CClinicalTrials.gg
CompletedNCT00161382Updated Jul 8, 2014Results posted

Development and Evaluation of an HIV, STD, and Pregnancy Prevention Program for Middle School Students

An interventional study of HIV, STD, and pregnancy prevention curriculum and Standard sexual education curriculum in HIV Infections, Sexually Transmitted Diseases and Pregnancy, sponsored by The University of Texas Health Science Center, Houston. Completed at 1 site in United States. Open to participants aged 11 Years to 16 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2014-07-08.

Sponsored by The University of Texas Health Science Center, Houston · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
3,007
Allocation
Randomized
Ages
11 Years to 16 Years
Sex
All
01

Study summary

This study will develop and evaluate a school-based HIV, STD, and pregnancy prevention program for 7th and 8th grade middle school students.

Read the detailed description

The purpose of this study is to develop and evaluate a school-based HIV, STD, and pregnancy prevention program for 7th and 8th grade middle school students using a randomized-controlled intervention trial. The intervention program consists of a classroom-based curriculum and an interactive CD-ROM. Ten middle schools were recruited to participate in this intervention trial. Five middle schools were randomized to the intervention group; and five middle schools were randomized to the control group. The study is also developing a model for obtaining community support for the development of HIV, STD and pregnancy prevention programs for middle school youth.

The primary hypothesis to be tested is: Students attending middle schools who receive a multi-component HIV, STD, pregnancy prevention intervention will postpone sexual activity or reduce levels of current sexual activity relative to those in the comparison condition. The major dependent variables are proportion of students that are sexually active, and the proportion initiating sexual intercourse. Intentions to engage in sexual activity, number of times of unprotected sexual intercourse, and number of sexual partners will also be examined. Secondary hypotheses will examine the effect of the multi-component HIV, STD, and pregnancy prevention intervention on the student's knowledge, self-efficacy, attitudes, perceived norms, barriers, and communication with parents.

The specific aims of this project are to:

  1. Develop a model for obtaining community-based support for HIV, STD, and pregnancy prevention interventions for middle school students.
  2. Adapt a tested, school-based, HIV, STD, and pregnancy prevention curriculum for middle school students using qualitative data from the target population, parents, and community representatives.
  3. Develop an interactive CD-ROM-based tailored HIV, STD and pregnancy prevention intervention to provide individualized learning opportunities for middle school students.
  4. Evaluate the effect of the multi-component intervention (classroom curriculum and CD-ROM intervention) on sexual behavior outcomes (proportion of students who initiate sexual intercourse, proportion of currently sexually active students having unprotected sexual intercourse, number of sexual partners, and intentions to have sexual intercourse) among middle school students.
  5. Evaluate the effect of the multi-component intervention on student impact variables such as knowledge, self-efficacy, attitudes, barriers, and perceived norms related to sexual risk-taking behavior and academic achievement among middle school students.
  6. Disseminate findings to the scientific community, school districts, and community agencies.
02

Conditions studied

  • HIV Infections
  • Sexually Transmitted Diseases
  • Pregnancy

Keywords

  • HIV Seronegativity
  • HIV
03

In context

Sexually Transmitted Diseases

424 studies on the registry are indexed under Sexually Transmitted Diseases; 71 are open to participants now.

This study's enrollment of 3,007 is above the median of 470 across 346 interventional studies indexed under Sexually Transmitted Diseases.

Browse Sexually Transmitted Diseases studies →

Lead sponsor

The University of Texas Health Science Center, Houston is the lead sponsor of 880 studies on the registry; 209 are open to participants now.

Of its 170 completed or terminated interventional studies of FDA-regulated products, 140 (82%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
11 Years to 16 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • 7th Grade
  • Attend one of the ten recruited schools

Exclusion criteria

Exclusion Criteria:

  • Non-English speaking
  • Physical disability that prevents student from completing intervention and survey
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
3,007 participants (actual)

Study arms

  • Experimental
    Intervention Group

    HIV, STD, and pregnancy prevention curriculum

    Behavioral: HIV, STD, and pregnancy prevention curriculum

  • Experimental
    Control Group

    Standard sexual education curriculum

    Behavioral: Standard sexual education curriculum

Interventions

  • BehavioralHIV, STD, and pregnancy prevention curriculum

    This HIV, STD, and pregnancy intervention program entitled, "It's Your Game...Keep it Real", consists of 12 lessons delivered in Grades 7 and 8. In each grade, the program integrates group-based classroom activities (e.g., role plays, group discussion, small group activities) with personalized journaling and individual tailored activities delivered on laptop computers. A life skills decision-making paradigm (Select, Detect, Protect) underlies the activities, teaching students to select personal limits regarding risk behaviors, to detect signs or situations that might challenge these limits, and to use refusal skills and other tactics to protect these limits.

