Healthy before pregnancy: Pilot test results for a preconception health curriculum for high school students in North Carolina

Background: During 2010, a successful existing high school birth defects/folic acid curriculum was expanded to include additional preconception health messages. New modules are based on the life-course perspective and include: the reproductive implications of healthy weight, environmental factors that impact birth outcomes, reproductive life planning and a self-risk assessment. Methods: A web-based survey and focus group were conducted with a small group of teachers prior to curriculum development to determine topics of interest. The resulting curriculum was then pilot tested with teachers in several school districts. After revisions were made, teachers then tested the material with their students. Students were given pre/post surveys to assess changes in knowledge, attitudes and behavioral intentions. Further revisions were made based on both student and teacher feedback. Partner agencies and stakeholders also reviewed the curriculum. Results: Teachers are receptive to working from prepared lesson plans on these preconception health topics. Students found the information to be new and interesting and preferred that lessons be presented with both visuals and interactive group activities. Sample modules will be shared at the session. Conclusions: Teachers and students are receptive to a comprehensive preconception health curriculum. Although students are aware of traditional sex education content, concepts about how their current health and lifestyle choices can have an impact on their future reproductive health outcomes is new. This program will be expanded as funding allows.