Trial reportThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2012
Sexual risk avoidance and sexual risk reduction interventions for middle school youth: a randomized controlled trial.
Trial report in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07208045 (Es tu Juego), which is not on this map. Cited by 48 papers, 10 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.
Es tu Juego: Decide Bien [It's Your Game: Keep It Real]. Cultural Adaptation, Validation, and Evaluation of the Programme for Promotion of Healthy Affective-Sexual Behaviours in Adolescents
Who cites it
48 citing papers in PubMed, 10 syntheses or guidelines pooled it.
- Web-based sexual and reproductive health education for adolescents aged 10-17 years: a systematic review and meta-analysis.BMJ paediatrics open · 2025Pooled it
- Effectiveness of digital interventions to reduce school-age adolescent sexual risks: A systematic review.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2025Pooled it
- Systematic review of digital interventions to support refusal self-efficacy in child and adolescent health promotion.Health promotion international · 2022Pooled it
- Association of Sexual Health Interventions With Sexual Health Outcomes in Black Adolescents: A Systematic Review and Meta-analysis.JAMA pediatrics · 2020Pooled it
- Technology-Based Interventions to Reduce Sexually Transmitted Infections and Unintended Pregnancy Among Youth.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2018Pooled it
- Theory-based interventions for contraception.The Cochrane database of systematic reviews · 2016Pooled it
- School-based interventions for preventing HIV, sexually transmitted infections, and pregnancy in adolescents.The Cochrane database of systematic reviews · 2016Pooled it
- School-based interventions for improving contraceptive use in adolescents.The Cochrane database of systematic reviews · 2016Pooled it
- Is Participatory Design Associated with the Effectiveness of Serious Digital Games for Healthy Lifestyle Promotion? A Meta-Analysis.Journal of medical Internet research · 2016Pooled it
- Interventions for preventing unintended pregnancies among adolescents.The Cochrane database of systematic reviews · 2016Pooled 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
- The "Secret of Seven Stones": Short-Term Efficacy of an Online Intergenerational Sexual Health Education Game for Early Adolescents and Their Parents.Games for health journal · 2026Trial
- Adolescent Dating Violence Prevention Program for Early Adolescents: The Me & You Randomized Controlled Trial, 2014-2015.American journal of public health · 2019Trial
- Replication of It's Your Game…Keep It Real! in Southeast Texas.The journal of primary prevention · 2019Trial
- Adolescent Pregnancy Prevention Among Youths Living in Group Care Homes: A Cluster Randomized Controlled Trial.American journal of public health · 2018Trial
- Short-Term Impact of a Teen Pregnancy-Prevention Intervention Implemented in Group Homes.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2016Trial
- Efficacy of It's Your Game-Tech: A Computer-Based Sexual Health Education Program for Middle School Youth.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2015Trial
- Effects of the It's Your Game . . . Keep It Real program on dating violence in ethnic-minority middle school youths: a group randomized trial.American journal of public health · 2014Trial
- Behavioral and psychosocial effects of two middle school sexual health education programs at tenth-grade follow-up.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2014Trial
- Game-Based Intervention for Adolescent Pregnancy Prevention: Protocol for a Multisite Randomized Controlled Trial Evaluation.JMIR research protocols · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
Abstract
purposeTo evaluate the efficacy of two, theory-based, multimedia, middle school sexual education programs in delaying sexual initiation.
methodsThree-armed, randomized controlled trial comprising 15 urban middle schools; 1,258 predominantly African American and Hispanic seventh grade students followed into ninth grade. Both programs included group and individualized, computer-based activities addressing psychosocial variables. The risk avoidance (RA) program met federal abstinence education guidelines; the risk reduction (RR) program emphasized abstinence and included computer-based condom skills-training. The primary outcome assessed program impact on delayed sexual initiation; secondary outcomes assessed other sexual behaviors and psychosocial outcomes.
resultsParticipants were 59.8% females (mean age: 12.6 years). Relative to controls, the RR program delayed any type of sexual initiation (oral, vaginal, or anal sex) in the overall sample (adjusted odds ratio [AOR]: .65, 95% CI: .54-.77), among females (AOR: .43, 95% CI: .31-.60), and among African Americans (AOR: .38, 95% CI: .18-.79). RR students also reduced unprotected sex at last intercourse (AOR: .67, 95% CI: .47-.96), frequency of anal sex in the past 3 months (AOR: .53, 95% CI: .33-.84), and unprotected vaginal sex (AOR: .59, 95% CI: .36-.95). The RA program delayed any sexual initiation among Hispanics (AOR: .40, 95% CI: .19-.86), reduced unprotected sex at last intercourse (AOR: .70, 95% CI: .52-.93), but increased the number of recent vaginal sex partners (AOR: 1.69, 95% CI: 1.01-2.82). Both programs positively affected psychosocial outcomes.
conclusionsThe RR program positively affected sexually inexperienced and experienced youth, whereas the RA program delayed initiation among Hispanics and had mixed effects among sexually experienced youth.
Indexed as
Identifiers
What OpenQuestion holds
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.