Our Projects

ETR can support your organization or project in numerous ways to best fulfill your goals. Whether you need short-term capacity-building assistance, customized trainings, program evaluations, full-scale research projects, technical assistance clearinghouses, or high-quality print and digital resources, we can help. Please review our core competencies to learn more about our areas of expertise.

ETR's multidisciplinary teams are committed to the highest standards of quality in their respective fields.

View projects by area of focus, type of project, or status:


Gents: Empowering Young African American Men

Gents: Empowering Young African American Men

ETR was awarded an innovation sub-grant from Texas A&M as a part of the Office of Adolescent Health innovation funding to develop a sexual health module implemented as part of a mentoring program for African American young men. The sexual health module promotes topics such as healthy relationships, respect, sexual consent, correct and consistent use of condoms, supporting a partner’s use of highly effective birth control, sexual boundaries, and empowering young men to make informed choices to navigate sexual risk in light of future goals. ETR has partnered with the Oakland Chapter of Omega Psi Phi, the largest black fraternity in the country and developer of the mentoring program, to inform, develop and provide feedback on the module.

Inaccuracies in Self-Report Measures of Adolescent Risk-Taking Behaviors

Inaccuracies in Self-Report Measures of Adolescent Risk-Taking Behaviors

Self-report measures of adolescent sexual behaviors are essential for monitoring risk and evaluating prevention program effectiveness, yet relatively little is known about the accuracy of these measures across developmental stages and demographic groups. This R03 research project will provide new information about the rates of inconsistencies, by types (e.g., “yes” to ever had sex at baseline survey and “no” at 12-month follow-up) and across demographic subgroups, in adolescents’ self-reported sexual behaviors using data from four large longitudinal studies of the effectiveness of HIV/STI/pregnancy prevention programs for high-risk youth. It also seeks to contribute new information about the impact of removing different types of inconsistent cases on study power and generalizability. Finally, it will identify subgroups of youth with whom to explore, in a future study, reasons behind and potential remedies to inconsistent reporting of sexual behaviors.

Intentional Advocacy in the South

Intentional Advocacy in the South

Intentional Advocates is made possible by GILEAD Sciences funding and their commitment to the sustainability of community-based organizations in the South via advocacy and capacity-building. The goal of Intentional Advocates (IA) is to support & ready members of the Southern HIV/ AIDs prevention & care workforce for advocacy specific strategic positioning.

It's Your Game: Keep It Real Replication Study

It's Your Game: Keep It Real Replication Study

The purpose of this study is to evaluate the implementation and impact of “It’s Your Game: Keep It Real” (IYG), an evidenced-based middle school program featuring a 24-session multi-component intervention for 7th and 8th grades (12 50-minute sessions each year) in new schools and using trained educators to deliver the program. IYG’s goal is to reduce unintended pregnancy and sexually transmitted infections by delaying the initiation of sex (primary emphasis) and increasing condom use and reducing the number of sexual partners (secondary emphases). ETR serves as the independent evaluator sub-contracted by the University of Texas Houston Health Science Center, which was awarded funding by the U.S. Office of the Assistant Secretary for Health, Office of Adolescent Health. Read more >>

Keep It Real South Carolina

Keep It Real South Carolina

The purpose of this study is to evaluate the implementation and impact of “It’s Your Game: Keep It Real” (IYG), an evidenced-based middle school program featuring a 24-session multi-component intervention for 7th and 8th grades (12 50-minute sessions each year) in a new region. IYG’s goal is to reduce unintended pregnancy and sexually transmitted infections by delaying the initiation of sex (primary emphasis) and increasing condom use and reducing the number of sexual partners (secondary emphases). ETR serves as the independent evaluator sub-contracted by the South Carolina Campaign to Prevent Teen Pregnancy, which was awarded funding by the U.S. Office of the Assistant Secretary for Health, Office of Adolescent Health. Read more >>

Making Healthy Decisions Evaluation

Making Healthy Decisions Evaluation

ETR partners with Carnegie Mellon University and West Virginia University as the external evaluator of Making Healthy Decisions, a study that is testing the impact of an after-school blended-learning program for girls ages 14-19. The sexual health program (called Your Move) will be rigorously evaluated using a group randomized control trial to evaluate the effectiveness of the intervention on self-reported sexual behaviors over a nine-month longitudinal follow-up. Outcomes will be compared to a control group that receives an attention control intervention focused on healthy eating (called Eat Smart).  

