An Evaluation of Re:MIX: a Teen Pregnancy Prevention Program With Young Parents as Peer Educators, EngenderHealth

Not Applicable

Completed

• Conditions: Unprotected Sex; Sexual Behavior

• Registration Number: NCT03114410
• Lead Sponsor: Child Trends

Brief Summary

This study uses a cluster-level randomized controlled design to evaluate the efficacy of Re:MIX in reducing the incidences of early sexual behavior, unprotected sex, oral sex, pregnancy, and STIs. Re:MIX is a comprehensive in-school health curriculum and teen pregnancy prevention program for adolescents covering a broad range of topics related to sexual health and youth development, including healthy relationships, communication, gender, consent, reproductive anatomy, contraception, sexual decision making, clinics, parenthood, and life planning. Re:MIX also aims to connect students and peer educators with community resources and service linkages. The Re:MIX curriculum teaches mixed-gender groups of students in grades 8 to 10 to delay sex and use protection if they have sex. A co-facilitation team of young parent educators delivered the information with professional health educators using non-traditional approaches, such as game-based tools, technology, and storytelling. Youth received roughly nine hours and 10 minutes of group sessions during the school day over one semester (55 minutes per week for 10 weeks). Participants were in 8th, 9th, and 10th graders attending three public charter schools in Travis County, Texas. Comparison classes either received an alternative program that focused on health, nutrition, and fitness, or business as usual. This study was conducted as a Rigorous Evaluation of New or Innovative Approaches to Prevent Teen Pregnancy funded by the U.S. Department of Health and Human Services' Office of Adolescent Health.

Detailed Description

Not available

Study Timeline

• Study Start: 2016-07
• Study First Submitted: 2017-03-16
• Study First Submitted QC: 2017-04-10
• Study First Posted: 2017-04-14
• Primary Completion: 2019-12-17
• Status Verified: 2020-04
• Study Completion: 2020-04-30
• Last Update Submitted: 2020-04-30
• Last Update Posted: 2020-05-01

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 621

Inclusion Criteria

• Students in 8-10th grade classrooms in three public charter schools in Travis County, Texas

Exclusion Criteria

• None

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Ever had sexual intercourse	12 months after baseline	Single dichotomous item on self-report questionnaire.
Unprotected sexual intercourse in the past 3 months.	12 months after baseline	Single dichotomous item on self-report questionnaire.

Secondary Outcome Measures

Name	Time	Method
Knowledge	3 and 12 months after baseline	Outcome was measured using items on a self-report questionnaire related to knowledge about condoms, STI prevention and birth control efficacy
Attitudes	3 and 12 months after baseline	Outcome was measured using items on a self-report questionnaire related to attitudes about gender roles, gender and sexual identities, early sex, condom use, early pregnancy and being a teen parent.
Self-efficacy in avoiding unwanted/unprotected sex and communication with partners	3 and 12 months after baseline	Outcome was measured using items on a self-report questionnaire related to self-efficacy in obtaining birth control, negotiating condom use avoiding unwanted sexual contact, asking for, and providing consent and assertive communication.
Intentions	3 and 12 months after baseline	Single dichotomous item on self-report questionnaire measuring intentions to have sex in the next year.

Trial Locations

Locations (1)

EngenderHealth; 🇺🇸 Austin, Texas, United States