Study Details

Citation

Covington, R.D., Goesling, B., Clark Tuttle, C., Crofton, M., Manlove, J., Oman, R.F., Vesely, S. (2016). Final impacts of the POWER Through Choices program. Mathematica Policy Research.

Oman, R. F., Vesely, S. K., Green, J., Clements-Nolle, K., Lu, M. (2018). Adolescent pregnancy prevention among youths living in group care homes: A cluster randomized controlled trial. American Journal of Public Health, 108(S1), pp. S38-S44.

Oman, R.F., Vesely, S.K., Green, J., Fluhr, J., Williams, J. (2016). Short-term impact of a teen pregnancy-prevention intervention implemented in group homes. Journal of Adolescent Health, 59, 584–591.

Program or Component Study?
Program
Program or Component Name

Power Through Choices

Show Evidence of Effectiveness
Yes
Study Rating and Explanation
High

This study received a high study quality rating because it is a low-attrition randomized controlled trial with no known issues that would suggest the findings cannot be attributed to the program

Program Information

Program Type
Sexual health education
Program Length
10 to 20 sessions

Evaluation Setting

Evaluation Setting
Residential facility or group home

Study Sample

Average Age Group
14 to 17
Majority Racial/Ethnic Group
Hispanic or Latinx of any race
Gender
Youth of any gender

Research Design

Assignment Method
Cluster randomized controlled trial
Sample Size

885

Number of Follow-Ups

3

Length of Last Follow-Up

12

Year of Last Data Collection
2015

Study Findings

Result Number Partners
Indeterminate evidence
Result Sexual Activity
Indeterminate evidence
Result Contraceptive
Potentially favorable evidence
Result STI or HIV
Indeterminate evidence
Result Pregnancy
Favorable evidence
Reviewed Studies
High-Quality Randomized Trial
Protocol Version
Version 6.0
Details

The program was evaluated in a cluster randomized controlled trial involving 885 youth recruited from 44 residential group homes in California, Maryland, and Oklahoma. The study randomly assigned clusters of youth to a treatment group receiving the 10 sessions of the POWER Through Choices program or to a control group that did not receive the program but had access to other community and group home services. Data for the study were collected before the program (baseline), immediately after the program, and six and 12 months after the end of the program. This study focused on data collected at the six- and 12-month follow-ups.

Six months after the program ended, youth who participated in the program were significantly less likely than youth in the control group to report having had sex without using birth control in the past three months (odds ratio = 0.72 (confidence interval = 0.52 to 0.98); TPPER-calculated effect size = -0.141). The study found that at the six-month follow-up, there were no statistically significant impacts on whether youth had ever been pregnant or gotten someone pregnant.

Twelve months after the program ended, youth who participated in the program were significantly less likely to report ever having been pregnant or gotten someone pregnant than youth in the control group (odds ratio = 0.81 (confidence interval = 0.75 to 0.88); TPPER-calculated effect size = -0.124). In addition, the study found that 12 months after the end of the program, the subgroup of female youth who participated in the program were significantly less likely to report ever being pregnant than their counterparts in the control group (odds ratio = 0.66, confidence interval = 0.56 to 0.77); TPPER-calculated effect size = -0.255). At the 12-month follow-up, there were no statistically significant impacts on measures of recent (in the last three months) sexual activity (number of sexual partners, condom and birth control use during recent sexual activity, and being tested and diagnosed with a sexually transmitted infection (STI) in the past 12 months.

The study also examined program impacts on measures of knowledge about reproductive anatomy and fertility, HIV and STIs, and methods of protection; attitudes toward safe sex and the use of protection; perceived self-efficacy to avoid unprotected sex; perceived ability to find methods of protection; perceived access to condoms and birth control; and intention to have sex, use a condom, and use birth control in the next year. Findings for these 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.