The previous chapters also have provided instructionalprinciples. These are important because activitiesthat incorporate the principles for addressingeach factor are more likely to have an impact on thatfactor than activities that do not incorporate theseinstructional principles.The previous chapters included many theories,results from hundreds of studies and a large numberof principles for effectively changing the sevenfactors. All of this can be overwhelming whenpeople are faced with applying this material todevelop or adapt a curriculum. Fortunately, some ofthe instructional principles that are important foraddressing one factor are also important for addressingothers. This overlap makes the process of usingthe information simpler.Table 10-1 (p. 125) presents many of the mostimportant instructional principles and the factors towhich they should be applied. The table can be usedas a checklist for curricula being considered, adaptedor created.Applying These Principles toExisting Curricula or to theDevelopment of New OnesIf you are revising or adapting existing curricula,you should:1. Create a matrix specifying 1) all the factors youwish to address (across the top as column headings)and 2) all the activities you intend to includein the curriculum (down the side as row headings).See Figure 10-1 (p. 121).2. Review each activity in the curriculum and assesswhich, if any, of the seven factors (or other potentiallyimportant factors) the activity addresses andput a “✓” in the appropriate cell in the matrix,indicating the factor is addressed by the activity.See Figure 10-1.3. After reviewing all the activities and putting “✓”sin the appropriate cells, make sure that a sufficientnumber of factors are addressed by activities.(Typically, several factors affecting a particularbehavior need to be addressed in order to markedlychange that behavior.)4. Make sure the activities addressing each factorare sufficiently strong to affect the factor.(Typically, multiple activities are needed to markedlychange any factor.)5. For all the activities that address each factor,incorporate as many of the instructional principlesfrom the appropriate chapter as possible. Forexample, incorporate the principles for improvingself-efficacy to the activities that are designed toincrease self-efficacy.6. By reviewing all the revised activities that addresseach factor, assess realistically whether thoseactivities collectively will markedly improve thefactor addressed. If not, then either improve theexisting activities or add more activities. Forexample, assess whether the activities designedto improve self-efficacy to avoid situations thatmight lead to undesired sex are sufficient toimprove self-efficacy to avoid those situations. Ifnot, improve the activities or add new, effectiveones. If an activity is fun, but doesn’t really contributetoward moving youth to behavior change,then it may need to be dropped or modified toimprove the curriculum’s fit with the goals of theprogram.If you are creating new curricula, then you shouldfirst identify which set of factors you are going toaddress based on your population needs, review thechapters in this book and others that address theorybasedapproaches for changing the factors, and thenselect or revise activities from existing curricula(with appropriate permission) or develop entirelynew ones. Then you should complete the stepsabove. Other excellent resources exist for designingeffective curricula (Bartholomew, Parcel et al. 2006).There is much more to adapting existing curriculathan the six steps above suggest. However, theprinciples of adaptation are beyond the scope of thisbook. Fortunately, other excellent resources existfor adapting widely implemented curricula (Rolleri,Fuller et al., unpublished).120 <strong>Reducing</strong> <strong>Adolescent</strong> <strong>Sexual</strong> <strong>Risk</strong>: A <strong>Theoretical</strong> Guide for Developing and Adapting Curriculum-Based Programs
Figure10-1Assessing Factors in CurriculaKnowledgePerception of risk ofpregnancy and STDAttitudes and valuesregarding sex and # ofpartnersAttitudes and valuesregarding condoms/contraceptionPerceptions of peernorms regarding sex,# partners and condoms/contraceptionSelf-efficacy to avoidunwanted sexSelf-efficacy to insiston condoms/contraceptionSelf-efficacy touse condoms/contraceptioncorrectlyIntentions to abstainor use condoms/contraceptionParent-child communicationregardingsex, # partners, andcondoms/ contraceptionSpecifyActivity 1✓ ✓ ✓SpecifyActivity 2SpecifyActivity 3Continue forall activities✓ ✓ ✓ In each cell, specify whether the activity identified on the left can significantly improve the factor above.Notes:1. Typically, multiple activities are needed to significantly improve each factor.2. Often, factors need to be specified more precisely than in the example above.Final Activities—Conducting FocusedReviews and Pilot TestingThe final phase of developing or adapting your curriculumshould include two types of activities: 1)using focused reviews to assess the entire curriculumfor specific instructional principles, inadvertentbiases and/or imbalances that may not be as obviousin any single lesson