Impact of an Intervention Designed to Reduce Sexual Health Risk Behaviors of African American Adolescents: Results of a Randomized Controlled Trial.
OBJECTIVE
To replicate an evidence-based HIV risk reduction program and assess its impact on 2 behavioral outcomes-inconsistency of condom use and frequency of sex-6 months after the program.


METHODS
The study was an individual-level randomized controlled trial in which we randomly assigned 850 youths (aged 14-18 years) to 1 of 2 conditions. The treatment (Becoming a Responsible Teen) is a group-level sociocognitive and skills training sexual education course; the control is a general health intervention that includes the same initial informational component as the treatment. Participants were recruited over 3 summers (2012-2014) from a summer employment program in New Orleans, Louisiana, that serves primarily African American adolescents.


RESULTS
Six months after program exposure, we found no statistically significant difference between treatment and control group members' self-reported inconsistency of condom use or frequency of sex (P > .05).


CONCLUSIONS
Although previous evidence has indicated that this particular program can be effective, this study's findings indicate that it was not effective in this setting with this specific population. Results should provide an incentive to learn why the intervention works in some cases and what conditions are necessary for causal impacts.
All of the authors are with The Policy & Research Group, New Orleans, LA.
Eric
E
Jenner
All of the authors are with The Policy & Research Group, New Orleans, LA.
Lynne W
LW
Jenner
All of the authors are with The Policy & Research Group, New Orleans, LA.
Sarah
S
Walsh
All of the authors are with The Policy & Research Group, New Orleans, LA.
Hilary
H
Demby
All of the authors are with The Policy & Research Group, New Orleans, LA.
Alethia
A
Gregory
All of the authors are with The Policy & Research Group, New Orleans, LA.
Erin
E
Davis
J Pers Soc Psychol. 1977 Mar;35(3):125-39
15093
Sex Transm Dis. 2013 Mar;40(3):197-201
23403600
Am J Health Behav. 2015 Sep;39(5):610-22
26248171
Vital Health Stat 23. 2011 Oct;(31):1-35
22256688
J Adolesc Health. 2014 May;54(5):499-507
24525227
J Consult Clin Psychol. 1995 Apr;63(2):221-37
7751483