Trial reportArchives of pediatrics & adolescent medicine2010
Efficacy of a theory-based abstinence-only intervention over 24 months: a randomized controlled trial with young adolescents.
Trial report in Archives of pediatrics & adolescent medicine, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00640653 (HIV/Sexually Transmitted Disease), which is not on this map. Cited by 59 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
HIV/Sexually Transmitted Disease (STD) Prevention Interventions for Black Adolescents
Who cites it
59 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Association of Sexual Health Interventions With Sexual Health Outcomes in Black Adolescents: A Systematic Review and Meta-analysis.JAMA pediatrics · 2020Pooled it
- School-based interventions for preventing HIV, sexually transmitted infections, and pregnancy in adolescents.The Cochrane database of systematic reviews · 2016Pooled it
- Interventions to reduce sexual risk for human immunodeficiency virus in adolescents: a meta-analysis of trials, 1985-2008.Archives of pediatrics & adolescent medicine · 2011Pooled it
- Abstinence-plus programs for HIV infection prevention in high-income countries.The Cochrane database of systematic reviews · 2008Pooled it
- Abstinence-only programs for HIV infection prevention in high-income countries.The Cochrane database of systematic reviews · 2007Pooled it
- Mediating Pathways in Faith-Based Sexual Risk-Reduction for African American Adolescents: Insights from a Church-Based Randomized Controlled Trial.Journal of racial and ethnic health disparities · 2026Trial
- Effect of a church-based intervention on abstinence communication among African-American caregiver-child dyads: the role of gender of caregiver and child.Health education research · 2021Trial
- Video Game Intervention for Sexual Risk Reduction in Minority Adolescents: Randomized Controlled Trial.Journal of medical Internet research · 2017Trial
- Conducting rigorous research with subgroups of at-risk youth: lessons learned from a teen pregnancy prevention project in Alaska.International journal of circumpolar health · 2016Trial
- HIV/STI risk-reduction intervention efficacy with South African adolescents over 54 months.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2015Trial
- Theoretically motivated interventions for reducing sexual risk taking in adolescence: a randomized controlled experiment applying fuzzy-trace theory.Journal of experimental psychology. General · 2014Trial
- 'Let Us Protect Our Future' a culturally congruent evidenced-based HIV/STD risk-reduction intervention for young South African adolescents.Health education research · 2014Trial
- A randomized controlled pilot study of an HIV risk-reduction intervention for sub-Saharan African university students.AIDS and behavior · 2013Trial
- Sexual risk avoidance and sexual risk reduction interventions for middle school youth: a randomized controlled trial.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2012Trial
- Trends in the teaching of sexual and reproductive health topics and skills in required courses in secondary schools, in 38 US states between 2008 and 2018.Health education research · 2023Article
- Mediation Analysis of a Theory-Based Culture and Age-Appropriate HIV/STI Prevention.Prevention science : the official journal of the Society for Prevention Research · 2022Review
- Addressing HIV/Sexually Transmitted Diseases and Pregnancy Prevention Through Schools: An Approach for Strengthening Education, Health Services, and School Environments That Promote Adolescent Sexual Health and Well-Being.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2022Review
- "I Matter, I Learn, I Decide": An Impact Evaluation on Knowledge, Attitudes, and Rights to Prevent Adolescent Pregnancy.The journal of primary prevention · 2021Article
- Pathways to sexual decision making by Pentecostal church youths in Botswana.BMC public health · 2021Article
- A Web-Based Game for Young Adolescents to Improve Parental Communication and Prevent Unintended Pregnancy and Sexually Transmitted Infections (The Secret of Seven Stones): Development and Feasibility Study.JMIR serious games · 2021Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
objectiveTo evaluate the efficacy of an abstinence-only intervention in preventing sexual involvement in young adolescents.
designRandomized controlled trial.
settingUrban public schools.
participantsA total of 662 African American students in grades 6 and 7.
interventionsAn 8-hour abstinence-only intervention targeted reduced sexual intercourse; an 8-hour safer sex-only intervention targeted increased condom use; 8-hour and 12-hour comprehensive interventions targeted sexual intercourse and condom use; and an 8-hour health-promotion control intervention targeted health issues unrelated to sexual behavior. Participants also were randomized to receive or not receive an intervention maintenance program to extend intervention efficacy. OUTCOME MEASURES: The primary outcome was self-report of ever having sexual intercourse by the 24-month follow-up. Secondary outcomes were other sexual behaviors.
resultsThe participants' mean age was 12.2 years; 53.5% were girls; and 84.4% were still enrolled at 24 months. Abstinence-only intervention reduced sexual initiation (risk ratio [RR], 0.67; 95% confidence interval [CI], 0.48-0.96). The model-estimated probability of ever having sexual intercourse by the 24-month follow-up was 33.5% in the abstinence-only intervention and 48.5% in the control group. Fewer abstinence-only intervention participants (20.6%) than control participants (29.0%) reported having coitus in the previous 3 months during the follow-up period (RR, 0.94; 95% CI, 0.90-0.99). Abstinence-only intervention did not affect condom use. The 8-hour (RR, 0.96; 95% CI, 0.92-1.00) and 12-hour comprehensive (RR, 0.95; 95% CI, 0.91-0.99) interventions reduced reports of having multiple partners compared with the control group. No other differences between interventions and controls were significant.
conclusionTheory-based abstinence-only interventions may have an important role in preventing adolescent sexual involvement.
trial registrationclinicaltrials.gov Identifier: NCT00640653.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.