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• Have teachers or peer leaders demonstrate effective strategies for refusing toengage in unprotected sex through scripted roleplays and have students practiceroleplays• Repeat roleplays in which students insist upon the use of condomsIncrease self-efficacy to insist onusing condomsIncrease correct andconsistent use ofcondomsReduce STD• Provide demonstration and practice in how to use condoms properlyIncrease self-efficacy to usecondoms correctly• Have students think clearly about what is the right choice for them in terms of sex,condom or other contraceptive 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 condoms, have them create a specific plan to obtain and usecondomsIncrease intentions to usecondoms• Provide research data on the high prevalence of HPV among young women• Describe how some varieties of HPV lead to cervical warts and some varieties leadto cervical cancer and death• Provide research data on the relative number of deaths due to cervical cancer andAIDS among women in the last 40 years• Provide research data on the prevalence of Hepatitis B and its consequencesIncrease perception of risks ofHPV and Hepatitis BIncrease vaccinationsfor HPV andHepatitis BReduce STD• Provide research data on the effectiveness of HPV and Hepatitis B vaccines• Provide information on where to obtain vaccinations and the costs of the vaccinesto young people• Have a speaker from a clinic talk about the vaccines and procedures for obtaining itIncrease knowledge ofeffectiveness of HPV andHepatitis B vaccines and placesto obtain vaccinations• Provide research data showing the increases in the percentages of young womenwho are being vaccinated for HPV• Provide role model stories promoting the benefits of vaccination and suggesting itswider use• Collect survey data showing that classroom peers would like to avoid HPV andHepatitis B and support vaccinationIncrease belief that peers arebeing vaccinated for HPV orsupport vaccination• Send information hope to parents with factual information about HPV, cervicalcancer, and the HPV vaccine• Include as part of a homework assignment to talk with parents about beingvaccinated for HPV if femaleIncrease communication withparents about being vaccinatedfor HPV(Continued)20 Reducing Adolescent Sexual Risk: A Theoretical Guide for Developing and Adapting Curriculum-Based Programs