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Evaluating the El Camino Program

Not Applicable
Completed
Conditions
Sexual Behavior
Adolescent Behavior
Interventions
Behavioral: El Camino
Behavioral: Life skills program
Registration Number
NCT06485284
Lead Sponsor
Child Trends
Brief Summary

The goal of this randomized controlled trial is to evaluate the impacts of El Camino, a goal-setting sexual health promotion program targeted toward Latino adolescents. The primary research questions are:

* Research Question 1: Is participation in the El Camino goal setting program associated with greater abstinence (measured as never had sex, no recent sexual activity) relative to a comparison group that did not receive El Camino?

* Research Question 2: Is participation in El Camino associated with reduced unprotected sex (measured as sex without any method of contraception, sex without a condom) for the intervention group relative to the comparison group?

Researchers will compare those who received El Camino to a comparison group who received an alternative program that does not include sexual health components.

As part of the study, participants will be asked to:

* Attend approximately 11 hours of programming completed over 11 weeks

* Complete baseline, post-intervention, and 12-month follow-up surveys

* For select participants who received the El Camino program, participate in an optional focus group discussion

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
746
Inclusion Criteria
  • High school student in Montgomery County, MD
  • Have not previously received El Camino during pilot study
  • Have parental consent (if under 18)
  • Agree to be in study
Exclusion Criteria
  • Previously participated in pilot study and received El Camino curriculum
  • No parental consent (if under 18)
  • Do not agree to be in study

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
El CaminoEl CaminoAdolescents receiving the intervention/treatment - El Camino.
ControlLife skills programAdolescents receiving the control - alternative life skills program.
Primary Outcome Measures
NameTimeMethod
Had penis-in-vagina sex in the last three monthsImmediately following program completion, 12 months after program completion

Had penile-vaginal sex in the past three months, even once (yes/no). Dichotomous variable coded 1 if yes, 0 if no and missing otherwise

Ever had penis-in-vagina sexImmediately following program completion, 12 months after program completion

Ever had penis-in-vagina sex (yes/no). Dichotomous variable coded 1 if yes, 0 if no and missing otherwise

Had penis-in-vagina sex in the last three months without any method of contraceptionImmediately following program completion, 12 months after program completion

Survey measure: "In the past 3 months, how often have you or your partner used any method of birth control, including condoms, during penis-in-vagina sex?" 5 response categories: 4-point scale from "All of the time" (4) to "None of the time" (1) and I don't know. Coded as 0 if answer is "All of the time". Otherwise coded as 1

Had penis-in-vagina sex in the last three months without use of a condomImmediately following program completion, 12 months after program completion

Survey measure: "In the past 3 months, how often have you or your partner used condoms during penis-in-vagina sex?" 5 response categories: 4-point scale from "All of the time" (4) to "None of the time" (1) and I don't know. Coded as 0 if answer is "All of the time". Otherwise coded 1

Secondary Outcome Measures
NameTimeMethod
Attitudes about birth controlImmediately following program completion, 12 months after program completion

Average score of 2 items (birth control pills are effective at preventing pregnancy, birth control has too many side effects). Response options on 4-point scale from Strongly disagree to strongly agree)

Intend to use contraceptionImmediately following program completion, 12 months after program completion

Intend to use contraception if having sex (dichotomous variable coded as 1 if responds yes definitely vs. 0 if any other response)

Decreased psychological distressImmediately following program completion, 12 months after program completion

Kessler Psychological Distress Scale (K6) - frequency of 6 symptoms over the past 30 days. Response options on 5-point scale from "none of the time" (coded 1) to "all of the time" (coded 5). Scores summed across all 6 symptoms. Used as a continuous score

Intend to use condomsImmediately following program completion, 12 months after program completion

Intend to use condoms if having sex (dichotomous variable coded as 1 if responds yes definitely vs. 0 if probably yes, probably not, or

definitely not)

Attitudes about condomsImmediately following program completion, 12 months after program completion

Dichotomous variable measuring 1 if answers "strongly agree" to condoms should always be used, and "strongly disagree" to it is ok if you forget to

use condoms sometimes. Response options on 4-point scale from Strongly disagree to strongly agree

Awareness of birth control methodsImmediately following program completion, 12 months after program completion

Sum the # of methods responding "yes" to "have you heard of any of these methods of birth control" - response options: 0-6

Knowledge about birth controlImmediately following program completion, 12 months after program completion

Sum the # of correct responses to 4 items (sample item: "The IUD is more effective at preventing pregnancy than the condom"-"don't know" is considered an incorrect response)

Confidence going to a clinic to get contraceptionImmediately following program completion, 12 months after program completion

Response options on 4-point scale

from "not at all confident" to

"completely confident"

Knowledge about condomsImmediately following program completion, 12 months after program completion

Sum the # of correct responses to 5 items (sample item: "Condoms have an expiration date"-"don't know" is considered an incorrect response)

Knowledge about consentImmediately following program completion, 12 months after program completion

Sum the # of correct responses to 5 items (sample item: "Is someone consenting to have sex with you if they make out with you clothed"-"don't know" is considered an incorrect response)

Definitely know where to get birth controlImmediately following program completion, 12 months after program completion

Dichotomous variable measured as 1 if respond "definitely" and 0 for all other responses (probably do, probably don't, or definitely don't know where to get birth control methods)

Confidence discussing sex, contraceptionImmediately following program completion, 12 months after program completion

Average score of 2 items (how confident you could talk to your partner about whether to have sex, talk to your partner about using condoms. Response options on 4-point scale from "Strongly disagree to strongly agree)

Confidence limit settingImmediately following program completion, 12 months after program completion

Average score of 3 items (sample item: "how confident you could say no to sex if your partner won't use a condom") Response options on 4-point scale from "Strongly disagree to strongly agree)

Confidence stating and asking for consentImmediately following program completion, 12 months after program completion

Dichotomous variable coded as 1 if "completely confident" on 2 items (vs.

all other responses)

Increased educational goal settingImmediately following program completion, 12 months after program completion

How likely is it that you will do each of the

following: (a) graduate from high school; (b) continue education after high school; (c) graduate from college. Response options on a 5-point scale from "not at all likely" (coded 1) to "completely likely" (coded 5). Scores for each item used separately as continuous scores

Trial Locations

Locations (2)

Identity, Inc.

🇺🇸

Gaithersburg, Maryland, United States

Montgomery County Public Schools

🇺🇸

Rockville, Maryland, United States

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