Study Details

Citation

Coyle, K. K., Glassman, J. R., Franks, H. M., Campe, S. M., Denner, J., & Lepore, G. M. (2013). Interventions to reduce sexual risk behaviors among youth in alternative schools: A randomized controlled trial. Journal of Adolescent Health, 53(1), 68–78.

Glassman, J. R., Franks, H. M., Baumler, E. R., & Coyle, K. K. (2014). Mediation analysis of an adolescent HIV/STI/pregnancy prevention intervention. Sex Education: Sexuality, Society and Learning, 14(5), 497-509.

Program or Component Study?
Program
Program or Component Name

All4You2!

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
More than 20 sessions

Evaluation Setting

Evaluation Setting
Alternative school
Community-based organization

Study Sample

Average Age Group
14 to 17
Majority Racial/Ethnic Group
Hispanic or Latino
Sex
Male and female youth

Research Design

Assignment Method
Cluster randomized controlled trial
Sample Size

430

Number of Follow-Ups

2

Length of Last Follow-Up

18 months after baseline

Year of Last Data Collection
2011

Study Findings

Result Number of Partners
Indeterminate evidence
Result Sexual Activity
Indeterminate evidence
Result Contraceptive Use
Potentially favorable evidence
Reviewed Studies
High-Quality Randomized Trial
Protocol Version
Version 7.0
Details

The evaluation was conducted using a four-arm experimental design involving 47 classrooms (765 youth) drawn from 11 district-run continuation high schools in Northern California. Students' school classrooms were randomized into one of four experimental conditions: (1) the All4You2! treatment condition; (2) a service learning condition; (3) the treatment intervention combined with the service learning condition; or (4) an attention control condition. Students completed three surveys (baseline plus two follow-up surveys at six months and 18 months). The All4You2! intervention consisted of 32 hours of instruction, taught two or three times a week during school hours.

This summary presents the effectiveness of the All4You2! treatment relative to the attention control condition.

The results of this study suggest that the treatment group experienced short-term effects (as demonstrated in the six-month survey following baseline) in reducing instances of unprotected sexual intercourse when compared to the control group. For the full sample, the finding for frequency of unprotected sexual intercourse at the six-month follow-up was positive and statistically significant in favor of the treatment group. The TPPER-calculated effect size for this finding was 0.33.

The study also examined outcomes related to number of sexual partners and contraceptive use, though none of these outcomes showed impacts that were statistically significant.

Additionally, the study reported findings that did not meet TPPER standards. One set of findings was reported only for subgroups defined by sexual activity at follow-up; analyses for endogenous subgroups received a low rating. Another set of findings was reported for samples defined by their sexual experience at baseline; however, these contrasts were deemed to have high attrition and did not demonstrate baseline equivalence, so they received a low rating.

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.

Language directly from the program model developer or authors.