The purpose of this study was to determine the impact of TOP® on sexual health behavior.
The cluster-randomized study was conducted in 9th grade classrooms in Chicago Public Schools (CPS) with equal number of schools randomized to intervention and comparison groups for two cohort years. Students were administered a scannable paper survey at three time points: baseline, post-program and 1-year post program. The primary impact analysis used an intent-to-treat approach. Implementation of TOP® was assessed by conducting classroom observations. TOP® was delivered in a variety of classroom settings over the school year by facilitators from CPS and partner organizations.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
12,253
TOP® is a positive youth development and service learning program for youth ages 12 to 17, and its Changing Scenes curriculum is separated into age appropriate levels. The program uses an approach that involves a caring adult, positive self-efficacy, future planning and goal setting and life management skills to to reduce risky sexual behavior and improve school outcomes. TOP® is designed to be delivered in weekly sessions over 9 months and includes community service learning.
Sex without a condom in the last 90 days
Dichotomous indicator from self-report survey
Time frame: 9 months after baseline
Sex in the last 90 days
Dichotomous indicator from self-report survey
Time frame: 9 months after baseline
Sex without a condom in the last 90 days, by race/ethnicity
Dichotomous indicator from self-report survey
Time frame: 9 months after baseline
Sex without a condom in the last 90 days
Dichotomous indicator from self-report survey
Time frame: 21 months after baseline
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