All4You!

Developers
Karin K. Coyle, Ph.D.; Jeffery Douglas, Jr., B.A., Cherry Gardner, M.A., Lisa Sterner, James Walker, B.S., and Vicki Williams, M.S.
Program Summary

All4You! is designed to reduce the number of students who have unprotected sexual intercourse, which is associated with increased risk of HIV, other sexually transmitted infections (STIs), and unplanned pregnancy. The program also aims to change key determinants related to sexual risk taking, such as attitudes, beliefs, and perceived norms. The All4You! program has two primary instructional components—a skills-based HIV, other STD and pregnancy prevention curriculum and service- learning visits in the community—that are integrated and delivered as a 14-session program (about 26 hours total).

An adapted version of the program, All4You2!, is also available. It is designed to reduce the number of students who have unprotected sexual intercourse and to change key determinants related to sexual risk taking, but does not include the service-learning component of the original All4You!. The target audience for both All4You! and All4You2! is students in alternative high school settings who are ages 14 to 18.

Intended Population
The program was designed for high-school aged participants, ages 14 to 18. Both versions were evaluated with alternative high school youth.
Program Setting

The program was designed for and evaluated in alternative high schools.

Contact and Availability Information
Nancy Gonzalez-Caro, MPH
Evidence-Based Product Specialist
ETR
100 Enterprise Way, Suite G300
Scotts Valley, CA 95066
Ph: 800-321-4407 x 237
Website: http://www.etr.org/ebi/programs/all4you/ and http://www.etr.org/ebi/programs/all4you2/
 
Cody Sigel, MPH, CHES
Health Education Training Coordinator
ETR
1333 Broadway, Suite P110
Oakland, CA 94612
Phone: 510-858-0995
Website: http://www.etr.org/ebi/programs/all4you/ and http://www.etr.org/ebi/programs/all4you2/
Sample of Curriculum Available for Review Prior to Purchase
Yes
Languages Available
English
Monitoring and Evaluation Tools
Monitoring and evaluation tools available
Yes
Monitoring and evaluation tool usage required
No
Information about available monitoring and evaluation tools (if applicable)

All4You! includes a simple pre/post-test survey that classroom teachers can use to assess whether students have met short-term learning goals. A fidelity log for tracking implementation of the lessons and a list of core components to help ensure fidelity are also provided online at ETR’s Program Success Center for evidence-based programs.

Program Core Components

Last updated in 2023

The data presented on this page reflects responses from the program’s developer or distributor to a program component checklist that asked them to report on the individual components within their TPP program. The same program component checklist was sent to the developer or distributor of every active TPP program with evidence of effectiveness. The program component table provides data on seven types of program components including content, delivery mechanism, dosage, staffing, format, environment, and intended population characteristics; whether the component was present or optional in the program; whether the component is considered to be core to the program; and the lesson number or activity where the component can be found in the program. For more details, refer to the FAQ.

