All4You!: Evidence Summary
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All4You!was designed to reduce sexual risk behaviors associated with HIV, other STDs and unintended pregnancy for use in alternative schools serving youth ages 14 to 18. The program includes 14 lessons—9 classroom-based lessons focused on providing youth with essential knowledge, attitudes, beliefs, skills, and the motivation to reduce risk behaviors, and 5 service-learning visits during which students volunteer in the community. The original evaluation was conducted in Northern California.
In general, youth receiving All4You! reduced the frequency of unprotected sex, reduced the frequency of sex and increased their use of condoms (Coyle et al., 2006).
Six months after the baseline survey:
- Students taking part in All4You! were less likely to have intercourse without a condom in the previous 3 months than were students in the control group, and they were more likely to use condoms during last intercourse.
- Students taking part in All4You! reported having sex less frequently than did students in the control group.
- Youth receiving All4You! had greater HIV and condom knowledge than did students in the control group, and this effect was still significant up to 18 months after the baseline survey.
Four elements are essential to the intervention:
- Youth received skill- and norm-based instruction to address personal, environmental and behavioral influences related to HIV, other STD and pregnancy risk (e.g., essential knowledge, personal values, attitudes and beliefs, perceived peer norms, access to resources).
- Role playing was used to enhance students’ communication, refusal and condom negotiation skills.
- In-class peer leaders were used to facilitate selected activities to capitalize on the potential of positive peer modeling.
- Youth engaged in service-learning visits in the community to enhance protective factors (e.g., positive future orientation and optimism, motivation).
References:
Coyle, K., D. Kirby, L. Robin, S. Banspach, E. Baumler, & J. Glassman. 2006. All4You! A randomized trial of an HIV, other STD, and pregnancy prevention intervention for alternative school students. AIDS Education & Prevention, 18(3): 187-203.
