school settings; however, the effects were modest and short term.