Reducing Adolescent Sexual Risk: A Theoretical - ETR Associates

Figure2-3 An Example of a Logic Model to Reduce Pregnancy and Sexually Transmitted Diseaseby Implementing a Sexuality Education Curriculum (Continued)Individual Risk andCurriculum Activities Protective Factors Behaviors Goals• Identify peers who are popular among different groups of adolescents and who arewilling to publicly support a message against having unprotected sex and for usingcondoms or other contraceptives• Have groups of peers plan and implement school-wide activities such as assemblies,contests, media materials and small group discussions, all of which promoteavoiding unprotected sex by abstaining from sex and using contraception if havingsex• Conduct school-wide polls and report results showing support for adolescentsavoiding unprotected sex; provide individual stories to personalize results of thepolls• Collect survey data from students and report results showing that most studentsabstain from sex or use condoms or other forms of contraception• Implement plays in which adolescents successfully resist sex or always usecontraceptionIncrease belief that peers usecontraception, if having sexIncrease belief thatpeers support the use ofcontraception, if having sexIncrease correct andconsistent use ofcontraceptionReduce teenpregnancy• Through class discussions and help from peer leaders, identify and describe thetypes of situations that might lead to unprotected sex, and identify multiplestrategies for avoiding each situation• Provide demonstration and practice in using skills to avoid unprotected sex• Have teachers or peer leaders demonstrate effective strategies for saying no tounprotected sex through scripted roleplays and have students practice roleplays• Repeat roleplays in which students insist upon the use of contraceptionIncrease self-efficacy to say noto unprotected sex and to insiston using contraception• Identify places where adolescents can obtain affordable contraception withoutembarrassment• Provide demonstration and practice in how to use condoms properlyIncrease self-efficacy and skill toobtain and use contraception• Have students identify possible situations or changes in their lives that might causethem to forget to take birth control pills and brainstorm ways to overcome thosesituationsIncrease skill to usecontraception consistently• Have students think clearly about what is the right choice for them in terms of sexand condom and contraception use• Have them identify what circumstances or events might challenge that choice• Have them create a plan to avoid those circumstances or events or overcome them• If their choice is to use contraception, have them create a specific plan to obtainand use contraception consistently and correctlyIncrease intentions to usecontraception(Continued)18 Reducing Adolescent Sexual Risk: A Theoretical Guide for Developing and Adapting Curriculum-Based Programs