All4You2!
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.
All4You2! is designed to reduce the risk of pregnancy and/or sexually transmitted infections (STIs), including HIV, by reducing the number of students who have unprotected sexual intercourse. The program approaches this goal through increasing use of effective birth control and/or condom use or reducing the frequency of sexual intercourse. The program aims to change key determinants related to sexual risk taking such as attitudes, beliefs, and perceived norms.
All4You2! is an adapted version of the evidence-based program All4You!. Both programs are designed to reduce the number of students ages 14-18 who have unprotected sexual intercourse and to change key determinants related to sexual risk taking. All4You2! includes 15, 50-minute sessions spanning 12.5 hours. All4You! includes 9, 70–90-minute skill-based sessions spanning approximately 12 hours, plus an additional service-learning component that was omitted from All4You2!. The program overview for All4You! can be found at https://youth.gov/evidence-innovation/tpper/programs/all4you.
The program was designed for high school age participants of any race or ethnicity, ages 14 to 18, in alternative high schools. All4You2! was evaluated with Hispanic males and females ages 14 to 17.
The program was designed for and evaluated in alternative high schools and community-based settings.
Program Contact Information
Email: sales@etr.org
Phone: (800) 321-4407
Website: http://www.etr.org/ebi/programs/all4you2/
Training Contact Information
Kelly Gainor, M.Ed.
ebptraining@etr.org
Website: http://www.etr.org/ebi/programs/all4you2/
All4You2! 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 on ETR’s website: https://www.etr.org/ebi/programs/all4you2/.
Last updated in 2024
The data presented on this page reflect 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 information on seven types of program components including content, delivery mechanism, dosage, staffing, format, context, 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.
In the drop-down menu below, under “Has component,” there are four options that indicate a component as present in the program: (1) “Yes” indicates that the component is present in at least one version of the program (whether that be the program version that was evaluated, the current version, or both versions); (2) “Yes (both versions)” indicates that the component is present in both the evaluated version of the program and the current version of the program; (3) “Yes (current version)” indicates that the component is present in the current, but not the evaluated, version of the program; and (4) “Yes (evaluated version)” indicates that the component is present in the evaluated version of the program, only. Note that for dosage components, the dosage itself is described in the Notes when available.
Some of the components identified are noted as core components of the evidence-based program, but this does not necessarily mean that these components have been rigorously tested and show evidence of effectiveness. Most often developers denoted components as core based on theory or experience in the field. Click here for the list of evidence-based components.
For more details about program components, refer to the FAQ page.
| Category | Component | Core Component | Component present | Lesson number(s) / activities where present |
|---|---|---|---|---|
| Content | Contraception - Condoms | Yes | Yes (both versions) | Lessons 12-13, manual pages 265-306 |
| Content | Anatomy/physiology | Optional | ||
| Content | Other | |||
| Content | Other | |||
| Content | Other | |||
| Content | Volunteering/civic engagement | No | ||
| Content | Spirituality | No | ||
| Content | Morals/values | |||
| Content | Identity development | Optional | ||
| Content | Social support/capital | |||
| Content | Social influence/actual vs. perceived social norms | No | ||
| Content | Social competence | No | ||
| Content | Parenting skills | No | ||
| Content | Normative beliefs | |||
| Content | Leadership | |||
| Content | Sex roles | No | ||
| Content | Optional | |||
| Content | Cultural values | No | ||
| Content | Connections with trusted adults | |||
| Content | Conflict resolution/social problem solving | No | ||
| Content | Communication skills | No | ||
| Content | Child development | No | ||
| Content | Boundary setting/refusal skills | Yes | Yes (both versions) | Lesson 6, manual pages 117-148 |
| Content | Substance use cessation | No | ||
| Content | Substance use - Other drugs | No | ||
| Content | Substance use - Alcohol | |||
| 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 | |||
| Content | Self-esteem | No | ||
| Content | Sexual orientation | Optional | ||
| Content | STIs - Vaccination | |||
| Content | STIs - Treatment | |||
| Content | STIs - Screening | Yes | Yes (both versions) | Lesson 14, manual pages 307-326 |
| Content | STIs - Prevention | Yes | Yes (both versions) | Lesson 4, manual pages 73-92 |
| Content | STIs - Information | Yes | Yes (both versions) | Lesson 1, manual pages 25-40 |
| Content | Sexual risk reduction | Yes | Yes (both versions) | Lesson 15, manual pages 327-349 |
| Content | Sexual risk discontinuation | |||
| Content | Sexual risk avoidance | Yes | Yes (both versions) | Lesson 3, manual pages 55-72 |
| Content | Puberty/development | Optional | ||
| Content | Contraception - Long-acting reversible contraceptives | Yes | Yes (both versions) | Lesson 11, manual pages 229-264 |
| Content | Contraception - Other | Yes | Yes (both versions) | Lesson 11, manual pages 229-264 |
| Content | Contraception - Pills, patches, rings, and shots | Yes | Yes (both versions) | Lesson 11, manual pages 229-264 |
| Content | Maternal health | No |
The program’s goals are to reduce the risk of HIV, other STIs, and unplanned pregnancy by reducing the number of students who have unprotected sexual intercourse through increasing effective birth control and/or condom use or reducing the frequency of sexual intercourse. The program also aims to change the key determinants related to sexual risk taking, such as attitudes, beliefs, and perceived norms about condom and contraceptive use and STIs.
