LeadHer
Celia Thomas, DHA, Chief Operating Officer, Alternatives For Girls
LeadHer is a multicomponent intervention emphasizing female leadership and sexual health that aims to reduce teen pregnancy and risky sexual behavior among at-risk adolescent girls. The program includes 30 hours of group learning sessions over a six-week period. It focuses on topics such as healthy relationship skills, goal-setting and decision-making skills, communication skills, adolescent development, and career development. The program is delivered by trained peer educators supported by an adult facilitator. It is also highly recommended that youth participate in two goal-setting sessions with a case planner who will help youth make plans for their future and provide referrals to programs and services that support youths’ ongoing healthy growth and development.
LeadHer was designed for and evaluated with adolescent girls ages 14 to 19.
LeadHer is designed to be implemented in a school, community center, school-based after-school program, or other locations where youth can gather comfortably. The program was evaluated in high school classrooms, after school settings, and community-based organizations.
For curriculum, materials, and pricing information, please contact:
Celia Thomas, DHA
Chief Operating Officer
cthomas@alternativesforgirls.org
Michele Legleitner, LLMSW, CPS
Director of Prevention
mlegleitner@alternativesforgirls.org
For training and support, please contact:
See above.
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 | Substance use cessation | No | |||
| Content | Boundary setting/refusal skills | Yes | Yes (both versions) | 2.6 p. 64; 2.13 p. 83; 3.4 p. 96; 3.5 p. 99 | |
| Content | Child development | Yes | Yes (both versions) | In Staff Training | |
| Content | Conflict resolution/social problem solving | Yes | Yes (both versions) | 5.9 p. 185 | |
| Content | Connections with trusted adults | Yes | Yes (both versions) | 5.9 p. 185; 6.6 p. 202 | |
| Content | Cultural values | Yes | Yes (both versions) | 3.8 p. 113; 3.9 p. 115; 4.7 p. 144 | |
| Content | Gender identity | No | |||
| Content | Gender roles | No | Yes (both versions) | 4.5 p. 137 | |
| Content | Leadership | Yes | Yes (both versions) | 1.4 p. 18; 1.5 p. 20; 1.7 p. 26; 1.8 p. 28; 1.9 p. 35; 4.6 p. 142; 6.4 p. 197 | |
| Content | Normative beliefs | No | Yes (both versions) | 2.4 p. 48 | |
| Content | Parenting skills | No | |||
| Content | Social competence | No | |||
| Content | Social influence/actual vs. perceived social norms | No | Yes (both versions) | 4.4 p. 134; 4.5 p. 137; 4.6 p. 142; 4.7 p. 144; 4.8 p. 146 | |
| Content | Social support/capital | No | Yes (both versions) | 5.9 p. 185 | |
| Content | Identity development | No | |||
| Content | Morals/values | Yes | Yes (both versions) | 3.8 p. 113; 3.9 p. 115 | |
| Content | Spirituality | No | |||
| Content | Volunteering/civic engagement | No | Yes (both versions) | 6.3 p. 195 | |
| Content | Other | No | |||
| Delivery mechanism | Method: Anonymous question box | No | |||
| Delivery mechanism | Method: Artistic expression | Yes | Yes (both versions) | ||
| Delivery mechanism | Method: Assessment/survey | Yes | Yes (both versions) | ||
| Delivery mechanism | Method: Booster session | No | |||
| Delivery mechanism | Method: Case management | No | Yes (both versions) | ||
| Delivery mechanism | Method: Cognitive behavioral therapy (CBT) | No | |||
| Delivery mechanism | Method: Demonstration | Yes | Yes (both versions) | ||
| Delivery mechanism | Method: Discussion/debrief | Yes | Yes (both versions) | ||
| Delivery mechanism | Method: Family session | No | |||
| Delivery mechanism | Method: Game | ||||
| Delivery mechanism | Method: Home visiting | No | |||
| Delivery mechanism | Method: Homework assignment | No | |||
| Delivery mechanism | Method: In-session assignment | Yes | Yes (both versions) | ||
| Delivery mechanism | Method: Introduction | Yes | Yes (both versions) | ||
| Delivery mechanism | Method: Lecture | Yes | Yes (both versions) | ||
| Delivery mechanism | Method: Motivational interviewing | No | Yes (both versions) | Occurs during case planning | |
| Delivery mechanism | Method: Music | Yes | Yes (both versions) | ||
| Delivery mechanism | Method: Parent-focused activity | No | |||
| Delivery mechanism | Method: Peer-to-peer | Yes | Yes (both versions) | The majority of program content is delivered by Peer Educators. | |
| Delivery mechanism | Method: Public service announcement | No | |||
| Delivery mechanism | Method: Reading | Yes | Yes (both versions) | ||
| Delivery mechanism | Method: Role play/Practice | Yes | Yes (both versions) | ||
| Delivery mechanism | Method: Self-guided activity | No | |||
| Delivery mechanism | Method: Service learning | No | |||
| Delivery mechanism | Method: Slide show | No | |||
| Delivery mechanism | Method: Social media | No | |||
| Delivery mechanism | Method: Spiral learning | No | |||
| Delivery mechanism | Method: Storytelling | Yes | Yes (both versions) | ||
| Delivery mechanism | Method: Text message | No | |||
| Delivery mechanism | Method: Video | No | |||
| Delivery mechanism | Method: Other | No |
LeadHer seeks to prevent and reduce sexual risk behavior by (1) increasing healthy relationship skills within friendships, family, and romantic relationships; (2) teaching adolescents life skills, such as goal setting, decision making, healthy communication skills, and leadership; (3) supporting their understanding of adolescent development and fostering healthy attitudes about adolescent growth and development; and (4) encouraging educational and career success.
