title: Using the Program Logic Model to Evaluate ¡Cuídate!: A Sexual Health Program for Latino Adolescents in a School-Based Health Center.
abstract: BACKGROUND
  Addressing the disparities in pregnancy and sexually transmitted infection (STI) rates for Latino youth in the United States requires an evidence-based approach. Although randomized controlled trials for sexual risk reduction interventions have shown promise in improving short-term outcomes, program sustainability has not been extensively examined in school settings where teens spend time. Latina teen pregnancy rates are nearly twice the national average. Adolescents comprise only 17% of the U.S. population, yet they account for 50% of STIs. ¡Cuídate! is a high-impact sexual health group program endorsed by the Centers for Disease Control and Prevention that has not been replicated in a real-world setting.
  
  
  OBJECTIVE
  The program logic model (PLM) was used as the systematic approach to plan, implement, and evaluate a sustainable model of sexual health group programing (¡Cuídate!) in a U.S. high school with a large Latino student population.
  
  
  METHODS
  The PLM provided the framework for the evaluation of outputs, outcome, and impact. A multivariate repeated measures analysis of variance was used as the means to evaluate the participant outcomes immediately postprogram and at 8-12 weeks.
  
  
  RESULTS
  ¡Cuídate! was executed within an existing school structure and time constraints, below cost projections, and with high participant retention (95.8%). Three cohorts (N = 24) of female teens demonstrated significant increases in STI or HIV knowledge, self-efficacy, and intention to use condoms (p < .01). Condom use increased postprogram. No participants initiated sexual behavior, nor were there any reported pregnancies or STIs.
  
  
  CONCLUSIONS
  An evidence-based intervention previously tested in randomized controlled trials can be sustained in a school-based health center with similar results of efficacy.
  
  
  CONCLUSIONS
  Our success served as a platform for a sustainable program. We continue to extend the impact of the program by delivering ¡Cuídate! in the school setting using a community health worker.
authors.affiliation: Assistant Clinical Professor, Nurse Practitioner, College of Health Professions, University of Detroit Mercy & Henry Ford Health System, Detroit, MI.
authors.forename: Mary L
authors.initials: ML
authors.lastname: Serowoky
authors.affiliation: Associate Clinical Professor, Assistant Director for the DNP Program, College of Nursing, Wayne State University, Detroit, MI.
authors.forename: Nancy
authors.initials: N
authors.lastname: George
authors.affiliation: Professor, College of Nursing, Wayne State University, Detroit, MI.
authors.forename: Hossein
authors.initials: H
authors.lastname: Yarandi
mesh_terms: D000293:Adolescent; D005260:Female; D007722:Health Knowledge, Attitudes, Practice / Q000208:ethnology*; D006293:Health Promotion / Q000379:methods*; D006630:Hispanic or Latino / Q000193:education*; D006801:Humans; D011247:Pregnancy; D011253:Pregnancy in Adolescence / Q000517:prevention & control; D015397:Program Evaluation; D060728:Reproductive Health / Q000193:education*; D012572:School Health Services; D012574:Schools; D012749:Sexually Transmitted Diseases / Q000517:prevention & control; D014481:United States
keywords: STI or HIV prevention in Latino teens; adolescent sexual health; adolescent sexual risk reduction; pregnancy and STI or HIV prevention in schools; pregnancy prevention in Latino teens; program evaluation; program logic; school-based health center; ¡Cuídate!