FOCUS was designed to be delivered in diverse program settings. It was evaluated in a classroom-based setting during the first 13-week period of Marine recruit training.
1580 W. El Camino Real, Suite 8
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|Category||Component||Core Component||Component present||Notes||Lesson number(s) / activities where present|
|Content||Graduating from high school||No|
|Content||Connections with trusted adults||No|
|Content||Morals/values||No||Yes (evaluated version)|
|Content||Social influence/actual vs. perceived social norms||No||Yes (evaluated version)|
|Content||Normative beliefs||Yes||Yes (evaluated version)|
|Content||Gender roles||Yes||Yes (evaluated version)|
|Content||Cultural values||No||Yes (evaluated version)|
|Content||Conflict resolution/social problem solving||No|
|Content||Communication skills||Yes||Yes (evaluated version)|
|Content||Boundary setting/refusal skills||No||Yes (evaluated version)|
|Content||Substance use cessation||No|
|Content||Substance use - Other drugs||No||Yes (evaluated version)|
|Content||Substance use - Alcohol||Yes||Yes (evaluated version)|
|Content||Substance use - Abstinence||Yes||Yes (evaluated version)|
|Content||Brain development and substance use||No|
|Content||Supplemental academic services||No|
|Content||Self-efficacy/empowerment||No||Yes (evaluated version)|
|Content||STIs - Screening||Yes||Yes (evaluated version)|
|Content||STIs - Prevention||Yes||Yes (evaluated version)|
|Content||STIs - Information||Yes||Yes (evaluated version)|
|Content||Sexual risk reduction||Yes||Yes (evaluated version)|
|Content||Sexual risk avoidance||No||Yes (evaluated version)|
|Content||Sexual health||Yes||Yes (evaluated version)|
|Content||Contraception - Other||Yes||Yes (evaluated version)|
|Content||Sexual risk discontinuation||No|
|Content||Anatomy/physiology||No||Yes (evaluated version)||Please note for all the content areas checked yes - the intervention's content included information on these topics as part of the whole intervention|
|Content||Contraception - Condoms||Yes||Yes (evaluated version)|
|Content||Contraception - Long-acting reversible contraceptives||No||Yes (evaluated version)|
The core content includes four 2-hour sessions. The sessions are broken into modules, which can be delivered separately.
- Session 1: Increase knowledge about unintended pregnancies and STDs including HIV/AIDS. Goal: Modify values, beliefs, and attitudes that impact sexual behavior.
- Session 2: Increase knowledge about hormonal and barrier contraceptives. Goal: Build communication skills to prevent risky sexual behaviors and increase condom use.
- Session 3: Increase knowledge about the signs, symptoms, and consequences of STDs/HIV/AIDS. Goals: Increase knowledge about the transmission and prevention of STDs/HIV; Build communication skills to prevent STDs/HIV.
- Session 4: Modify attitudes about the effects of alcohol and its relationship to sexual risk behaviors. Goals: Build refusal communication skills; Build condom use skills; Increase awareness about how life choices can impact decision-making and health.
The eight-hour curriculum is designed to be delivered in four 2-hour sessions. Groups should be 20 to 25 participants.
FOCUS facilitators are preferably female health educators or facilitators comfortable with sexual health subject matter.
- User's Guide
- Program Manual
- 1 Flash Drive Containing 11 Power Point Slide Sets
- 1 copy of each of these 4 DVDs: (1) Birth Control: Understanding the Options, (2) My First Pelvic Exam, (3) In Our Own Words: Teens and AIDS, (4) Good to Go.
- Video list
- 50 copies of two brochures (STD Facts and Birth Control Facts)
- Photocopy masters of all handouts
- Fidelity toolkit
- Original Evaluation Instruments booklet
- Prevention Minimum Evaluation Data Set (PMEDS)
- Local Evaluator Consultant Network Directory
While a free sample curriculum is not available, providers may purchase an automatic digital download of the user’s guide to review program components, core competencies for facilitators, and scientific evidence of effectiveness. If providers decide to purchase the program, the price of the download is deducted.
The program requires the use of a television and DVD player, a computer with PowerPoint capabilities, and a screen for showing PowerPoint presentations. Other materials needed for implementation include condoms, a penis proxy, and hard candies.
There are three allowable adaptations, however, all adaptations must be approved by the developer and Sociometrics. Potential adaptations include:
- The program can be implemented in different settings, such as clinics, community-based organizations, or schools/colleges.
- The program can be adapted for use with non-military women. This program cannot be adapted for men.
- It may be possible to deliver the sessions in longer or shorter segments.
|Citation||High-Quality Randomized Trial||Moderate-Quality Randomized Trial||Moderate-Quality Quasi-experiment||Low Study Rating||Did Not Meet Eligibility Criteria|
Boyer et al. 2005
|Citation||Setting||Majority Age Group||Majority Racial/Ethnic Group||Gender||Sample Size|
Boyer et al. 2005
|Specialized setting||18 or 19||White||Young women||2157|
|Citation||Sexual Activity||Number of Sexual Partners||Contraceptive Use||STIs or HIV||Pregnancy|
Boyer et al. 2005
Boyer et al. 2005
|The program was evaluated in a cluster randomized controlled trial involving female Marine recruits who participated in the study during their first 13-week training period. Study participants were randomly assigned by platoon to either a treatment group that received the FOCUS intervention or a control group that received a health-promotion intervention on diet, physical activity, and cancer prevention. Surveys were administered immediately before the program (baseline) and at approximately one and eleven months after the program ended. Biological screening was conducted for pregnancy, chlamydia, gonorrhea, and trichomonas.
The study found that 11 months after the program ended, participants in the intervention who were sexually inexperienced at baseline were significantly less likely to report having had multiple sexual partners since graduating from Marine recruit training. The study found no statistically significant program impacts on the number of sexual partners for participants who were sexually experienced at baseline, or on consistency of condom use for any group of study participants.
The study also examined program impacts on measures of sexually transmitted infections and unintended pregnancies. Findings for these outcomes were not considered for this review because they did not meet the review evidence standards. Specifically, findings were reported only for certain subgroups of study participants, depending on where they were deployed after completing Marine recruit training. Those findings may be biased if deployment decisions were nonrandom.