Intervention Outline

Group #3 Teen Health/Adolescent Sexuality Jessica Suggs, Helen Yoon, Kayla Williams Group Project Outline 

The CDC surveillance of STD statistics stated that young persons aged 15--24 years represented only 25% of the sexually active population, approximately 48% of STD cases in 2000 occurred in this age group.

 The theories of sexual behavior applied for this intervention are theory of : i. behaviors associated with condom use ii. social/cultural norms within adolescent cohort iii. attitudes to risk with sexual/social relationships  Given the prevalence of the epidemic, increasing the knowledge and educating the female youth to promote healthy behavior for sexual activities, would help to reduce the incidence of STDs.  We focused on STDs in general rather than on HIV.  Our rationale was that, among female adolescents, the rate of infection is 6 times higher than the national average for all women. 

Given that the prevalence of Chlamydia infections and gonorrhea is higher in women, and that perceived susceptibility to STDs correlates with condom use, we thought that targeting STDs as health threats might increase adolescent females' risk-reduction knowledge.

 Thus, we included motivational enhancement strategies that may personalize the threat of STDs and promote behavior change.  We sought to develop and evaluate a brief one-session intervention that would be practical to implement and attractive to potential participants. 

We included only sexually active female adolescents

 Participants were assessed on STD-related knowledge, motivation, behavioral skills, and sexual behavior at pre- and post-intervention, and at a 2-month follow-up.  We predicted that participants would show improved knowledge, motivation, behavioral skills, and reduced unprotected vaginal and oral sex post intervention. 

The targeted demographic: Female adolescents within Baltimore City Middle Schools

We would like to propose a STD risk-reduction intervention that includes the following: PRECEDE-PROCEDE MODEL 1) Phase one Social Assessment- This particular health problem relates to sexually active female

2) 3) 4) 5) 6)

adolescents. In the intervention the females are to receive priority because STD’s such as Chlamydia and Gonorrhea are more susceptible in women. Phase two Epidemiological Assessment – TARGET- sexually adolescent females in Baltimore City middle schools. Phase three Behavioral and Environmental Assessment- misuse/non-use of condoms, dealing with peer pressure from friends and sexual partners, promiscuous behaviors Phase four Educational and Ecological Assessment- increase knowledge of safe sex and reduce the negative or uneducated view points on sex Phase five Administrative and Policy Assessment- health educators, plan a one week workshop, getting parents involved by signing consent forms , location will be at the school Phase six Implementation- Provide education to help reduce the increase of STD’s among female adolescents , promote healthy sexual behaviors

7) Phase seven, eight and nine (Evaluation ) Logic Model a) Inputs- sexually active female adolescents i) 1 week workshop after school put together by health educators (1 hour a day) ii) Signed parent consent forms before allowing the students to participate iii) Female adolescents ( 8th grade) b) Outputs- DAY 1- Survey/Questionnaire i) DAY2- Pretest on attitudes and knowledge of sex and condom use ii) DAY 3- Jeopardy Game iii) DAY 4- Teaching Prevention Methods/ Performing Skits of real life scenarios iv) DAY5- Post test/ Giving out Pamphlets and health education packages c) Health Problem- Prevalence of STD’s among female adolescents d) Short Terms- reduce the rate of increase, promote sexual healthy behaviors and proper condom use e) Long Term- lower the number of STDs