It's Your Game...Tech: Web-based HIV, STD, and Pregnancy Prevention for Middle School Students
Methods: It’s Your Game (IYG)-Tech, a 13-lesson computer-based program, was developed and evaluated in a randomized controlled trial in 19 Southeast Texas middle schools. A-CASI surveys were administered before the program was implemented (in 8th grade) and one year later. Sexual behavior and psychosocial variables were measured.
Results: The analytic sample (n=1374) was 59% female, 17.3% Black, 73.7% Hispanic, mean age was 14.32 (SD=0.59). Intervention students reported greater STI/condom knowledge, more positive beliefs and norms about abstinence, and greater condom use self-efficacy than control students. One year follow-up results revealed no significant differences between groups for sexual behaviors. However, conflicting school activities (e.g., testing schedules) during the field trial significantly lowered exposure to the program. Only 14% of students received all 13 lessons. Exploratory analyses revealed that those receiving all 13 lessons were less likely to initiate sex than students receiving under 5 lessons (OR=0.19, p < 0.01). Students receiving 5-8 lessons were also less likely to initiate sex (OR=0.42, p < 0.001).
Conclusions: IYG-Tech may be a promising program for preventing HIV, STIs, and teen pregnancy. However, such computer-based programs are critically dependent on strong implementation plans to achieve their dissemination potential of reach and fidelity.
Learning Areas:Administer health education strategies, interventions and programs
Communication and informatics
Implementation of health education strategies, interventions and programs
Public health or related research
Social and behavioral sciences
Describe the effects of It's Your Game-Tech on psychosocial and sexual behavior outcomes among middle school students. Discuss challenges to implementing web-based sexual health interventions in schools.
Keyword(s): HIV Interventions, Internet
Qualified on the content I am responsible for because: I am an assistant professor of health and behavioral sciences and principal investigator of the study in which the results are from.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.