       Document 1142
 DOCN  M94A1142
 TI    Assessing effectiveness of school-based HIV prevention.
 DT    9412
 AU    Rugg D; Collins J; Sogolow E; Banspach S; Gilliam A; Kirby D; CDC,
       Atlanta, GA 30341-3724.
 SO    Int Conf AIDS. 1994 Aug 7-12;10(2):20 (abstract no. 371D). Unique
       Identifier : AIDSLINE ICA10/94371433
 AB    OBJECTIVE: Since 1987, CDC has conducted evaluation research to
       determine what works in school-based programs designed to reduce HIV
       risk behaviors. METHODS: Assessing intervention effectiveness involves
       three components: 1) short and long-term randomized studies, 2)
       synthesis of research literature using expert consensus, and 3)
       meta-analysis of an HIV education database. HIV-related risk behaviors
       are measured as the primary outcome. Subjects are youth ages 10-19 from
       various racial/ethnic groups who participate in school HIV programs
       across the U.S. RESULTS: Data summarized across all three components
       show that well-designed programs: 1) do not hasten onset nor increase
       frequency of sexual intercourse, 2) can delay onset of intercourse among
       previously abstinent youth, and 3) can increase condom use among
       intervention youth compared to youth in comparison conditions (p < .05).
       Characteristics of effective programs include: 1) basis in social
       learning theory, 2) narrow focus on a specific behavior, 3) experiential
       activities to personalize risk information, 4) instruction on resisting
       negative social influences, 5) reinforcement of positive peer norms and
       values, and 6) activities to increase skills and confidence.
       CONCLUSIONS: Scientific evidence from multiple sources shows that
       school-based programs can be effective in reducing behaviors that result
       in HIV infection. It is essential that such findings inform the design
       of HIV prevention programs for youth.
 DE    Adolescence  *Adolescent Behavior  Adult  Centers for Disease Control
       and Prevention (U.S.)  Child  *Child Behavior  Condoms/*UTILIZATION
       Databases, Factual  *Health Education  *Health Promotion  Human  HIV
       Infections/*PREVENTION & CONTROL  Meta-Analysis  Outcome and Process
       Assessment (Health Care)  Program Evaluation  Randomized Controlled
       Trials  School Health Services  Sex Behavior/*STATISTICS & NUMER DATA
       United States  MEETING ABSTRACT

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

