Study Details

Citation

Downs, J. S., Murray, P. J., Bruine de Bruin, W., Penrose, J., Palmgren, C., Fischhoff, B. (2004). Interactive video behavioral intervention to reduce adolescent females' STD risk: A randomized controlled trial. Social Science Medicine, 59(8), 1561-1572.

Program or Component Study?
Program
Program or Component Name

Seventeen Days (formerly What Could You Do?)

Show Evidence of Effectiveness
Yes
Study Rating and Explanation
High

Random assignment study that met all criteria for a high rating; findings show a positive, statistically significant impact for at least one behavioral outcome

Program Information

Program Type
Sexual health education
Program Length
Fewer than 10 sessions

Evaluation Setting

Evaluation Setting
Health clinic or medical facility

Study Sample

Average Age Group
14 to 17
Majority Racial/Ethnic Group
African American or Black
Gender
Young women

Research Design

Assignment Method
Randomized controlled trial
Sample Size

300

Number of Follow-Ups

2

Length of Last Follow-Up

6

Year of Last Data Collection
2003 (Imputed to year of publication minus one year)

Study Findings

Result Sexual Activity
Potentially favorable evidence
Result Contraceptive
Indeterminate evidence
Result STI or HIV
Potentially favorable evidence
Reviewed Studies
High-Quality Randomized Trial
Protocol Version
Version 1.0
Details

The program was evaluated in a randomized controlled trial conducted in four clinic-based healthcare sites in Pittsburgh, PA. Adolescents participating in the study were randomly assigned to one of three groups: (1) a treatment group that watched the intervention video, (2) a control group that received the same information from the video but as a book, and (3) a control group that received commercially-available brochures on STD risk. Study data were collected with surveys administered immediately before the intervention and at follow-ups conducted 3 and 6 months after the intervention ended. Biological testing for chlamydia was conducted at the 6-month follow-up.

Three months after the program ended, participants who watched the intervention video were more likely to report having been abstinent in the past three months. In addition, six months after the program ended, participants who watched the intervention video were less likely to report having been diagnosed with an STD. The study found no statistically significant program impacts on rates of abstinence in the past three months, self-reported condom use in the past three months, or the biological tests for chlamydia at the 6-month follow-up.

The study also examined program impacts on measures of STD knowledge and self-reported condom failures. Findings for those outcomes were not considered for the review because they fell outside the scope of the review.

Effect Sizes
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NA = Not available. This means the authors did not report the information in the manuscripts associated with the studies we reviewed.

a This information was not available whenever authors did not report information for the treatment and comparison groups separately on outcome means, standard deviations, and/or sample sizes.

b Authors reported that the program effect (impact) estimate is statistically significant with a p-value of less than 0.05 based on a two-tailed test.

c For some outcomes, having less of that outcome is favorable. In those cases, an effect with a negative sign is favorable to the treatment group (that is, the treatment group had a more favorable outcome than the comparison group, on average).

d An effect shows credibly estimated, statistically significant evidence whenever it has a p-value of less than 0.05 based on a two-tailed test, includes the appropriate adjustment for clustering (if applicable), and it is not based on an endogenous subgroup.