All4You2! is a 15-session program based on Social Cognitive Theory and Theory of Planned Behavior. It focuses on the following knowledge and behaviors:
- Functional STI knowledge, including behaviors that increase risk and behaviors to prevent STIs
- The influence of multiple partners on STI transmission
- The potential physical and emotional outcomes of sexual activity
- Negotiation and refusal skills
- Skills for identifying and handling risky situations
- Skills for establishing healthy relationships and ending relationships in healthy ways
- Contraception and condom use skills
- Strategies for overcoming barriers to preventing HIV, other STIs, and pregnancy
- Knowledge of resources for HIV/STI and pregnancy testing and treatment
All4You2! is delivered through mini-lectures, brainstorming, games, small-group work, role plays, guest speakers, and videos.
All4You2! consists of 15, 50-minute sessions spanning about 12.5 hours.
Classroom teachers or community-based health educators should deliver the program. Peer leaders may also facilitate some activities.
Program developers highly recommend that educators who plan to teach All4You2! receive professional development to prepare them to effectively implement the curriculum with its intended target group. Educators should have rapport with and respect for young people and their lived experiences. Implementers can request All4You2! training by contacting ebptraining@etr.org.
Program materials include a teacher guide that outlines teacher instructions and teacher background materials and student workbooks with activity sheets and handouts. Video content is available online.
Other materials available include surveys that can be administered as a participant knowledge check with a survey answer key, an optional lesson supplement, and an enhanced set of materials that includes videos and posters along with the lesson supplement.
The program logic models can be found on ETR’s website: http://www.etr.org/ebi/programs/all4you2/. The ETR website also includes the table of contents and a sample lesson: http://www.etr.org/ebi/programs/all4you2/.
None specified.
ETR provides a fidelity log for All4You2! The fidelity log can be found on ETR’s website: https://www.etr.org/ebi/programs/all4you/.
ETR provides technical assistance (TA) before, during, and 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 evidence-based program implementation. For example, TA is available to support process and outcome evaluations and can include assistance with evaluation planning, instrument design and development, implementation fidelity, data management and analysis, performance measurement, continuous quality improvement protocols, and effective tools and strategies for reporting results.
In-depth adaptation guidelines for All4You2! are available on the ETR website: https://www.etr.org/ebi/programs/all4you2/#adaptation.
| Citation | High-Quality Randomized Trial | Moderate-Quality Randomized Trial | Moderate-Quality Quasi-Experiment | Low Study Rating | Did Not Meet Eligibility Criteria |
|---|---|---|---|---|---|
| Coyle et al. 2013 Glassman et al. 2014
|
| Citation | Setting | Majority Age Group | Majority Racial/Ethnic Group | Gender | Sample Size |
|---|---|---|---|---|---|
Coyle et al. 2013 Glassman et al. 2014
|
Alternative school, Community-based organization | 14 to 17 | Hispanic or Latino | Male and female youth | 430 |
Evidence by Outcome Domain and Study
| Citation | Sexual Activity | Number of Sexual Partners | Contraceptive Use | STIs or HIV | Pregnancy |
|---|---|---|---|---|---|
Coyle et al. 2013 Glassman et al. 2014
|
|
|
|
n.a. | n.a. |
| Citation | Details |
|---|---|
Coyle et al. 2013 Glassman et al. 2014
|
The evaluation was conducted using a four-arm experimental design involving 47 classrooms (765 youth) drawn from 11 district-run continuation high schools in Northern California. Students' school classrooms were randomized into one of four experimental conditions: (1) the All4You2! treatment condition; (2) a service learning condition; (3) the treatment intervention combined with the service learning condition; or (4) an attention control condition. Students completed three surveys (baseline plus two follow-up surveys at six months and 18 months). The All4You2! intervention consisted of 32 hours of instruction, taught two or three times a week during school hours. This summary presents the effectiveness of the All4You2! treatment relative to the attention control condition. The results of this study suggest that the treatment group experienced short-term effects (as demonstrated in the six-month survey following baseline) in reducing instances of unprotected sexual intercourse when compared to the control group. For the full sample, the finding for frequency of unprotected sexual intercourse at the six-month follow-up was positive and statistically significant in favor of the treatment group. The TPPER-calculated effect size for this finding was 0.33. The study also examined outcomes related to number of sexual partners and contraceptive use, though none of these outcomes showed impacts that were statistically significant. Additionally, the study reported findings that did not meet TPPER standards. One set of findings was reported only for subgroups defined by sexual activity at follow-up; analyses for endogenous subgroups received a low rating. Another set of findings was reported for samples defined by their sexual experience at baseline; however, these contrasts were deemed to have high attrition and did not demonstrate baseline equivalence, so they received a low rating. |
Language directly from the program model developer or authors.