Category Component Core Component Component present Notes Lesson number(s) / activities where present
Content Contraception - Condoms Yes Yes (evaluated version) Lesson 8, manual page 8-1
Content Anatomy/physiology Optional
Content Other
Content Other
Content Other
Content Volunteering/civic engagement Yes Yes (evaluated version) Lesson 5, manual page 5-1
Content Spirituality No
Content Morals/values Yes Yes (evaluated version) Lesson 5, manual page 5-1
Content Social support/capital
Content Social influence/actual vs. perceived social norms No
Content Social competence Yes Yes (evaluated version) Lesson 12, manual page 12-1
Content Parenting skills No
Content Normative beliefs
Content Leadership Yes Yes (evaluated version) Lesson 9, manual page 9-1
Content Gender roles Optional
Content Gender identity Optional
Content Cultural values No
Content Connections with trusted adults Yes Yes (evaluated version) The entire program is designed for young people to experience this (e.g., via educators, volunteer coordinators). The trips to and from the service learning visits allowed more connection time with the educators. All
Content Conflict resolution/social problem solving Yes Yes (evaluated version) Lesson 10, manual page 10-1
Content Communication skills Yes Yes (evaluated version) Lesson 6, manual page 6-1
Content Child development No
Content Boundary setting/refusal skills Yes Yes (evaluated version) Lesson 6, manual page 6-1
Content Substance use cessation No
Content Substance use - Other drugs No
Content Substance use - Alcohol No
Content Substance use - Abstinence No
Content Brain development and substance use No
Content Vocational/skills training No
Content Supplemental academic services No
Content School engagement No
Content Graduating from high school No
Content College preparation No
Content Alternative schooling No
Content Self-regulation No
Content Self-esteem Yes Yes (evaluated version) Lesson 14, manual page 14-1
Content Self-efficacy/empowerment Yes Yes (evaluated version) Lesson 8, manual page 8-1
Content Sexual health Yes Yes (evaluated version) Lesson 12, manual page 12-1
Content STIs - Treatment Yes Yes (evaluated version) Lesson 1, manual page 1-1
Content STIs - Screening Yes Yes (evaluated version) Lesson 2, manual page 2-1
Content STIs - Prevention Yes Yes (evaluated version) Lesson 2, manual page 2-1
Content STIs - Information Yes Yes (evaluated version) Lesson 2, manual page 2-1
Content Sexual risk reduction Yes Yes (evaluated version) Lesson 8, manual page 8-1
Content Sexual risk discontinuation See row above; both involve choosing not to have sex. This program emphasizes choosing not to have sex as an option for reducing risk.
Content Sexual risk avoidance Yes Yes (evaluated version) Lesson 3, manual page 3-1
Content Sexual orientation Optional
Content Puberty/development Optional
Content Contraception - Long-acting reversible contraceptives Yes Yes (evaluated version) Lesson 8, manual page 8-1
Content Contraception - Other Yes Yes (evaluated version) Lesson 8, manual page 8-1
Content Contraception - Pills, patches, rings, and shots Yes Yes (evaluated version) Lesson 8, manual page 8-1
Content Maternal health No
Program Objectives
The program's goals are to reduce the number of students who have unprotected sex, and to change the key determinants related to sexual risk-taking, such as attitudes, beliefs, and perceived norms.

The program aims to achieve these goals by:

  • Increasing knowledge of STIs
  • Changing attitudes toward condom use and risk of STIs
  • Increasing positive norms
  • Increasing refusal and negotiation skills and condom use skills. 
Program Content
All4You! is a 14 session program that is based on Social Cognitive Theory, the Theory of Planned Behavior and Social Development Theory. It focuses on the following topics:
  • HIV, STIs, and pregnancy prevention risk factors
  • Negotiation and refusal skills
  • Contraception and condom use skills
  • Handling risky situations
  • Attitudes and beliefs regarding perceived risk of STIs/pregnancy and barriers to condom use
  • Development of positive norms
  • Community engagement through service learning visits

All4You2! is a 15-session program based on Social Cognitive Theory and Theory of Planned Behavior. It focuses on:

  • HIV, other STI and pregnancy risk factors
  • Negotiation and refusal skills
  • Contraception and condom use skills
  • Influence of multiple partners on STIs
  • Handling risky situations
  • Attitudes and beliefs regarding perceived risk of STIs/pregnancy and barriers to condom use
  • Development of positive norms
  • Healthy relationships
  • HIV/STI and pregnancy testing

The program logic models can be found on ETR's website as part of the supplemental information provided for each curriculum at the following links:

All4You!: http://www.etr.org/ebi/programs/all4you/

All4You2!: http://www.etr.org/ebi/programs/all4you2/

Program Methods
All4You! is delivered through mini-lectures, brainstorming, games, small-group work, role-plays, guest speakers, videos, reflection activities, and service-learning. All4You2! uses similar approaches, but does not include the service learning visits.
Program Structure and Timeline
All4You! consists of 14 sessions spanning about 26 hours:
  • Nine 70 to 90-minute skills-based lessons
  • Five 140-minute service-learning visits, including travel to and from the site. 

Ideally, the program should be  implemented 2–3 times per week for a period of 5–7 weeks.

All4You2! consists of 15 sessions of 50 minutes each, overall approximately 12.5 hours. Ideally, the program should be implemented 2-3 times per week for a period of 5 to 7 weeks.
Staffing
The program should be delivered by classroom teachers or community-based educators who have good rapport with youth. Peer leaders are used to facilitate some activities in both versions of the program.
Staff Training
It is highly recommended that educators who plan to teach All4You! receive professional development to prepare them to effectively implement the curriculum with its intended target group.
 
