Study Details

Citation

Jemmott III, J. B., Jemmott, L. S., Fong, G. T., Morales, K. H. (2010). Effectiveness of an HIV/STD risk-reduction intervention for adolescents when implemented by community-based organizations: A cluster-randomized controlled trial. American Journal of Public Health, 100(4), 720-726.

Program or Component Study?
Program
Program or Component Name

Be Proud! Be Responsible!

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
After school

Study Sample

Average Age Group
14 to 17
Majority Racial/Ethnic Group
African American or Black
Sex
Male and female youth

Research Design

Assignment Method
Cluster randomized controlled trial
Sample Size

1707

Number of Follow-Ups

4

Length of Last Follow-Up

12

Year of Last Data Collection
2002

Study Findings

Result Sexual Activity
Indeterminate evidence
Result Contraceptive Use
Favorable evidence
Reviewed Studies
High-Quality Randomized Trial
Protocol Version
Version 2.0
Details

A separate study by the original group of researchers evaluated the program when implemented outside of school on a broad scale by local community-based organizations. The study used a cluster randomized controlled trial involving 86 community-based organizations in New Jersey and Philadelphia, PA. The study randomly assigned half the organizations to a treatment group that implemented the program and half to a control group that implemented a general health promotion curriculum. Surveys were administered immediately before the program started (baseline); immediately after the program ended, and three, six, and twelve months after the program ended.

The study findings failed to replicate the favorable impact on frequency of sexual intercourse found in the original study of the program by Jemmott (1992). However, the study also examined program impacts on four outcomes not measured in prior studies of the program: (1) consistency of condom use in the prior 90 days, (2) proportion of condom-protected sexual intercourse acts in the prior 90 days, (3) frequency of condom use in the prior 90 days, and (4) use of condoms at last intercourse. When averaging data across the three follow-up surveys, the study found statistically significant program impacts for the first three of these outcomes.

