Study Details

Citation

Malofeeva, E., Warnke, A.S., Rogers, H., Browning, K. (2022). Evaluation of LeadHer, a pregnancy prevention curriculum, in Detroit, Michigan. Evaluation Strategies.

Program Name

LeadHer

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
Positive youth development
Program Length
Fewer than 10 sessions

Evaluation Setting

Evaluation Setting
After school
In school: High school
Mobile app

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

501

Number of Follow-Ups

3

Length of Last Follow-Up

12 months after the final curriculum session (12-month follow-up).

Year of Last Data Collection
2022

Study Findings

Result Contraceptive
Potentially favorable evidence
Result Pregnancy
Indeterminate evidence
Reviewed Studies
High-Quality Randomized Trial
Protocol Version
Version 6.0
Effect Sizes
{"0": {"ProgramName":"LeadHer","StudyID":"PPRER0S22037","ManuscriptID":"PPRER0S22037","sid":"288","Rating":"High","OutcomeName":"Avoidance of unprotected sex","OutcomeDomain":"Contraceptive Use","OutcomeDichotomous":"Yes","SampleType":"Full sample","FUTimingMonths":"0","FUReference":"End of program","MeanTreat":"0.94","MeanComp":"0.93","TpperES":"0.055","StatSigRepEffect":"No","RepEffectFavorable":"Yes","RepEffectMeet":"No"},"1": {"ProgramName":"LeadHer","StudyID":"PPRER0S22037","ManuscriptID":"PPRER0S22037","sid":"288","Rating":"High","OutcomeName":"Avoidance of unprotected sex","OutcomeDomain":"Contraceptive Use","OutcomeDichotomous":"Yes","SampleType":"Full sample","FUTimingMonths":"6","FUReference":"End of program","MeanTreat":"0.88","MeanComp":"0.86","TpperES":"0.122","StatSigRepEffect":"No","RepEffectFavorable":"Yes","RepEffectMeet":"No"},"2": {"ProgramName":"LeadHer","StudyID":"PPRER0S22037","ManuscriptID":"PPRER0S22037","sid":"288","Rating":"Moderate","OutcomeName":"Avoidance of unprotected sex","OutcomeDomain":"Contraceptive Use","OutcomeDichotomous":"Yes","SampleType":"Full sample","FUTimingMonths":"12","FUReference":"End of program","MeanTreat":"0.91","MeanComp":"0.83","TpperES":"0.502","StatSigRepEffect":"Yes","RepEffectFavorable":"Yes","RepEffectMeet":"Yes"},"3": {"ProgramName":"LeadHer","StudyID":"PPRER0S22037","ManuscriptID":"PPRER0S22037","sid":"288","Rating":"Moderate","OutcomeName":"Presence of pregnancy","OutcomeDomain":"Pregnancy","OutcomeDichotomous":"Yes","SampleType":"Full sample","FUTimingMonths":"12","FUReference":"End of program","MeanTreat":"0.11","MeanComp":"0.09","TpperES":"0.150","StatSigRepEffect":"No","RepEffectFavorable":"No","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 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.

Details
The program was evaluated using a randomized controlled trial involving female-identifying youth ages 14-19. They were recruited through various events held by Alternatives for Girls (AFG) in the Detroit, Michigan, metro area. Participants were randomly assigned to either a treatment group that received the six-week LeadHer program or a control group that received a similarly intense Sassy Science curriculum of a similar duration whose content was not focused on teen pregnancy prevention. Surveys were administered immediately at baseline, after the end of the six-week program (immediate post-test, six weeks after study enrollment), six months after the program ended (six-month follow-up), and again 12 months after the program ended (12-month follow-up). The study found that 12 months after program end, girls participating in LeadHer reported a statistically significant increase in avoidance of unprotected sex compared with participants assigned to the control (effect size = 0.50). Differences in avoidance of unprotected sex were not significantly different from zero for either the six-month follow-up or the immediate post-test. The study also found that at 12 months after program end, girls participating in LeadHer and those in the control group were not significantly different in terms of having a reported pregnancy. The study also examined program impacts on rates of birth control use and condom use for a subgroup of participants who indicated they were sexually active in the three months preceding data collection. These contrasts received a low rating