Program Success Center

for Sexual & Reproductive Health

Draw the Line/Respect the Line

Draw the Line/Respect the Line is a 3-year evidence-based curriculum that promotes abstinence by providing students in grades 6, 7 and 8 with the knowledge and skills to prevent HIV, other STD and pregnancy. Using an interactive approach, the program shows students how to set personal limits and meet challenges to those limits. Lessons also include the importance of respecting others’ personal limits.

Category Program Features
Setting School based
Program Length 4–6 hours/year | 3 years
19 sessions total
Age Group Ages 12–14
Look Inside

Table of Contents
Sample Lesson
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Overview | Description | Population | Author | Who's Using

Overview

Draw the Line/Respect the Line is a 3-year evidence-based curriculum that promotes abstinence by providing students in grades 6, 7 and 8 with the knowledge and skills to prevent HIV, other STD and pregnancy. Using an interactive approach, the program shows students how to set personal limits and meet challenges to those limits. Lessons also include the importance of respecting others’ personal limits. 

 

Description

Draw the Line/Respect the Line is designed to be used either by a classroom teacher or trained family life educator in the sixth, seventh and eighth grades. The aim of the program is to reduce the number of students who initiate or have sexual intercourse, and to increase condom use among students who are sexually active. Using a fun, interactive approach, Draw the Line/Respect the Line shows students how to set personal limits and meet challenges to those limits. The curriculum also includes activities for students to do with their families.

Draw the Line/Respect the Line is sensitive to the needs of Latino youth. It was implemented in schools with large numbers of Latino youth, and these youth were consulted frequently during development. The student materials are provided in both English and Spanish.

  • In grade 6, the emphasis is on non-sexual situations in which youth may experience pressure, for example, to steal, use alcohol or smoke. The lessons feature limit setting and refusal skills in these contexts. Parent-child communication activities include discussion of cultural and family values and pressure situations for young people. Grade 6 has 5 lessons.
  • In grade 7, pressures regarding sexual intercourse are considered. The lessons feature short-term consequences of unplanned sex, information about STD and how to apply refusal skills in a party context. Parent-child communication activities include discussion of intentions to avoid having sex and getting out of risky situations. Grade 7 has 7 lessons.
  • In grade 8, the lessons feature an HIV-positive speaker, practicing refusal skills in dating situations, and a condom demonstration. Parent-child communication activities include discussion of HIV and its impact on those who are affected by HIV. Grade 8 has 7 lessons.

The program is delivered through role play, mini-lectures, brainstorming, games, small group work, an anonymous question box, videos, and guest speakers.

The curriculum is based on numerous principles:

  • Not having sex is the healthiest sexual limit for students in middle school.
  • Students can set sexual limits.
  • Students can be motivated to maintain their limits.
  • Students will encounter challenges to maintain their limits.
  • Students can overcome challenges to their limits.
  • Students who respect the limits of others will be less coercive.
  • Each student has unique needs; and condom use is essential protection for those who are sexually active.

 

Population Served & Setting

Draw the Line/Respect the Line is designed to be used in grades 6, 7 and 8. The program can also be used in a community setting if the setting allows for consistent attendance at the program sessions.

 

About the Lead Author

Karin K. Coyle, PhD, is Senior Research Scientist at ETR , Scotts Valley, California, where she serves as the lead investigator on a number of research and evaluation projects. She specializes in the development and evaluation of health promotion programs, particularly HIV, other STD and pregnancy prevention programs.

Over the past 15 years she has co-authored four research-based programs (Safer Choices, Draw the Line/Respect the Line, All4You!, and All4You2!), and has served as a principal or co-principal investigator on a number of school-based randomized trials to test the effectiveness of HIV, other STD and pregnancy prevention programs for youth.

Her current work focuses on adolescent relationships and their influence on sexual risk behavior and HIV and STI risk. She is the author of numerous professional articles in the field of health and sexuality education research.

 

Who’s Using?

ETR's effective, award-winning, evidence-based resources are used by schools, departments of education, youth groups, government agencies and clinics nationwide.

Some of the sites that have purchased Draw the Line/Respect the Line include:

  • Montana Department of Health & Human Services
  • Duval County Public Schools, Florida
  • Tulare Community Health Clinic, California
  • Womankind, Inc, Florida
  • Cherokee Nation of Oklahoma
  • Garfield County Department of Human Services, Colorado
  • Healthy Futures of Texas
  • Mississippi State Department of Health
  • Mission West Virginia
  • Family Resource Center of Raleigh, North Carolina

Length | Elements | Staffing | Notification

Length of Program

The program consists of 19 lessons—5 lessons in Grade 6, 7 lessons in Grade 7, and 7 lessons in Grade 8. Each lesson is 45–50 minutes.

 

Program Elements

The Draw the Line/Respect the Line basic set includes a teacher’s guide and student workbooks for one classroom of 30 students for each of the targeted grades (6, 7 and 8). Both Spanish and English versions of the student activity sheets are included in the student workbooks.