Effect Sizes
{"0": {"ProgramName":"Be Proud! Be Responsible!","StudyID":"PPRER001392","ManuscriptID":"PPRER001392","sid":"21","Rating":"High","OutcomeName":"Consistently used condoms in prior 90 days","OutcomeDomain":"Contraceptive Use","OutcomeDichotomous":"Yes","SampleType":"Full sample","FUTimingMonths":"3","FUReference":"After program ended","MeanTreat":"0.58","MeanComp":"0.53","TpperES":"0.138","StatSigRepEffect":"Yes","RepEffectFavorable":"Yes","RepEffectMeet":"Yes"},"1": {"ProgramName":"Be Proud! Be Responsible!","StudyID":"PPRER001392","ManuscriptID":"PPRER001392","sid":"21","Rating":"High","OutcomeName":"Consistently used condoms in prior 90 days","OutcomeDomain":"Contraceptive Use","OutcomeDichotomous":"Yes","SampleType":"Full sample","FUTimingMonths":"6","FUReference":"After program ended","MeanTreat":"0.53","MeanComp":"0.50","TpperES":"0.070","StatSigRepEffect":"Yes","RepEffectFavorable":"Yes","RepEffectMeet":"Yes"},"2": {"ProgramName":"Be Proud! Be Responsible!","StudyID":"PPRER001392","ManuscriptID":"PPRER001392","sid":"21","Rating":"High","OutcomeName":"Consistently used condoms in prior 90 days","OutcomeDomain":"Contraceptive Use","OutcomeDichotomous":"Yes","SampleType":"Full sample","FUTimingMonths":"12","FUReference":"After program ended","MeanTreat":"0.56","MeanComp":"0.50","TpperES":"0.149","StatSigRepEffect":"Yes","RepEffectFavorable":"Yes","RepEffectMeet":"Yes"},"3": {"ProgramName":"Be Proud! Be Responsible!","StudyID":"PPRER001392","ManuscriptID":"PPRER001392","sid":"21","Rating":"High","OutcomeName":"Frequency of condom use in prior 90 days","OutcomeDomain":"Contraceptive Use","OutcomeDichotomous":"No","SampleType":"Full sample","FUTimingMonths":"3","FUReference":"After program ended","MeanTreat":"3.85","MeanComp":"3.66","TpperES":"NA","StatSigRepEffect":"Yes","RepEffectFavorable":"Yes","RepEffectMeet":"Yes"},"4": {"ProgramName":"Be Proud! Be Responsible!","StudyID":"PPRER001392","ManuscriptID":"PPRER001392","sid":"21","Rating":"High","OutcomeName":"Frequency of condom use in prior 90 days","OutcomeDomain":"Contraceptive Use","OutcomeDichotomous":"No","SampleType":"Full sample","FUTimingMonths":"6","FUReference":"After program ended","MeanTreat":"3.76","MeanComp":"3.59","TpperES":"NA","StatSigRepEffect":"Yes","RepEffectFavorable":"Yes","RepEffectMeet":"Yes"},"5": {"ProgramName":"Be Proud! Be Responsible!","StudyID":"PPRER001392","ManuscriptID":"PPRER001392","sid":"21","Rating":"High","OutcomeName":"Frequency of condom use in prior 90 days","OutcomeDomain":"Contraceptive Use","OutcomeDichotomous":"No","SampleType":"Full sample","FUTimingMonths":"12","FUReference":"After program ended","MeanTreat":"3.60","MeanComp":"3.57","TpperES":"NA","StatSigRepEffect":"Yes","RepEffectFavorable":"Yes","RepEffectMeet":"Yes"},"6": {"ProgramName":"Be Proud! Be Responsible!","StudyID":"PPRER001392","ManuscriptID":"PPRER001392","sid":"21","Rating":"High","OutcomeName":"Proportion of condom-protected sexual intercourse in prior 90 days","OutcomeDomain":"Contraceptive Use","OutcomeDichotomous":"No","SampleType":"Full sample","FUTimingMonths":"3","FUReference":"After program ended","MeanTreat":"0.76","MeanComp":"0.69","TpperES":"NA","StatSigRepEffect":"Yes","RepEffectFavorable":"Yes","RepEffectMeet":"Yes"},"7": {"ProgramName":"Be Proud! Be Responsible!","StudyID":"PPRER001392","ManuscriptID":"PPRER001392","sid":"21","Rating":"High","OutcomeName":"Proportion of condom-protected sexual intercourse in prior 90 days","OutcomeDomain":"Contraceptive Use","OutcomeDichotomous":"No","SampleType":"Full sample","FUTimingMonths":"6","FUReference":"After program ended","MeanTreat":"0.79","MeanComp":"0.75","TpperES":"NA","StatSigRepEffect":"Yes","RepEffectFavorable":"Yes","RepEffectMeet":"Yes"},"8": {"ProgramName":"Be Proud! Be Responsible!","StudyID":"PPRER001392","ManuscriptID":"PPRER001392","sid":"21","Rating":"High","OutcomeName":"Proportion of condom-protected sexual intercourse in prior 90 days","OutcomeDomain":"Contraceptive Use","OutcomeDichotomous":"No","SampleType":"Full sample","FUTimingMonths":"12","FUReference":"After program ended","MeanTreat":"0.73","MeanComp":"0.69","TpperES":"NA","StatSigRepEffect":"Yes","RepEffectFavorable":"Yes","RepEffectMeet":"Yes"},"9": {"ProgramName":"Be Proud! Be Responsible!","StudyID":"PPRER001392","ManuscriptID":"PPRER001392","sid":"21","Rating":"High","OutcomeName":"Used condom at last sexual intercourse","OutcomeDomain":"Contraceptive Use","OutcomeDichotomous":"Yes","SampleType":"Full sample","FUTimingMonths":"3","FUReference":"After program ended","MeanTreat":"0.72","MeanComp":"0.68","TpperES":"0.122","StatSigRepEffect":"Yes","RepEffectFavorable":"Yes","RepEffectMeet":"Yes"},"10": {"ProgramName":"Be Proud! Be Responsible!","StudyID":"PPRER001392","ManuscriptID":"PPRER001392","sid":"21","Rating":"High","OutcomeName":"Used condom at last sexual intercourse","OutcomeDomain":"Contraceptive Use","OutcomeDichotomous":"Yes","SampleType":"Full sample","FUTimingMonths":"6","FUReference":"After program ended","MeanTreat":"0.75","MeanComp":"0.72","TpperES":"0.068","StatSigRepEffect":"Yes","RepEffectFavorable":"Yes","RepEffectMeet":"Yes"},"11": {"ProgramName":"Be Proud! Be Responsible!","StudyID":"PPRER001392","ManuscriptID":"PPRER001392","sid":"21","Rating":"High","OutcomeName":"Used condom at last sexual intercourse","OutcomeDomain":"Contraceptive Use","OutcomeDichotomous":"Yes","SampleType":"Full sample","FUTimingMonths":"12","FUReference":"After program ended","MeanTreat":"0.72","MeanComp":"0.71","TpperES":"0.027","StatSigRepEffect":"Yes","RepEffectFavorable":"Yes","RepEffectMeet":"Yes"},"12": {"ProgramName":"Be Proud! Be Responsible!","StudyID":"PPRER001392","ManuscriptID":"PPRER001392","sid":"21","Rating":"High","OutcomeName":"Frequency of sexual intercourse in prior 90 days","OutcomeDomain":"Sexual Activity","OutcomeDichotomous":"No","SampleType":"Full sample","FUTimingMonths":"3","FUReference":"After program ended","MeanTreat":"2.62","MeanComp":"2.96","TpperES":"NA","StatSigRepEffect":"No","RepEffectFavorable":"Not significant","RepEffectMeet":"No"},"13": {"ProgramName":"Be Proud! Be Responsible!","StudyID":"PPRER001392","ManuscriptID":"PPRER001392","sid":"21","Rating":"High","OutcomeName":"Frequency of sexual intercourse in prior 90 days","OutcomeDomain":"Sexual Activity","OutcomeDichotomous":"No","SampleType":"Full sample","FUTimingMonths":"6","FUReference":"After program ended","MeanTreat":"3.15","MeanComp":"2.64","TpperES":"NA","StatSigRepEffect":"No","RepEffectFavorable":"Not significant","RepEffectMeet":"No"},"14": {"ProgramName":"Be Proud! Be Responsible!","StudyID":"PPRER001392","ManuscriptID":"PPRER001392","sid":"21","Rating":"High","OutcomeName":"Frequency of sexual intercourse in prior 90 days","OutcomeDomain":"Sexual Activity","OutcomeDichotomous":"No","SampleType":"Full sample","FUTimingMonths":"12","FUReference":"After program ended","MeanTreat":"3.68","MeanComp":"4.25","TpperES":"NA","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 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.