and 2) pilot testing individualactivities as well as the entire curriculum.To conduct focused reviews, read a draft versionof the entire curriculum for specific characteristics(e.g., key instructional principles or biases) that, ifnot addressed, could reduce its relevance or impact.The approach requires that one or more internal staffreview the lessons with a single focus one at a time(e.g., inclusiveness for sexual minority youth—i.e.,gay, lesbian, bisexual and questioning youth, or thecognitive level of the objectives). Reviewing a curriculumfor a single issue is more productive in identifyinginconsistencies or imbalances than trying toconsider all issues during a single reading. A few ofthe key areas for review are highlighted below.Reviewing for InstructionalDesign Issues• Types of activities. One review pass should focuson the types of activities (learning strategies) usedacross the lessons. Most critically, these strategiesshould reflect the theory-based approaches forchanging the targeted risk and protective factorsas outlined in this and other books. They alsoshould be aligned with the program goals andChapter 10 Conclusions 121
- Page 1:
Reducing AdolescentSexual RiskA The
- Page 4 and 5:
ETR Associates (Education, Training
- Page 6 and 7:
AcknowledgmentsThis book evolved ou
- Page 8 and 9:
Activities, Boxes and FiguresActivi
- Page 11 and 12:
1 IntroductionThis book was created
- Page 13 and 14:
• Children of teenage mothers are
- Page 15 and 16:
Table1-2 The 17 Characteristics of
- Page 17:
Each of the following chapters focu
- Page 20 and 21:
“determinants,” “behaviors,
- Page 22 and 23:
model, provide evidence regarding h
- Page 24 and 25:
to avoid unwanted sex and then synt
- Page 26 and 27:
Figure2-3 An Example of a Logic Mod
- Page 28 and 29:
Figure2-3 An Example of a Logic Mod
- Page 30 and 31:
Figure2-3 An Example of a Logic Mod
- Page 32 and 33:
Table2-2Learning Objectives to Redu
- Page 34 and 35:
Table2-2Learning Objectives to Redu
- Page 36 and 37:
Table2-3Learning Objectives to Incr
- Page 38 and 39:
Table2-4Learning Objectives to Incr
- Page 40 and 41:
Table2-6Learning Objectives to Incr
- Page 43 and 44:
3 Increasing KnowledgeKeys to Incre
- Page 45 and 46:
Table3-1Number of Studies Reporting
- Page 47 and 48:
Box3-1Types of Activities to Increa
- Page 49 and 50:
partner does not mind using a condo
- Page 51 and 52:
methods more often. For example, th
- Page 53 and 54:
4ImprovingPerceptions of Risks—Bo
- Page 55 and 56:
1. Do teens’ perceptions of risk
- Page 57 and 58:
a. Presentations and discussions of
- Page 59 and 60:
Table4-5Examples of Items That Have
- Page 61 and 62:
Pregnancy Risk Activity and Follow-
- Page 63 and 64:
STD Handshake(Continued)Important C
- Page 65 and 66:
5AddressingAttitudes,Values and Bel
- Page 67 and 68:
Theories ofAttitude ChangeAttitudes
- Page 69 and 70:
Although both quality and quantity
- Page 71 and 72:
• When arguments are presented by
- Page 73 and 74:
that it is possible to improve thes
- Page 75 and 76:
c. Use simulations to demonstrate p
- Page 77 and 78:
Table5-4Examples of Survey Items fr
- Page 79 and 80: Table5-4Examples of Survey Items fr
- Page 81 and 82: Activity 5-2Dreams, Goals and Value
- Page 83 and 84: Activity 5-4“Dear Abby”Descript
- Page 85 and 86: 6CorrectingPerceptionsof Peer Norms
- Page 87 and 88: Is there a gap between perceptions
- Page 89 and 90: 3. Use concepts, language, symbols,
- Page 91 and 92: Table6-4Examples of Items That Have
- Page 93 and 94: 7 Increasing Self-Efficacy and Skil
- Page 95 and 96: feelings may reduce their self-effi
- Page 97 and 98: situations more difficult so that t
- Page 99 and 100: paper (e.g., the air should be sque
- Page 101 and 102: Activity 7-1Lines That People Use t
- Page 103 and 104: Situations That May Lead to Unwante
- Page 105 and 106: Roleplaying to Enhance Refusal Skil
- Page 107: Activity 7-5Using Condoms Correctly
- Page 110 and 111: chaperoned, they may not have the o
- Page 112 and 113: attitudes about condoms and contrac
- Page 114 and 115: Activity 8-1Description of Activity
- Page 117 and 118: 9IncreasingParent-ChildCommunicatio
- Page 119 and 120: ehavior may be quite complex (Jacca
- Page 121 and 122: 5. Give students multiple homework
- Page 123 and 124: and the activities suggested prior
- Page 125 and 126: Activity 9-1Description of Activity
- Page 127 and 128: Activity 9-3Human Sexuality Board G
- Page 129: 10 ConclusionsKeys to Reducing Sexu
- Page 133 and 134: sexual minority youth and pressure
- Page 135 and 136: Table10-1Instructional Principles I
- Page 137: Table10-1Instructional Principles I
- Page 140 and 141: Incidence The number of new cases o
- Page 143 and 144: ResourcesThree kinds of resources a
- Page 145 and 146: Science-Based Practices: A Guide fo
- Page 147 and 148: National Longitudinal Study of Adol
- Page 149 and 150: Changing Social Normshttp://www.etr
- Page 151 and 152: Advocates for Youth, Young Women of
- Page 153 and 154: ReferencesAbelson, R., and Prentice
- Page 155 and 156: Coyle, K. (2006). All4You2! Prevent
- Page 157 and 158: Lapsey, D.K. (1993). Toward an inte
- Page 159 and 160: Weed, S.E., Olsen, J.A., DeGaston,