LeadHer is based on the theory of planned behavior. The program includes information on the following four core content areas: (1) healthy relationships, (2) healthy relationship skills, (3) adolescent development, and (4) educational and career success.
The program delivers information on the core content areas in the following six units:
- Unit 1 – Leadership training. The focus of this unit is to discuss the qualities of a leader and identify changes participants would like to create in their own community.
- Unit 2 – Self-Love. The focus of this unit is to discuss how to have a positive self-image and how healthy relationships and boundaries create better leaders.
- Unit 3 – Risky Business. This unit focuses on discussing healthy sexuality, sexually transmitted infections (STIs), and protection against unwanted pregnancy.
- Unit 4 – Society and Me. The focus of this unit is to discuss body image; the media; race and stereotypes; and the potential impacts of alcohol, tobacco, and other drugs.
- Unit 5 – Future Me. This unit focuses on discussing college and career readiness.
- Unit 6 – LeadHer of Today. The focus of this unit is to review the content shared in Units 1–5. It includes a celebration.
LeadHer includes six group lessons with a peer educator. Sessions involve a variety of activities and discussions. Each activity begins with an introduction, which provides a bridge from the previous activity and helps create continuity throughout the program. Most activities also include a brief discussion, which is always led by peer educators. Some activities are done in a larger group; others are done while broken into small groups. Participants are given workbooks during their first unit. The workbooks include the required handouts for the activities and additional information for referencing later.
It is also highly recommended that youth participate in two goal-setting sessions with a case planner who will help youth make plans for their future and provide referrals to programs and services that support youths’ ongoing healthy growth and development.
LeadHer is designed to be delivered in six 5-hour weekly sessions; however, the program schedule can be adjusted to be delivered in 2.5-hour sessions twice a week, 1.75- hour sessions three times a week, or 1.5-hour sessions that total 30 hours of content. The program also includes two 1-hour individual sessions with a case planner.
LeadHer requires a project leader to oversee implementation of the program. It is delivered by trained peer educators supported by an adult facilitator and a case planner.
The project leader receives 40 hours of training from Alternatives For Girls. Project leaders then train youth peer educators, the adult facilitator, and the case planner on implementing the LeadHer curriculum. The implementation training is 42 hours long for youth peer educators, the adult facilitator, and the case planner; the training is typically delivered over the course of six days (seven hours per day). In addition to curriculum training, youth peer educators also receive six hours of training on direct coaching, support, and feedback from the facilitator.
Program materials include a student workbook for participants and a curriculum manual for peer educators, the adult facilitator, and the case planner.
None
LeadHer has a fidelity checklist that the facilitator and case planners are required to complete after each session. The checklist tracks any changes or adaptations made to the program.
Support for implementing LeadHer includes PowerPoint training slides for the facilitator and peer educators; forms for program administrators; surveys for staff and participants; social media posts; and separate training manuals for the program leader, facilitator, and peer educators.
If needed, Alternatives For Girls is also available to provide the following technical assistance and consultation support:
- One eight-hour introduction and orientation to all materials
- Two days of training for project leaders to understand the steps necessary to launch the curriculum and train peer educators, the facilitator, and case planners
- Up to 40 hours of consultation during implementation
LeadHer is designed to be delivered in six weekly five-hour Saturday sessions; however, the program schedule can be adjusted to be delivered in 2.5-hour sessions twice a week, 1.75-hour sessions three times a week, or 1.5-hour sessions that total 30 hours of content. Peer educators cannot abbreviate, skip, or change the order of activities or program content.
| Citation | High-Quality Randomized Trial | Moderate-Quality Randomized Trial | Moderate-Quality Quasi-Experiment | Low Study Rating | Did Not Meet Eligibility Criteria |
|---|---|---|---|---|---|
| Malofeeva et al. 2022 |
✓ |
| Citation | Setting | Majority Age Group | Majority Racial/Ethnic Group | Gender | Sample Size |
|---|---|---|---|---|---|
Malofeeva et al. 2022 |
After school, In school: High school, Mobile app | 14 to 17 | African American or Black | Young women | 501 |
Evidence by Outcome Domain and Study
| Citation | Sexual Activity | Number of Sexual Partners | Contraceptive Use | STIs or HIV | Pregnancy |
|---|---|---|---|---|---|
Malofeeva et al. 2022 |
n.a. | n.a. |
|
n.a. |
|
| Citation | Details |
|---|---|
Malofeeva et al. 2022 |
The program was evaluated using a randomized controlled trial involving female-identifying youth ages 14-19. They were recruited through various events held by Alternatives for Girls (AFG) in the Detroit, Michigan, metro area. Participants were randomly assigned to either a treatment group that received the six-week LeadHer program or a control group that received a similarly intense Sassy Science curriculum of a similar duration whose content was not focused on teen pregnancy prevention. Surveys were administered immediately at baseline, after the end of the six-week program (immediate post-test, six weeks after study enrollment), six months after the program ended (six-month follow-up), and again 12 months after the program ended (12-month follow-up). The study found that 12 months after program end, girls participating in LeadHer reported a statistically significant increase in avoidance of unprotected sex compared with participants assigned to the control (effect size = 0.50). Differences in avoidance of unprotected sex were not significantly different from zero for either the six-month follow-up or the immediate post-test. The study also found that at 12 months after program end, girls participating in LeadHer and those in the control group were not significantly different in terms of having a reported pregnancy. The study also examined program impacts on rates of birth control use and condom use for a subgroup of participants who indicated they were sexually active in the three months preceding data collection. These contrasts received a low rating |