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Theories & Approaches



 

Welcome to Theories and Approaches, a designated space to describe the thinking behind the development of adolescent pregnancy prevention strategies, activities and programs.

In this section, users will find definitions and rationales behind common theories (i.e. social cognitive theory, stages of change theory) and approaches (i.e male involvement, service learning, youth development) used in developing adolescent pregnancy prevention programs. Also included are descriptions of real programs using specific theories and approaches as well as practical steps for incorporating different theories and approaches into programs.

Adolescent Development
by Kathryn Pierno
Includes: an overview of adolescent development — key features and major questions facing adolescents; a comparison of three developmental theories — Freud's, Erikson's, and Piaget's; a discussion of the physical, cognitive, emotional, social, and behavioral aspects of adolescent development; relevant questions for those working with teens; and references.
 

BDI Logic Model
by Doug Kirby, ETR Associates
The Behavior - Determinant - Intervention (BDI) logic model is a useful tool for designing, strengthening and evaluating programs to reduce adolescent sexual risk-taking, pregnancy, HIV and other STDS.
(PDF: 440K/ 51 pages)

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Characteristics of Effective Programs
"Sex and HIV Education Programs for Youth: Their Impact and Important Characteristics" by Doug Kirby, PhD, B.A. Laris, MPH and Lori Rolleri, MSW, MPH, May 2006.pdf icon
This 2006 paper discusses 17 characteristics of effective sex and HIV educational programs for youth, based on a review of 83 studies of programs in both developed and developing countries.

Tool to Assess the Characteristics of Effective Sex and STD/HIV Education Programs (TAC) by Doug Kirby, PhD and Lori Rolleri, MSW, MPH, February 2007.pdf icon
Based on the above report, this tool is designed to assess, select, improve or design a sex or STD/HIV education program. ETR and Healthy Teen Network have designed a one-day training to provide an overview of the characteristics and guidance on using the TAC. For more information about the training, contact Healthy Teen Network. A color print copy of the TAC is also available at Healthy Teen Network for $20, which covers shipping costs.



The Health Belief Model (HBM) — definition and rationale, background information, how to apply, challenges and considerations, resources.
International Girls Development — an introduction and background information on international girls development and an overview of model programs in Bangladesh, Brazil, and Philippines. Recommended strategies and references are also included.
Male Involvement and Adolescent Pregnancy Prevention
by Robert Becker, ReCAPP Consultant
(PDF: 351K / 16 pages)
Peer Education in Teen Pregnancy Prevention
by Nicole Lezin, ReCAPP Consultant
Includes: background information on peer education — definition, rationale and effectiveness; characteristics of effective peer education programs; challenges and benefits of peer education; case study of peer educator training curriculum; resources; sample program and evaluation forms; and more.
Program Evaluation Basics
Information and links to information on planning and evaluating health education programs. Includes: slide show presentation with information on impact, outcome and process evaluation, constructing good evaluation tools, and more; sample focus group protocols; sample questionnaires and permission forms; facilitator guidelines; resources; and more.

Service Learning and its impact on pregnancy prevention, including an example of a service learning program — Teen Outreach Program (TOP)

Sexual Risk and Protective Factors:
Factors Affecting Teen Sexual Behavior, Pregnancy, Childbearing, and Sexually Transmitted Disease

An analysis by Douglas Kirby, Ph.D. and Gina Lepore, B.A.
This newly updated paper provides an exhaustive analysis of the more than 400 factors that can affect teen sexual behavior. (Updated 11/07)

Social Learning Theories — what they are and how to apply them to sexuality education
The Stages of Change Model
by Nicole Lezin, ReCAPP Consultant
The Stages of Change model recognizes that behavior change is a complex process, that individuals trying to change unhealthy behavior are in different stages of that process, and that relapse is not failure but a learning opportunity. It can be a useful model for health educators and others seeking behavior change because it helps them tailor health messages and interventions to specific individuals and groups according to the stages of change they are in.
Theory of Reasoned Action (TRA)
by Nicole Lezin, ReCAPP Consultant
The Theory of Reason Action has been used to explain and predict many different health behaviors ranging from smoking to seat belt use. It is particularly relevant to sexuality education because it focuses on beliefs and values which strongly influence the decisions young people make about their sexual behavior. Includes: an introduction and definitions, key concepts, information on how TRA was developed, relevant research studies, resources and more.
Using Research to Improve Practice
Information on how to interpret research on adolescent reproductive health and use this research to improve or strengthen programs. Includes a slide presentation, worksheets, an assessment form, sample profiles, links, and more.
Youth Development and Adolescent Pregnancy Prevention
by Nicole Lezin, ReCAPP Consultant
(PDF: 325K / 15 pages)
Youth Mentoring
by Mark Fulop
Includes: an introduction; information about the four dimensions of designing a mentor program; what we know about youth mentoring; mentoring and pregnancy prevention; case studies; implications for practice; advice on how to get started with your own mentoring program; web, book and other resources; and references.
 

Note: Links on this page with the Portable Document Format icon require Adobe Acrobat Reader 4.0 to view and print them. You can download this free software at: http://www.adobe.com/prodindex/acrobat/readstep.html


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