MCAH Statewide TPP Training and Evaluation Project

MCAH Statewide TPP Training and Evaluation Project

MCAH funds local Teen Pregnancy Prevention (TPP) Programs throughout the state to utilize a variety of approaches and strategies to reduce rates of teenage pregnancy and sexually transmitted infections, assist adolescents in accessing clinical services, and influence programming with the intent of improving the sexual and reproductive health and well-being of California’s adolescents. The programs are categorized as I&E (Information and Evaluation) and PREP (Personal Responsibility Education Program).

Oakland Unified School District Evaluation Project

Oakland Unified School District Evaluation Project

ETR serves as evaluator on two federally-funded project operated by the Oakland Unified School District. First, ETR manages the administration of the CDC’s Youth Risk Behavior Survey in High Schools, coordinating survey appointment scheduling, providing trained survey proctors, monitoring overall survey completion, and assembling materials for delivery to the CDC. On the second project, ETR serves as evaluator to the Districts CDC-funded HIV Prevention Program to accomplish data collection and analysis requirements of the program.

Project Legacy Evaluation

Project Legacy Evaluation

ETR serves as the external evaluator to our partner Children's Hospital of Los Angeles on Project Legacy. Project Legacy is an adaptation of Project AIM (Adult Identity Monitoring) for homeless youth. Project AIM is a group level intervention based on the Theory of Possible Selves, which proposes that individuals are motivated in their present life by mental images of possible future selves, and that a person’s motivation is determined by a balance of positive and negative ways people see themselves in the future. Children’s Hospital Los Angeles will develop the adapted program and will be evaluated among homeless youth age 15-19 in Los Angeles and San Diego Counties. 

Relationships, Sexual Norms and HIV Prevention Among African-American Youth (You-Me-Us)

Relationships, Sexual Norms and HIV Prevention Among African-American Youth (You-Me-Us)

With funding from the National Institute of Nursing Research, ETR designed a study to assess the effects of two theoretically based intervention components aimed at promoting relationship development as an avenue for reducing sexual risk-taking behaviors: (1) a skills- and norms-based HIV, other STI, and pregnancy prevention curriculum that focuses on relationships and related behaviors that may affect disease risk; and (2) a school-wide social norms component that features peer-led activities to permeate the school environment with pro-social norms regarding healthy relationships. The program was evaluated to determine its efficacy in altering behavioral intentions and sexual risk-taking behaviors.

The Respect Workshop: Preventing Health Risks and Promoting Healthy Outcomes among LGBTQ Students

The Respect Workshop

Based on analysis of a formative evaluation, ETR training design specialists used ETR's science-based Design for Learning process to update and refine the American Psychological Association Respect Workshop: Preventing Health Risks and Promoting Healthy Outcomes among LGBTQ Students. The workshop was developed for pre-service and in-service professional development targeting middle and high school counselors, school nurses, school psychologists and school social workers. The goal of the workshop is to enable school-based specialized support professionals to provide direct services and promote practices that encourage sexual health and responsibility among LGBTQ students. The learning process includes pre-work communications, a one-day training, and follow-up support guidance. Content for the learning process includes 1) foundational knowledge (terminology, addressing micro-aggressions), 2) data review (current data that support the need for supporting LGBTQ youth); 3) specific guidance for direct services that support LGBTQ youth; 4) skill practice; 5) promoting a protective school climate; and 6) taking action. Core elements used to guide the development of the training include the Theory of Planned Behavior, best practices for specialized support professionals, current empirical data and research findings related to LGBTQ youth, and science-based instructional design (ETR's Design for Learning process). The workshop was developed in consultation with representatives of the targeted professions, public health officials, and organizations with specialized expertise in addressing the needs of LGBTQ youth.

