Sexual Health and Adolescent Risk Prevention (SHARP)
The program was designed for and evaluated in a juvenile detention facility.
1580 W. El Camino Real, Suite 8
Mountain View, CA 94040
|Category||Component||Core Component||Component present||Notes||Lesson number(s) / activities where present|
|Content||Social influence/actual vs. perceived social norms||No||Yes (both versions)|
|Content||Social competence||No||Yes (both versions)|
|Content||Normative beliefs||No||Yes (both versions)|
|Content||Connections with trusted adults||No|
|Content||Conflict resolution/social problem solving||No|
|Content||Communication skills||Yes||Yes (both versions)|
|Content||Boundary setting/refusal skills||Yes||Yes (both versions)|
|Content||Substance use cessation||No||Yes (both versions)|
|Content||Substance use - Other drugs||No||Yes (both versions)|
|Content||Substance use - Alcohol||Yes||Yes (both versions)|
|Content||Substance use - Abstinence||No||Yes (both versions)|
|Content||Brain development and substance use||No|
|Content||Supplemental academic services||No|
|Content||Graduating from high school||No|
|Content||Self-efficacy/empowerment||Yes||Yes (both versions)|
|Content||Risk of STIs and Pregnancy||Yes (both versions)|
|Content||STIs - Screening||Yes||Yes (both versions)|
|Content||STIs - Prevention||Yes||Yes (both versions)|
|Content||STIs - Information||Yes||Yes (both versions)|
|Content||Sexual risk reduction||Yes||Yes (both versions)|
|Content||Sexual risk discontinuation||No|
|Content||Sexual risk avoidance||No||Yes (both versions)|
|Content||Sexual orientation||No||Yes (both versions)||Not instruction per se, but acknowledgment and acceptance of differences in sexual orientation|
|Content||Sexual health||No||Yes (both versions)|
|Content||Contraception - Pills, patches, rings, and shots||No|
|Content||Contraception - Condoms||Yes||Yes (both versions)|
|Content||Contraception - Long-acting reversible contraceptives||No|
|Content||Contraception - Other||No|
- Increasing awareness and knowledge of the consequences of risky sexual and substance use practices.
- Understanding how HIV and STIs are transmitted.
- Identifying incorrect HIV heuristics.
- Identifying behaviors that place people at risk for HIV/STIs.
- Improving individual condom use self-efficacy.
- Developing sexual risk reduction strategies.
- Learning how to successfully negotiate condom use.
- Developing long-term sexual risk and alcohol use reduction goals.
- Understanding how decisions about engaging in risk behaviors today can affect life tomorrow and further down the road.
The program structure of SHARP includes the following:
- SHARP is delivered in a 3.5 to 4 hour single session.
- Groups must be separated by gender.
- The ideal group size is 3 to 5 participants, and should not exceed 10 youth.
- When discussing marijuana and other drugs, alcohol must also be discussed.
- A SHARP user's guide
- Facilitator's manual
- Student workbooks
- Risky Behaviors computer game
- Alcohol use questionnaire
- Personal feedback report & scoring card
- CD containing both the "Your Move" and "Under the Influence" Videos.
These materials can be found at: http://www.socio.com/passt28.php
The implementation of SHARP requires the following materials that are not available from the developer:
- Penis proxy
- TV/DVD player for viewing the videos
- A calculator
- Computers, ideally one computer for each 1-2 participants for the video game. If you do not have the necessary number of computers to accommodate this, the alternative would be to use one computer and project the video game onto the wall or a screen using a LCD projector.
If the program is being implemented in a detention or other residential facility, it is recommended that program implementers check with the facility administration on banned items (e.g. pens) or any safety measures implemented on-site.
|Citation||High-Quality Randomized Trial||Moderate-Quality Randomized Trial||Moderate-Quality Quasi-experiment||Low Study Rating||Did Not Meet Eligibility Criteria|
Bryan et al. 2009
Schmiege et al. 2009
Bryan et al. 2009
Schmiege et al. 2009
The program was evaluated in a cluster randomized controlled trial involving adolescents from three juvenile detention facilities in Denver, CO. Small groups of adolescents were recruited on a rolling basis over a 30-month period from January 2004 to July 2006. Each group was randomly assigned to one of three conditions: (1) a treatment group that received the full intervention, (2) a treatment group that received only the first component of the intervention, the three-hour small-group session, or (3) a control group that received a one-hour small-group informational session on HIV and other sexually transmitted diseases. Surveys were administered immediately before the intervention (baseline), immediately after the intervention, and at follow-ups conducted 3, 6, 9, and 12 months after the program.