Training on All4You! and All4You2! is available through ETR’s Professional Learning Services. Training options include:
  1. Two- or three-day Training of Educators (TOE)—the learning process includes pre-work, skill-based instruction and post-training follow-up support.
  2. Four-day Training of Trainers (TOT)—available for seasoned trainers who have experience in delivering the intervention. Completion entitles participants to use ETR’s training designs to conduct TOEs for their organization or designated affiliate group. TOT attendees who have completed the four-day TOT are eligible to attend a condensed TOT course on additional EBIs
Program Materials and Resources
Core intervention materials are a teacher guide, teacher background materials, student workbooks with activity sheets, handouts, and a DVD on STDs.
Additional Needs for Implementation

None specified

Fidelity
ETR provides a fidelity log, adaptation kit, an All4You! Student Knowledge Survey that can be administered as a pre-test/post-test, and a survey answer key . These materials can be found on ETR's website at the following links:

All4You!: http://www.etr.org/ebi/programs/all4you/

All4You2!: http://www.etr.org/ebi/programs/all4you2/
Technical Assistance and Ongoing Support

ETR provides in-person and web- or phone-based technical assistance before, during and/or after program implementation. TA is tailored to the needs of the site and is designed to support quality assurance, trouble-shoot adaptation issues, and boost implementation.

ETR also provides evaluation support for EBI implementation. Services address process and outcome evaluation and include assistance with evaluation planning, instrument design and development, implementation fidelity, data management and analysis, performance measurement, continuous quality improvement (CQI) protocols, and effective tools and strategies for reporting results.

Allowable Adaptations

In-depth adaptation guidelines and tools for All4You! are available through ETR at the following links:

All4You!: http://www.etr.org/ebi/programs/all4you/

All4You2!: http://www.etr.org/ebi/programs/all4you2/

Examples of allowable adaptations include adding more service learning visits; lengthening skills-based classes beyond 90-minutes without cutting the number of classes; and tailoring the content (e.g. for visual learners or particular gender or racial/ethnic groups).

Adaptation Guidelines or Kit
Yes
Reviewed Studies
Citation High-Quality Randomized Trial Moderate-Quality Randomized Trial Moderate-Quality Quasi-Experiment Low Study Rating Did Not Meet Eligibility Criteria

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

 		✓
Study Characteristics
Citation Setting Majority Age Group Majority Racial/Ethnic Group Gender Sample Size

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

 		Alternative school 14 to 17 Hispanic or Latinx of any race Youth of any gender

998
Study Findings

Evidence by Outcome Domain and Study

Citation Sexual Activity Number of Sexual Partners Contraceptive Use STIs or HIV Pregnancy

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

 		Potentially favorable evidence Indeterminate evidence Favorable evidence n.a. n.a.
KEY
Evidence Indication
Favorable findings
Two or more favorable impacts and no unfavorable impacts, regardless of null findings
Potentially favorable findings
At least one favorable impact and no unfavorable impacts, regardless of null findings
Indeterminate findings
Uniformly null findings
Conflicting findings
At least one favorable and at least one unfavorable impact, regardless of null findings
Potentially unfavorable findings
At least one unfavorable impact and no favorable impacts, regardless of null findings
Unfavorable findings
Two or more unfavorable impacts and no favorable impacts, regardless of null findings
Note: n.a. indicates the study did not examine any outcome measures within that particular outcome domain, or the study examined outcome measures within that domain but the findings did not meet the review evidence standards.
Detailed Findings
Citation Details

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

The program's evidence of effectiveness was first established in a cluster randomized controlled trial involving 24 alternative high schools in four large urban counties in northern California. Thirteen schools were randomly selected for a treatment group that implemented the program and eleven schools were selected for a control group not offered the program. Surveys were administered immediately before the program started (baseline) and again six, 12, and 18 months after baseline.

The study found that six months after the baseline survey, students in the treatment schools reported a significantly lower frequency of sexual intercourse and lower frequency of intercourse without a condom in the previous three months, and were significantly more likely to report using a condom at last intercourse. The study found no statistically significant impacts on the number of sexual partners in the previous three months, on two measures of contraceptive use (number of partners without a condom in the previous three months, and use of effective pregnancy prevention method at last intercourse), and on initiation of sexual intercourse (among sexually inexperienced at baseline). For the 12- and 18-month follow-up surveys, the study found no statistically significant impacts on any of these outcomes.

The study also examined program impacts on measures of HIV and condom knowledge, self-efficacy, attitudes, beliefs, and intentions. Findings for these outcomes were not considered for the review because they fell outside the scope of the review.

Notes

Some study entries may include more than one citation because each citation examines a different follow-up period from the same study sample, or because each citation examines a different set of outcome measures on the same study sample. A blank cell indicates the study did not examine any outcome measures within the particular outcome domain or the findings for the outcome measures within that domain did not meet the review evidence standards.

Information on evidence of effectiveness is available only for studies that received a high or moderate rating. Read the description of the review process for more information on how these programs are identified.