Safer Choices

Safer Choices

Safer Choices, a school-based intervention to reduce sexual risk-taking behaviors among high school adolescents, was funded by the Division of Adolescent and School Health of the Centers for Disease Control and Prevention (CDC), and was conducted in collaboration with the University of Texas at Houston Center for Health Promotion. Study results suggest Safer Choices produced numerous statistically and programmatically significant effects on sexual-specific psychosocial variables and sexual risk-taking behaviors through the 31-month follow-up.

RTR Works!

RTR Works!

ETR developed and evaluated an online training program to help teachers implement Reducing the Risk with fidelity. This program recruited over 200 teachers across the United States, and used teacher pre- and post-surveys, implementation logs, interviews, in-person observations, and audio observations to measure fidelity.

SFUSD Young Men's Health Project Evaluation

SFUSD Young Men's Health Project Evaluation

ETR serves as the program evaluation agency for the San Francisco Unified School District’s (SFUSD) Young Men’s Health Project, which pilots, implements, and evaluates programming for young men of color who have sex with men (YMSM). The goal of the SFUSD’s Young Men’s Health Project – funded by the CDC's Division of Adolescent and School Health – is to improve the health and safety of young men, increase student participation in comprehensive sexual health education, increase students’ access to and utilization of community based sexual health services, and decrease HIV/STD infections among young men. 

Continuous Program Improvement Tool Kit

TPP Continuous Program Improvement Tool Kit

As part of this project funded by the California Office of Maternal and Child Health, ETR developed the Continuous Program Improvement (CPI) Tool Kit, which provided a framework for TPP agencies to use a systematic process and standardized tools for assessing selected aspects of their programs, with the goal of identifying and making program improvements. 

TransCONNECT

TransCONNECT

TransCONNECT is a digital training and social franchising program that offers medical providers capacity and competence building in caring for transgender and non-binary patients, with a focus of youth 16-25 years of age. The program offers education on transgender and non-binary gender identities, cultural humility, trans & non-binary experiences in healthcare settings, HIV care and prevention, and best practices when working with marginalized identities. This digital training targets medical and HIV care providers and the transgender, non-binary and gender expansive community. TransCONNECT was designed using a youth-centered health design process, where the voice of the trans community and providers who work in trans healthcare and specialize in HIV care and prevention are present. TransCONNECT is aimed at uniting marginalized patients and inclusive providers; continually working towards an overarching goal of non-stigmatized care.

Understanding Self-Identity LGBTQ Supplement for Reducing the Risk

Understanding Self-Identity LGBTQ Supplement for Reducing the Risk

Developed in collaboration with the City of New York Department of Health and Mental Hygiene and Department of Education, this supplemental curriculum lesson was designed to address the inclusion of lesbian, gay, bisexual, transgender and questioning youth in classrooms implementing the Reducing the Risk evidence-based intervention, while maintaining fidelity to the program.

Tags: LGBTQ
Working to Institutionalize Sexuality Education (WISE)

Working to Institutionalize Sexuality Education (WISE)

WISE helps to organize and mobilize school and community leaders with the goals of implementing and sustaining effective sexual health education practices for youth. Regional Comprehensive Sexuality Education (CSE) Networks provide school districts with peer support and partnerships with community-based organizations, which has empowered school districts to make significant improvements to their CSE programs and acquire much-needed resources. ETR offered technical assistance to help districts develop and assess their partnerships, through an evaluation comprised of surveys and interviews that looked at district success in developing and maintaining partnerships and the role the WISE project played.

Our e-newsletters bring you the best of our blog each month.

Social Media :

  • YouTube
  • LinkedIn
  • Twitter
  • Facebook