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From Promising to Evidence-Based: PPSNE's Experience Developing Teen Talk Erin Livensparger Regional Manager, Education and Training
What is Teen Talk? • 4 educational sessions covering: • Reproductive Anatomy • Contraception and • Abstinence • STI’s and Safer Sex • Healthy and Unhealthy Relationships • Includes a Tour of the Health Center • Takes Place at PP health centers • Bridgeport, New Haven, Hartford, Meriden, Stamford, New London, and Providence, RI • Provides vouchers for free reproductive health services
Unique Features of the Curriculum • Teen Talk has proven to be accessible to young people even in a non-traditional learning setting. • It takes place outside the classroom in an actual health center setting (or as close to a health center as possible). • The third day of activities includes a tour of an actual reproductive health center. • Teen Talk also relies on peer to peer recruitment.
Teen Talk’s Health Goals: • To decrease rates of teen pregnancy and STI/HIV among area teens aged 14-17 • By increasing the use of condoms • By increasing the use of contraception • By reducing the number of sexual partners • By reducing frequency of sex • To increase young people’s comfort with accessing reproductive health care
How did we do it? • Collaborated with JSI • (JSI Research & Training Institute/NETCAPP) • Held a GTO (Getting to Outcomes) Training • Used a BDI Logic model • Created Pre, Post, and Follow-up Tests • Created Fidelity Check Lists • Used a Data Planning Matrix • Tracked how many participants accessed care after participating in the 4 sessions • Involved PP Peer Educators (STARS) • Involved Local Agencies
Teen Talk Logic Model Activities Determinants (Risk and Protective Factors) Behaviors Health Goal • Strategies/Methods used in sessions: • Mini-lecture • Brainstorming • Small and Large group discussion • Group exercises • Problem solving matching activities • Values discussions • Quick quiz/review in the form of a ball toss • Simulation using anatomy models • Skills teaching using condoms • Short case scenarios • Role-plays • Health center field trip • Song analysis • Session 1 Activity Topics: • Language of Sexuality • Reproductive Anatomy and Physiology • Menstruation • Pregnancy • Sexual response (as a biological response and feeling) • Session 2 Activity Topics: • Attitudes/Feelings about birth control & pregnancy • Pregnancy options • Birth control methods • Condom demonstration and practice • Session 3 Activity Topics: • Condom demonstration and practice • Sexual behaviors and risks • STI information/symptoms/testing • Health center tour • Session 4 Activity Topics: • Healthy vs. Unhealthy relationships • Media influences on sex and relationships • Using information/skills learned in Teen Talk to stay healthy • Increase knowledge about: • Reproductive anatomy, puberty, pregnancy, contraception, and STD/HIV • How to access reproductive health services • Increase personal belief that: • Contraception and STD/HIV prevention is important • Condoms do not necessarily reduce sexual pleasure • Increase positive attitudes about: • Condoms/contraception • Healthy relationships • Accessing reproductive health services • Increase motivation and intent to: • Avoid pregnancy, HIV and other STDs • Avoid unhealthy relationships • Increase the use of condoms • Increase the use of contraception • Reduce number of sexual partners • Reduce frequency of sex To decrease rates of teen pregnancy and STD/HIV among area teens aged 14-17.
Session 1 Learning Objectives: • After completing this lesson, participants will be able to: • Identify several group agreements for how the group will interact. • List at least three female and three male reproductive body parts. • Describe how pregnancy occurs. • Explain the menstrual cycle and identify when a woman is most fertile. • List at least two physical changes when a person becomes sexually aroused.
Session 2 Learning Objectives: • After completing this lesson, participants will be able to: • Identify two locations where a person can obtain methods to prevent pregnancy. • Formulate a list of four or more ways a person can prevent pregnancy. • Identify the options a woman has when she becomes pregnant. • Demonstrate steps for correct condom use.
Session 3 Learning Objectives: • After completing this lesson, participants will be able to: • Identify three symptoms of an STD/STI. • List two or more ways a person can prevent a STD/STI. • Identify behaviors that put a person at risk for a STD/STI, including HIV. • List three or more places where a person can go to for help if they think they have an infection. • Demonstrate steps for correct condom use.
