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Overview
of the Curriculum |
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| Session 1: | Understanding
HIV and AIDS |
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| Session 2: | Making
Sexual Decisions and Understanding Your Values |
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| Session 3: | Developing
and Using Condom Skills |
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| Session 4: | Learning
Assertive Communication Skills |
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| Session 5: | Practicing
Assertive Communication Skills |
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| Session 6: | Personalizing
the Risks |
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| Session 7: | Spreading
the Word |
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| Session 8: | Taking B.A.R.T. with You | |
top
Theoretical Framework
Becoming
A Responsible Teen (B.A.R.T.)
relies on many years of learning about what is needed to change behavior.
It is based on the knowledge that information and awareness are preconditions
that set the stage for change and that people learn by seeing others model
the desired behaviors and values. Social Leaning Theory and Self-efficacy
Theory provide the theoretical basis for B.A.R.T. These theories are reflected
in B.A.R.T. in four major components:
To receive
more information and to order Becoming a Responsible Teen, contact:
ETR Associates
Phone: 1-800-321-4407
Fax: 1-800-435-8433
Internet: www.etr.org
Training
Two-day educator
trainings for Becoming a Responsible Teen are available on a fee-for-service
basis from ETR Associates. Fee-for service trainings are provided by request
from a state or local education or health agency for groups of approximately
20-50 people. Costs vary depending on the size of the group trained. Average
costs include approximately $5,600 for staff time to prepare for and conduct
the training plus travel cost (average $2,500 depending on location) and
curriculum and training materials costs at $60.00 per person. For more
information, contact ETR Associates' Training Department at training@etr.org.
In addition, there may be a local trainer in your state who is qualified to provide Becoming a Responsible Teen trainings.
Intervention
African
American adolescents, separated by gender, attended 8 weekly sessions
of a sexuality education program that included behavioral skills training.
In addition to information about AIDS and prevention of HIV infection,
the youth participated in activities to build skills in correct condom
use, assertive communication, refusal, information provision, self management,
problem solving, and risk recognition. Group sizes ranged from 5 to 15,
and sessions lasted from 90 to 120 minutes each. Fourteen sets of sessions
were conducted over 3 years in a comprehensive community health center
serving predominately low-income minority residents in a Southern urban
area of 400,000.
Behavioral Findings
Of
the youth who were sexually abstinent prior to the intervention, only
11.5% were sexually active one year later compared with 31% of participants
in the control group. Among those sexually active prior to the intervention,
42% of the control group remained so after one year versus only 27% of
the intervention group. In comparison to their behavior before the intervention,
and in comparison with those in the control group, youth who participated
in the intervention were more likely to use condoms and less likely to
engage in unprotected vaginal or anal intercourse.
Other Significant
Findings
Despite
the fact that both groups received the same basic information component,
the intervention group scored higher on the AIDS knowledge test than the
control group and maintained that lead across the 12-month follow-up period.
Moreover, youth from the intervention group were more skillful than those
in the control group in handling pressures to engage in unprotected sex
and in providing information to peers.
Research Design
Two
hundred forty-six adolescents were randomly assigned either to a control
condition or to the experimental intervention. The control condition consisted
of a single two-hour session that provided information about HIV/AIDS
including its nature, prevention, and impact on the local community. Interactive
discussions were interspersed with games, activities, and problem solving.
The first session of the experimental intervention was identical to the
control condition.
Participants completed questionnaires before, immediately after, and at 6-month intervals for one year after the intervention. Of the original 246 participants, 91.5% completed the 12-month follow-up. Measures included HIV risk, sexual behaviors, self-efficacy, attitude toward condoms, and HIV/AIDS knowledge.
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