  • BehavioralStandard sexual education curriculum

    Control curriculum consists of standard sexual education.

06

What researchers measure

Primary outcomes

  1. Initiation of Sexual Intercourse

    The effect of the intervention on delayed sexual initiation at the 9th-grade follow-up for those students who reported no lifetime sexual activity at baseline was assessed as the primary outcome. The primary hypothesis tested was that the intervention would decrease the number of adolescents who initiated sexual activity by the ninth grade relative to those in the comparison schools. Sexual activity was defined as participation in vaginal, oral, or anal sex. Sexual activity questions were defined in advance and were worded in a gender-neutral manner to illicit responses for same and opposite-sex partners.

    Time frame: Measured throughout the study, and at 2006/2007 school year

Secondary outcomes

  1. Knowledge

    Time frame: Measured throughout the study

  2. Self-efficacy

    Time frame: Measured throughout the study

  3. Attitudes

    Time frame: Measured throughout the study

  4. Perceived Norms

    Time frame: Measured throughout the study

  5. Barriers

    Time frame: Measured throughout the study

  6. Communication With Parents

    Time frame: Measured throughout the study

  7. Proportion of Students That Are Sexually Active

    Time frame: Measured over a period of 30 days

07

Results

Posted Jun 24, 2014

Participant flow

Participant flow — Overall Study
MilestoneIntervention GroupControl Group
Started598847
Completed349558
Not completed249289

Outcome measures

PrimaryInitiation of Sexual Intercourse

The effect of the intervention on delayed sexual initiation at the 9th-grade follow-up for those students who reported no lifetime sexual activity at baseline was assessed as the primary outcome. The primary hypothesis tested was that the intervention would decrease the number of adolescents who initiated sexual activity by the ninth grade relative to those in the comparison schools. Sexual activity was defined as participation in vaginal, oral, or anal sex. Sexual activity questions were defined in advance and were worded in a gender-neutral manner to illicit responses for same and opposite-sex partners.

Time frame:
Measured throughout the study, and at 2006/2007 school year
Reported as:
Number · participants
Initiation of Sexual Intercourse
participantsIntervention GroupControl Group
Initiation of Sexual Intercourse308509
SecondaryKnowledge
Time frame:
Measured throughout the study

Results for this outcome have not been posted.

SecondarySelf-efficacy
Time frame:
Measured throughout the study

Results for this outcome have not been posted.

SecondaryAttitudes
Time frame:
Measured throughout the study

Results for this outcome have not been posted.

SecondaryPerceived Norms
Time frame:
Measured throughout the study

Results for this outcome have not been posted.

SecondaryBarriers
Time frame:
Measured throughout the study

Results for this outcome have not been posted.

SecondaryCommunication With Parents
Time frame:
Measured throughout the study

Results for this outcome have not been posted.

SecondaryProportion of Students That Are Sexually Active
Time frame:
Measured over a period of 30 days

Results for this outcome have not been posted.

Adverse events

Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Intervention Group———
Control Group———

Baseline characteristics

Age, Continuous
Age, Continuous(years)Intervention GroupControl GroupTotal
Mean13.1 ± .5713.0 ± .5113.0 ± .54
Sex: Female, Male
Sex: Female, Male(Participants)Intervention GroupControl GroupTotal
Female210326536
Male139232371
08

Study locations

1 site
  • University of Texas Houston Health Science Center - School of Public Health
    Houston, Texas 77030, United States
09

References and documents

Publications

  • Tortolero SR, Markham CM, Peskin MF, Shegog R, Addy RC, Escobar-Chaves SL, Baumler ER. It's Your Game: Keep It Real: delaying sexual behavior with an effective middle school program. J Adolesc Health. 2010 Feb;46(2):169-79. doi: 10.1016/j.jadohealth.2009.06.008. Epub 2009 Aug 18. PubMed 20113923 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 8, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00161382
Lead sponsor
The University of Texas Health Science Center, Houston
Collaborators
National Institute of Mental Health (NIMH)
Responsible party
Susan Tortolero (◦Allan King Professorship in Public Health & Director, Center for Health Promotion and Prevention Research, The University of Texas Health Science Center, Houston) — Principal investigator
First posted
Sep 12, 2005
Start date
Sep 2002
Primary completion
Mar 2007
Completion
Jul 2008
Results posted
Jun 24, 2014
Last update
Jul 8, 2014

Study contacts

Susan R. Tortolero, PhD
principal investigator · University of Texas Houston Health Science Center - School of Public Health
Christine M. Markham, PhD
principal investigator · University of Texas Houston Health Science Center - School of Public Health

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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