Session 4 Learning Objectives: • After completing this lesson, participants will be able to: • Identify 2 characteristics of a healthy relationship. • Name 1 way to bring up using condoms with a partner. • Demonstrate 1 way to bring up using condoms with a partner.
How many teens made appointments? • 2007 – in New Haven • 59 out of 70 teens received vouchers • 31 of them have made appointments • 24 kept those appointments • 2008 – in NH, NL, and BP • 84 out of 115 teens received vouchers • 27 of them have made appointments • 22 kept those appointments
Pre, Post, and Follow-up • We assessed: • Who is responsible for birth control? • How confident are you at using a condom? • How confident are you that you can say no to sex? • How do you define a healthy relationship? • What do you know about birth control methods? • What do you know about reproductive health services? • What do you know about STI’s?
2011 Data We saw an increase in Knowledge: • The % of youth who correctly identify male and female body parts by clinical names increased by roughly 13% • The knowledge about how STIs affect the body increased. Youth were able to better answer questions about symptoms of STIs 10% of the time • We also saw a 3% increase in them knowing that STDs can be asymptomatic • Their knowledge regarding the range of contraceptive methods increased across the board from 3%for using condoms to 34% for using a diaphragm
2011 Data We saw a positive change in their Attitudes and Behaviors: • We saw an11% increase in feeling like they could negotiate condom use if they needed to • There was a 33% increase in their feeling comfortable talking with a partner about condoms in general • They also expressed more confidence in feeling like they could delay sex if they don’t want to have it – after Teen Talk 16% more participants said they could delay sex if they wanted to
Teen Feedback: • “I thought I knew what I needed until I came here and I think they (my friends) would learn a lot from it like I did.” – Teen • “It teaches things most health classes in school don’t.” –Teen • Because of this program, I… “get birth control and use it like when your getting ready to have intercourse, use a condom.” – Teen
Diverse Reach • In the 5 sessions of Teen Talk in New Haven during calendar year 2011, with 128 students participating. • Of these students • 82% were female • 18% were male • 62% identified as Black • 16% as Latino • 13% as multiracial • Seventy-seven percent received free or reduced price lunches at school.
Support • PP Medical Providers noted that teens in Teen Talk were more informed • The second time we ran Teen Talk a Parent filled her mini-van with teens and brought them for next three rounds • A Grandmother drove her granddaughter and friend each night • Many Residential Programs bused youth to Planned Parenthood – this triggered us to apply for State PREP money
State PREP Funding Agency: US Department of Health and Human Services: Administration for Children and Families awarded funding to the State of Connecticut Department of Public Health Geographical Area: State of the Connecticut Focus Population: 13-19 year olds in Department of Child and Families care Activities: To develop and implement an educational intervention covering abstinence and contraception to reduce pregnancy, sexually transmitted infections including HIV/AIDS…AKA Teen Talk
Lessons Learned & Future Directions • Working with JSI/NETCAPP to make Teen Talk into a Promising Program • Use the power of friends • Buses run late, school breaks are hard, rain not shine • Keep in mind regional differences when expanding • Educator style and fidelity is important • Don’t underestimate the Data Planning Matrix • Spanish • Working on a training for new Teen Talk educators
Teen Talk para Latinos http://www.youtube.com/watch?v=-YAikz0LGTw
Giving Thanks • Myriam, Stephanie, and Amy at JSI • Renée Best, JaquiOropeza, Erika Boulware, Tasha Blanco-Douglas, Mariel Orengo, and Ivelisse Silva • Susan Hellen and Emily Gold • Pierrette Silverman and Kimball Cartwright • Jeremy Stone, Ruth Fontilla, and Lisa Marella • CDC • Healthy Teen Network • STARS (Students Teaching About Responsible Sexuality)
How to reach me Erin Livensparger Planned Parenthood of SNE 345 Whitney Avenue New Haven, CT. 06511 Erin.Livensparger@ppsne.org 203-752-2852