Study Details


Abe, Y., Barker, L., Chan, V., and Eucogco, J. 2016. "Early Findings from the Evaluation of the Pono Choices Program - A culturally Responsive Teen Pregnancy and Sexually Transmitted Infection Prevention Program for Middle School Youth in Hawai'i." Final Impact Evaluation Report.

Abe, Y., Barker, L. T., Chan, V., Eucogco, J. (2016). Culturally responsive adolescent pregnancy and sexually transmitted infection prevention program for middle school students in hawai'i. American Journal of Public Health, 106, S110-S116. doi:10.2105/AJPH.2016.303395

Manaseri, H., Roberts, K. D., Barker, L. T., Tom, T. (2019). Pono Choices: Lessons for School Leaders From the Evaluation of a Teen Pregnancy Prevention Program. The Journal of School Health, 89(4), 246-256.

Program Name
Pono Choices
Show Evidence of Effectiveness
Study Rating and Explanation
ModerateRandom assignment study with high attrition that that did not meet the criteria for a high rating but met all criteria for a moderate rating; findings show no positive, statistically significant impact on a relevant behavioral outcome measure for either the full sample or key subgroups

Program Information

Program Type
Sexual health education
Program Length
10 to 20 sessions

Evaluation Setting

Evaluation Setting
In school: Middle school

Study Sample

Average Age Group
13 or younger
Majority Racial/Ethnic Group
Youth of any gender

Research Design

Assignment Method
Cluster randomized controlled trial
Sample Size
Number of Follow-Ups
Year of Last Data Collection
Reviewed Studies
Moderate-Quality Randomized Trial
Protocol Version
Version 5.0
Effect Sizes
{"0": {"ProgramName":"Pono Choices","StudyID":"PPRER016009","ManuscriptID":"PPRER016009","Rating":"Moderate","OutcomeName":"High-risk sexual behavior","OutcomeDomain":"Contraceptive Use","OutcomeDichotomous":"Yes","SampleType":"Full sample","FUTimingMonths":"12","FUReference":"Start of program","MeanTreat":"0.015","MeanComp":"0.022","TpperES":"-0.236439","StatSigRepEffect":"No","RepEffectFavorable":"Not significant","RepEffectMeet":"No"},"1": {"ProgramName":"Pono Choices","StudyID":"PPRER016009","ManuscriptID":"PPRER016009","Rating":"Moderate","OutcomeName":"Initiation of sexual activity","OutcomeDomain":"Sexual Activity","OutcomeDichotomous":"Yes","SampleType":"Full sample","FUTimingMonths":"12","FUReference":"Start of program","MeanTreat":"0.098","MeanComp":"0.1","TpperES":"-0.013589","StatSigRepEffect":"No","RepEffectFavorable":"Not significant","RepEffectMeet":"No"}}

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 meets the review standards for credible evidence whenever it is statistically significant with 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.