Sexual Abstinence Clinical Trial
Official title:
Capacity Builders Inc. Navajo Youth Builders Personal Responsibility Education Innovation Strategies Project Effectively Educating Navajo Youth on the Prevention of Adolescent Pregnancy, Sexually Transmitted Infections, and HIV/AIDS
Capacity Builders (CBI) will implement the Youth Builders PREIS curriculum Native Students Together Against Negative Decisions (Native STAND) which aims to reduce pregnancies, births, and sexually transmitted infections (STI's) including HIV/AIDS among high-risk youth populations by implementing culturally sensitive curriculum based on Navajo positive youth development. The study has two hypotheses: (1) Do students assigned to the Youth Builders program have a greater chance of abstaining from sexual activity (i.e. oral, vaginal and anal) in the last 3 months as compared to students assigned to the comparison group, measured at 12 month and 18 month follow up? (No vaginal sexual intercourse, report abstinence at 12 and 18 random assignment month follow up); (2) Do students assigned to the Youth Builders program have a greater change of abstaining from sex or practicing safe sex (i.e. using a male or female condom, or other means of birth control if they have sex), than students assigned to the comparison group, measured at 12 and 18 months after random assignment? (No sexual activity or use contraception if engage in sex at 12 month and 18 month follow up.
Capacity Builders (CBI) will implement the Youth Builders PREIS curriculum Native STAND,
recruiting Navajo youth in grades 9-11 and between the ages 14-18 who attend school in the
Consolidated School District in New Mexico. Using the Theory of Reasoned Action as a
theoretical framework, the curriculum will be administered in classrooms over 27 sessions
lasting 45 minutes. The curriculum will entail lessons conducted in either Physical Education
or Health Classes and youth will be randomly assigned to two groups by the local program
evaluator. Youth will be required to obtain signed consent and assent forms prior to
participating in the intervention program. Youth will complete pre and post surveys to
measure program outcomes. Random assignment will be conducted for the impact and comparison
groups by being placed into a pool; students will be blindly pulled to become the impact
group. Groups will be stratified to ensure balance between treatment and comparison groups.
Quarterly evaluation reports (QERs) and an annual evaluation report will be provided to the
Action Team for review.
Capacity Builder's Inc. (CBI) Youth Builders PREIS program seeks to test a modification of
the Native STAND curriculum in Northwest New Mexico with at least 834 Navajo teens and 3
cohorts. The curriculum is intended to reduce pregnancies, births, and STI's including
HIV/AIDS among high-risk youth populations by implementing culturally sensitive curriculum
based on Navajo positive youth development. Additional curriculum of adulthood preparation
subjects will increase participant knowledge in the areas of: healthy relationships,
adolescent development, communication skills, healthy life skills. Youth Builders will be
delivered within the traditional school day, embedded into regularly scheduled learning time.
Presented once each week for 27 weeks over a 36-week school year, Youth Builders will reach
students where they are, overcoming many challenges associated with retention. The project
will support a Randomized Controlled Experimental Design. CBI will create valuable resources
to support Youth Builders replication nationwide, including a comprehensive Youth Builders
Blueprint, describing all action steps taken to achieve goals and objectives. In addition to
action steps, the Youth Builders Blueprint will include: program curriculum; curricular map;
training materials; sample parent consent forms; sample referral procedures / policies; staff
training schedules; sample partnership agreements; Action Team meeting minutes,QERs, and
annual evaluation reports The Youth Builders Blueprint will be available in both print and
online format, and will be widely disseminated throughout the CBI network of non-profit
agencies, Tribes, and school districts across the United States. Conference presentation will
be ongoing at state and national conferences.
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