Study Details

Citation

Milburn, N. G., Iribarren, F. J., Rice, E., Lightfoot, M., Solorio, R., Rotheram-Borus, M., Desmond, K., Lee, A., Alexander, K., Maresca, K., Eastmen, K., Arnold, E. M., Duan, N. (2012). A family intervention to reduce sexual risk behavior, substance use, and delinquency among newly homeless youth. The Journal of Adolescent Health, 50(4), 358-364.

Program or Component Study?
Program
Program or Component Name

STRIVE

Show Evidence of Effectiveness
Yes
Study Rating and Explanation
Moderate

Random assignment study with high attrition that did not meet the criteria for a high rating but met all criteria for a moderate rating; findings show a positive, statistically significant impact for at least one behavioral outcome

Program Information

Program Type
Healthy relationship
Program Length
Fewer than 10 sessions

Evaluation Setting

Evaluation Setting
After school

Study Sample

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

Research Design

Assignment Method
Randomized controlled trial
Sample Size

151

Number of Follow-Ups

3

Length of Last Follow-Up

9

Year of Last Data Collection
2010

Study Findings

Result Number of Partners
Potentially favorable evidence
Result Sexual Activity
Indeterminate evidence
Result Contraceptive Use
Indeterminate evidence
Reviewed Studies
Moderate-Quality Randomized Trial
Protocol Version
Version 3.0
Details

The program was evaluated using a randomized controlled trial involving newly homeless adolescents in Los Angeles and San Bernardino Counties, California. Study participants were recruited on a rolling basis over a three-year period through community-based organizations and study flyers and advertisements. About half were randomly assigned to receive the STRIVE intervention and half were assigned to a control group that received only referral services. Surveys were administered before the intervention (baseline) and at follow-ups conducted 3, 6, and 12 months after the intervention.

The study found that twelve months after the intervention, adolescents participating in the intervention reported having significantly fewer sexual partners in the previous three months. The study found no statistically significant program impacts on measures of vaginal or anal sex or unprotected sex in the previous three months. Findings from the three- and six-month follow-ups were not considered for the review because they did not meet the review evidence standards. Specifically, both the three- and six-month follow-ups had a high rate of sample attrition, and the study did not establish baseline equivalence for the remaining sample members.

The study also examined program impacts on measures of substance use and delinquent behaviors. Findings for these outcomes were not considered for this review because the outcomes fell outside the scope of the review.

Effect Sizes
{"0": {"ProgramName":"STRIVE","StudyID":"PPRER006510","ManuscriptID":"PPRER006510","sid":"221","Rating":"Moderate","OutcomeName":"Used a condom during last sexual intercourse","OutcomeDomain":"Contraceptive Use","OutcomeDichotomous":"Yes","SampleType":"Full sample","FUTimingMonths":"12","FUReference":"Baseline","MeanTreat":"0.45","MeanComp":"0.61","TpperES":"-0.388","StatSigRepEffect":"No","RepEffectFavorable":"Not significant","RepEffectMeet":"No"},"1": {"ProgramName":"STRIVE","StudyID":"PPRER006510","ManuscriptID":"PPRER006510","sid":"221","Rating":"Moderate","OutcomeName":"Had sex, lifetime","OutcomeDomain":"Sexual Activity","OutcomeDichotomous":"Yes","SampleType":"Full sample","FUTimingMonths":"12","FUReference":"Baseline","MeanTreat":"0.53","MeanComp":"0.46","TpperES":"0.177","StatSigRepEffect":"No","RepEffectFavorable":"Not significant","RepEffectMeet":"No"},"2": {"ProgramName":"STRIVE","StudyID":"PPRER006510","ManuscriptID":"PPRER006510","sid":"221","Rating":"Moderate","OutcomeName":"Number of sexual partners in the past three months","OutcomeDomain":"Number of Sexual Partners","OutcomeDichotomous":"No","SampleType":"Full sample","FUTimingMonths":"12","FUReference":"Baseline","MeanTreat":"0.46","MeanComp":"1.72","TpperES":"-0.863","StatSigRepEffect":"Yes","RepEffectFavorable":"Yes","RepEffectMeet":"Yes"}}

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.