Student workbooks are required for every student. Additional classroom workbook sets of 5 and 30 are available.

An enhanced set of materials is also available that includes supplemental materials to augment student learning, including DVDs, pamphlets and posters.

ETR also provides free downloads of pre- and post-tests and Adaptation Tools.

 

Staffing Requirements

This curriculum can be used by either classroom teachers or community-based educators. Educators interested in implementing this program should be skilled in using interactive teaching methods and guiding group discussions, and should be comfortable with the program content.

 

Parent/Guardian Notification

It is essential to inform parents and guardians regarding the nature and scheduling of this or any sexual health education program. Prior to implementation of the curriculum, families should receive written notice describing the goals of Draw the Line/Respect the Line and the nature of the content to be covered. Parents also should be given an opportunity to view the curriculum and related materials if they wish. The vast majority of parents want their children to receive appropriate instruction and be given the information and skills they need to protect their sexual health, but parents/guardians also must be allowed the chance to opt out or exclude their children from participating in the program, if they wish.

Theory | Logic Model | Evidence Summary | References

Theory

Draw the Line/Respect the Line is based on several social psychological theories, particularly Social Inoculation Theory and Social Cognitive Theory.

Key content covered by the program consists of:

  • Knowledge of pregnancy risk and prevention.
  • Knowledge about STD and HIV risk, prevention, transmission, treatment and consequences.
  • Perception of individual risk for pregnancy, STD and HIV and their consequences if teenagers engage in unprotected sex.
  • Knowledge of how to be abstinent or use birth control methods effectively and how to access health care information and contraception (including condoms).
  • Effective and ineffective refusal skills.
  • Social and peer norms, as well as personal attitudes about abstinence, sex, unprotected sex, condoms and contraception.
  • Refusal and communication skills in pressure situations in order to avoid pregnancy and STD.
  • Skills to obtain health care information and contraception from a clinic and use it.
  • Skills to communicate with parents or other adults about teen sexual activity and birth control.

 

Logic Model

The program logic model can be found here:

Logic Model (pdf)

 

Evidence Summary

Pilot Testing

Students in focus groups provided information about how youth think and feel about sex, as well as feedback about lesson ideas. Each lesson activity was tested initially in schools not formally part of the study. Then various activities were revised, and additional piloting of the lessons occurred. Finally, full sets of lessons for each grade were taught at 10 or more classrooms in another school district, and final revisions were made. Student feedback was used throughout the process to improve the lessons and make them enjoyable.

Research Design

In the original research study, 19 schools were randomly assigned to either receive the curriculum (10 schools), or continue with usual classroom activities regarding HIV, other STD and pregnancy prevention (9 schools). During the study the curriculum was taught by specially trained family life educators.

Data Gathering

The evaluation of the curriculum involved surveying students in the 19 study schools who had received parental consent to participate in the study. Surveys were completed before students received the program in grade 6, and at the end of grades 7, 8 and 9.

Findings

In a randomized controlled trial involving 19 schools funded by the National Institute of Mental Health (Coyle et al., 2004):

  • Boys who received Draw the Line/Respect the Line were significantly less likely than boys in the comparison group to initiate sex, had significantly greater knowledge, had stronger sexual limits, and put themselves in fewer situations that could lead to sex.
  • At 36-month follow-up, 19% of boys in the program had had sex compared to 27% in the control group.
  • There were no significant differences for girls except regarding peer norms. Girls receiving the curriculum perceived fewer peer norms supporting sex than girls in the comparison group. The surveys indicated that almost 30% of girls in the study in grade 8 had a boyfriend 2 or more years older, and that these girls were more likely to report having had sex. It’s possible that more instruction on the influence of older boyfriends on sexual behaviors, and more skill practice in handling potential power differentials and possible coercion, may help improve the results for girls.

 

References

Coyle, K., D. Kirby, B. Marin, C. Gomez, S. Gregorich. 2004. Draw the Line/Respect the Line: A randomized trial of a middle school intervention to reduce sexual behaviors. American Journal of Public Health 94 (5): 843-851.

Adaptation Guidelines | Other Tools | Pre/Post Tests | FAQs | Policy

Adaptation Guidelines

ETR is a leader in developing adaptation guidelines to enable professionals to adapt evidence-based intervention programs for implementation in underserved communities, while maintaining fidelity to the intervention's core components. To produce the best adaptation tools, ETR works directly with the developer of each intervention to ensure that these tools are of the highest quality and meet the different needs of the field and end users, e.g., teachers, trainers, program mangers/staff, research teams, and funders.

Click the links below to view Adaptation Guidelines for Draw the Line/Respect the Line

Adaptation Green/Yellow/Red Guidelines (pdf)

Core Components (pdf)

For answers to Frequently Asked Questions about program adaptations, please visit our Program Support Help Desk.

Read ETR's Adaptations Policy.

 

Other Implementation Tools

ETR also produces other tools to facilitate implementation. Click the link to view.

