STRIVE

Developers

Norweeta G. Milburn, Ph.D.

Program Summary
Support to Reunite, Involve and Value Each Other (STRIVE) is a five-session family-based intervention intended to reduce sexual risk behaviors, substance use, and delinquency among youth who have recently run away from home. 
 
The intervention requires participation from both the adolescent and at least one parent. It is delivered to individual families in a community-based setting or in the family's home by a trained specialist.
Intended Population
The program was designed for and evaluated with newly homeless youth ages 12 to 17.
Program Setting

The program was designed for and evaluated in community-based organizations and homes.

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 x237
Website: https://www.etr.org/store/curricula/project-strive/

Dr. Norweeta Milburn
UCLA Nathanson Family Resilience Center
760 Westwood Plaza, Rm A8-153
Los Angeles, CA 90095
Ph: 310-794-3773
Email: nmilburn@mednet.ucla.edu
Website: http://nfrc.ucla.edu/STRIVE

Sample of Curriculum Available for Review Prior to Purchase
Yes
Languages Available
English
Monitoring and Evaluation Tools
Monitoring and evaluation tools available
No
Monitoring and evaluation tool usage required
No
Program Components and Core Components

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
Delivery mechanism Other
Dosage Frequency Yes
Dosage Intensity Yes
Dosage Duration Yes
Dosage Other
Staffing Deliverer: Community health worker Yes (both versions)
Staffing Deliverer: Faith-based individual No
Staffing Deliverer: Health educator No
Staffing Deliverer: Mental health provider Yes (both versions)
Staffing Deliverer: Mentors No
Staffing Deliverer: Parents/family No
Staffing Deliverer: Peers No
Staffing Deliverer: Primary care provider No
Staffing Deliverer: Social worker and/or counselor No
Staffing Deliverer: Teachers No
Staffing Deliverer: Other
Staffing Experience: Credentials
Staffing Experience: Education Yes (both versions)
Staffing Experience: Other
Staffing Number of staff providing services
Staffing Training: Additional training required
Staffing Training: Developer-led training required Yes (both versions)
Staffing Training: Other
Staffing Other
Format Group size: Full-group activity Yes (both versions)
Format Group size: Independent/individual activity No
Format Group size: Small-group activity No
Format Group size: Other
Format Mode: In-person Yes (both versions)
Format Mode: Phone (audio) No
Format Mode: Phone (text) No
Format Mode: Phone (app) No
Format Mode: Online/computer (asynchronous) No
Format Mode: Online/computer (synchronous) No
Format Mode: Other
Format Other
Context Context: Environmental supports No
Context Context: Environmental constraints No
Context Context: Other
Context Setting: After school No
Context Setting: Community based Yes (both versions)
Context Setting: Correctional facility No
Context Setting: Faith based No
Context Setting: Health care clinic No
Context Setting: Home-based case management Optional
Context Setting: Home/housing Optional
Context Setting: In school (during the school day) No
Context Setting: Mental health clinic Optional
Context Setting: Residential facility Optional
Context Setting: School-based health clinic
Program Objectives
STRIVE seeks to improve the stability and quality of residential life, reduce the number of runaway episodes, and minimize HIV-related sexual and substance use risk behaviors among recently homeless adolescents. The intervention is designed to improve family functioning, reduce family conflict, and build problem solving, negotiation, and coping skills.
Program Content

STRIVE is grounded in cognitive-behavioral and family systems theories and stresses the importance of establishing a positive family climate to reduce the risk of chronic homelessness and associated adolescent risk behaviors. The specific topics covered by each session are:

  • Session 1: Participants are encouraged to create a positive family atmosphere and to make a commitment to the program and not running away from home. Families learn how to anticipate, identify, and plan for situations and events that may trigger the adolescent to run away.
  • Session 2: Participants learn and practice problem-solving skills. Families are encouraged to develop a positive family environment by prioritizing problems and solving them as a team.
  • Session 3: Participants learn how to analyze and frame problems, and how to articulate the intentions behind their behaviors. The session also provides factual information about HIV risk among runaway and homeless youth.
  • Session 4: This session focuses on coping and negotiation skills. Families learn strategies to cope with stressful situations and how to negotiate solutions. They practice applying these skills to their real-world problems.
  • Session 5: In this session, families apply what they have learned in prior sessions to solve an ongoing family conflict. The facilitator observes the discussion and provides feedback on the process.
Program Methods
The program is delivered to each family individually through a series of interactive, semi-structured tasks.
Program Structure and Timeline
The five STRIVE sessions are delivered weekly and last between 1.5 to 2 hours. Facilitators can work with up to two youth and their families per day if the intervention is delivered in the home, and more than two per day if families come to the facilitator's location.
Staffing
Facilitators should have experience working with at-risk adolescents. A degree such as a B.A., B.S., or M.F.T. are recommended, but not required.
Staff Training
A minimum of three full days of training is required. Training is set up through Dr. Milburn, and is provided by trainers with advanced degrees (M.S.W., Ph.D., or Psy.D.) who helped develop the intervention. Training can be provided at UCLA or onsite at the implementer's location.
Program Materials and Resources
Core intervention materials consist of:
  • Implementation manual
  • Evaluation assessments
  • Monitoring tools
  • Recruitment and retention materials
Additional Needs for Implementation
Necessary materials and equipment are described in the intervention manual.
Fidelity
Guidelines are provided in the manual for the key issues to be covered in each of the five intervention sessions. Other materials related to fidelity and adaptation can be found here: https://www.etr.org/store/curricula/project-strive/.
Technical Assistance and Ongoing Support
Assistance via phone and telehealth supervision can be provided by the trainers.
 
ETR can also provide 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 provides evaluation support for EBI implementation as well. 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
The program can be adapted for other at-risk populations and is currently being adapted for adolescents who are re-entering the community from the juvenile justice system.
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

Milburn et al. 2012
Study Characteristics
Citation Setting Majority Age Group Majority Racial/Ethnic Group Gender Sample Size

Milburn et al. 2012

 		After school 14 to 17 Hispanic or Latino Male and female youth

151
Study Findings

Evidence by Outcome Domain and Study

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

Milburn et al. 2012

 		Indeterminate evidence Potentially favorable evidence Indeterminate 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

Milburn et al. 2012

The program was evaluated using a randomized controlled trial involving newly homeless adolescents in Los Angeles and San Bernardino Counties, California. Study participants were recruited on a rolling basis over a three-year period through community-based organizations and study flyers and advertisements. About half were randomly assigned to receive the STRIVE intervention and half were assigned to a control group that received only referral services. Surveys were administered before the intervention (baseline) and at follow-ups conducted 3, 6, and 12 months after the intervention.

The study found that twelve months after the intervention, adolescents participating in the intervention reported having significantly fewer sexual partners in the previous three months. The study found no statistically significant program impacts on measures of vaginal or anal sex or unprotected sex in the previous three months. Findings from the three- and six-month follow-ups were not considered for the review because they did not meet the review evidence standards. Specifically, both the three- and six-month follow-ups had a high rate of sample attrition, and the study did not establish baseline equivalence for the remaining sample members.

The study also examined program impacts on measures of substance use and delinquent behaviors. Findings for these outcomes were not considered for this review because the outcomes 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.

Language directly from the program model developer or authors.