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Evaluation of Manhood 2.0: A Community-Based Teen Pregnancy Prevention Program for Young Men

Not Applicable
Completed
Conditions
Sexual Behavior
Unprotected Sex
Interventions
Behavioral: Post-High School Readiness
Behavioral: Manhood 2.0
Registration Number
NCT04962802
Lead Sponsor
Child Trends
Brief Summary

Manhood 2.0 is a male-only group-level intervention, delivered over 13 hours, based on social cognitive theory, social norm theory, theory of gender and power, and the theory of reasoned action. The intervention is a gender-transformative program that promotes critical reflection and awareness on reproductive health, healthy relationships, gender norms and stereotypes that drive reproductive health behavior, and explicit and proactive support of female partner contraceptive use. Activities include group discussion, role playing, knowledge sharing, and skill-building; their purpose is to challenge young men to think critically about social expectations and restrictive norms, engage in dialogue about these gender norms, and then assess the way rigid norms affect their attitudes and behaviors toward a number of key issues, including intimate relationships, gender-based violence, substance abuse, sexually transmitted infections, and early pregnancy. Young men receive the intervention at a local community center or high school. Comparison condition young men receive a post-high school readiness program that does not discuss gender norms or sexual and reproductive health. The study was conducted with six cohorts of eligible young men ages 15-18 who received a baseline, immediate post-intervention, and three-month post-intervention survey. To participate in the study, individuals had to meet all the following criteria: (1) Identify as male; (2) Ages 15 to 18; (3) Not actively planning a pregnancy with someone; (4) Never participated in the community center's sexual and reproductive health program; (5) Received no additional sexual or reproductive health programming in the last three months; (6) Able to participate in a program delivered in English only.

The investigators hypothesized that Manhood 2.0 participants would have lower rates of unprotected sex and more equitable attitudes towards gender than comparison participants.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Male
Target Recruitment
110
Inclusion Criteria
  • Male
  • Ages 15-18
  • Able to participate in a program delivered only in English
Exclusion Criteria
  • Actively planning a pregnancy with someone
  • Received sexual and reproductive health programming in the last 3 months
  • Ever participated in the intervention site's sexual and reproductive health program

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Post-High School ReadinessPost-High School ReadinessThe Post-High School Readiness Program helped youth build skills around identifying colleges or programs of interest, completing applications for programs, writing resumes and increasing financial literacy. The post-high school readiness curriculum was delivered by LAYC staff members and the content was delivered twice a week, for approximately 3.5 weeks (as with the intervention). For the final session, participants did not receive content and were administered the immediate post-intervention survey.
Manhood 2.0Manhood 2.0Manhood 2.0 is a group-level intervention, delivered in 7 sessions over 13 hours, and is based on social cognitive theory, social norm theory, theory of gender and power, and the theory of reasoned action. Sessions were delivered twice a week, for approximately 3.5 weeks. For the final session, participants received one hour of content and were administered the immediate post-intervention survey. The intervention takes a holistic, gender-transformative approach, includes reproductive health knowledge, healthy relationships, altering gender norms and stereotypes which drive reproductive health behavior, and explicit and proactive support of female partner contraceptive use. Activities are designed to engage young men in critical reflection and dialogue about gender norms, and then apply these discussions to a range of key issues including intimate relationships, gender-based violence, substance abuse, STIs, and early pregnancy.
Primary Outcome Measures
NameTimeMethod
Sex without a condom4.5 months after baseline

Number of participants who reporting having vaginal sex in the past month without using a condom.

Unprotected sex4.5 months after baseline

Number of participants who reporting having vaginal sex in the past month without using a condom or other contraceptive method.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Latin American Youth Center

🇺🇸

Washington, District of Columbia, United States

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