Fidelity Log Grade 6 (pdf)

Fidelity Log Grade 7 (pdf)

Fidelity Log Grade 8 (pdf)

 

Pre/Post Tests

Classroom teachers can use pre/post tests to examine whether short-term knowledge learning objectives have been met. A simple pre-test/post-test assessment design can be used to measure pre-instruction levels and post-instruction changes in student learning.

Your ability to detect student change using this survey may vary and can be affected by numerous factors (e.g., number and content of lessons students receive, student scores at pretest, student motivation and interest in topic and survey, etc.) Improvement on the All4You! Knowledge Survey between pretest and posttest can be viewed as supportive, but not definitive, evidence of the curriculum's impact on short-term knowledge learning objectives. A well-designed evaluation study (e.g., using a strong experimental design with a well-matched comparison group and adequate sample size) with more extensive measurement would be needed to provide stronger evidence of curriculum impact.

Grade 6 Survey (pdf)

Grade 6 Survey Answer Key (pdf)

Grade 7 Survey (pdf)

Grade 7 Survey Answer Key (pdf)

Grade 8 Survey (pdf)

Grade 8 Survey Answer Key (pdf)

Learn more about how ETR can help with your evaluation needs >>

Training & TA

For over 30 years, ETR has been building the capacity of community-based organizations, schools, school districts, and state, county and local agencies in all 50 states and 7 U.S. territories to implement and replicate evidenced-based programs (EBPs) to prevent teen pregnancy, STD/STI and HIV. Our nationally recognized training and research teams work in partnership with clients to customize training and technical assistance (TA) to address the needs of their agencies and funding requirements.

Training

Educators interested in implementing Draw the Line/Respect the Line should be skilled in using interactive teaching methods and guiding group discussions. It is highly recommended that educators who plan to teach Draw the Line/Respect the Line receive research-based professional development to prepare them to effectively implement and replicate the curriculum with fidelity for the intended target group.

Training on Draw the Line/Respect the Line is available through ETR's Professional Learning Services. Training options include:

  • Three-day Training of Educators (TOE)—ETR’s TOE is a professional learning process that builds the knowledge and skills required of adult learners to implement Draw the Line/Respect the Line with fidelity and, when applicable, germane adaptations. The learning process includes pre-work, skill-based instruction and post-training follow-up support. The TOE is designed intentionally to be outcome based by boosting skills that lead to quality implementation.
  • Four-day Training of Trainers (TOT)—Available for qualified, seasoned trainers who have experience in delivering Draw the Line/Respect the Line. The TOT prepares select trainer candidates to effectively prepare adult learners to implement the intervention with fidelity. Completion entitles participants to use ETR’s research-based training design to conduct TOEs for their organization or designated affiliate group. TOT attendees who have completed the four-day TOT are eligible to attend a condensed TOT course on additional EBPs.

Technical assistance (TA), coaching and ongoing support

ETR provides in-person and web- and phone-based TA before, during and/or after program implementation. TA is tailored to the needs of the site and is designed to support quality assurance, trouble-shoot adaptation issues, and boost implementation.

Enrichment Training

To support a holistic approach to teen pregnancy and HIV prevention programs, ETR offers a number of additional training and technical assistance opportunities, including content-specific workshops, skill-based trainings, organizational development consultation and much more. To learn more about these opportunities, visit our Training & TA pages >>

Adaptation

Adaptation support materials, training and/or TA are available to assist educators in meeting the needs of individual communities by implementing EBPs effectively and consistently with core components. All adaptation support is based on ETR's groundbreaking, widely disseminated adaptation guidelines and kits for effective adaptations.

Evaluation

ETR also provides evaluation support for EBP implementation. ETR uses well-established tools for measuring fidelity and outcomes. ETR's evaluation support blends participatory approaches with cutting-edge evaluation science. Services address process and outcome evaluation and include assistance with evaluation planning, instrument design and development, implementation fidelity, data management and analysis, performance measurement, continuous quality improvement (CQI) protocols, and effective tools and strategies for reporting results.

Pricing Packages | Product Budget Calculator

Draw the Line Pricing

Basic Set – $299.99 BUY NOW

(contains everything needed to teach with fidelity)

  • Grade 6 Teacher’s Guide
  • Grade 6 Student Workbooks (classroom set of 30)
  • Grade 7 Teacher’s Guide
  • Grade 7 Student Workbooks (classroom set of 30)
  • Grade 8 Teacher’s Guide
  • Grade 8 Student Workbooks (classroom set of 30)

Additional Student Workbooks

Enhanced Set – $599.99 BUY NOW

(includes additional materials to enhance learning)

  • All materials in the Basic Set
  • Puberty & Pressure pamphlets (50)
  • Abstinence & Pressure pamphlets (50)
  • Abstinence & HIV pamphlets (50)
  • 101 Ways to Make Love Without Doin’ It pamphlets (50)
  • Thinking About Abstinence DVD
  • The Subject Is STD (Abstinence Version) DVD
  • Blood Lines DVD
  • How to Use a Condom DVD

Additional Pamphlets

Supplement