Evidence map›Paper›PMID 25739520›Full record

Trial reportThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2015

Efficacy of It's Your Game-Tech: A Computer-Based Sexual Health Education Program for Middle School Youth.

Melissa F Peskin, Ross Shegog, Christine M Markham, Melanie Thiel, Elizabeth R Baumler, Robert C Addy, Efrat K Gabay, Susan Tortolero Emery

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2015. 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 46 papers, 16 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 16 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

NCT07208045 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

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

TypeinterventionalSponsorUniversity of SevilleRan2025 to 2027Enrolled1,200ConditionsSexual Behavior, Sexually Transmitted Disease (STD), Condom Use, Adolescent HealthArmsEs tu juego: decide bien (IYG)
3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 16 syntheses or guidelines pooled it.

  1. Pooled it
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  3. 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 · 2025
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  9. 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 · 2018
    Pooled it
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  11. Theory-based interventions for contraception.The Cochrane database of systematic reviews · 2016
    Pooled it
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  13. School-based interventions for improving contraceptive use in adolescents.The Cochrane database of systematic reviews · 2016
    Pooled it
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  15. Interventions for preventing unintended pregnancies among adolescents.The Cochrane database of systematic reviews · 2016
    Pooled it
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  19. In the Know: A Cluster Randomized Trial of an In-person Sexual Health Education Program Integrating Digital Technologies for Adolescents.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Melissa F PeskinCenter for Health Promotion and Prevention Research, The University of Texas Health Science Center at Houston (UTHealth) School of Public Health, Houston, Texas. Electronic address: Melissa.F.Peskin@uth.tmc.edu.
Ross ShegogCenter for Health Promotion and Prevention Research, The University of Texas Health Science Center at Houston (UTHealth) School of Public Health, Houston, Texas.
Christine M MarkhamCenter for Health Promotion and Prevention Research, The University of Texas Health Science Center at Houston (UTHealth) School of Public Health, Houston, Texas.
Melanie ThielCenter for Health Promotion and Prevention Research, The University of Texas Health Science Center at Houston (UTHealth) School of Public Health, Houston, Texas.
Elizabeth R BaumlerCenter for Health Promotion and Prevention Research, The University of Texas Health Science Center at Houston (UTHealth) School of Public Health, Houston, Texas.
Robert C AddyCenter for Health Promotion and Prevention Research, The University of Texas Health Science Center at Houston (UTHealth) School of Public Health, Houston, Texas.
Efrat K GabayCenter for Health Promotion and Prevention Research, The University of Texas Health Science Center at Houston (UTHealth) School of Public Health, Houston, Texas.
Susan Tortolero EmeryCenter for Health Promotion and Prevention Research, The University of Texas Health Science Center at Houston (UTHealth) School of Public Health, Houston, Texas.

Funding

Virology CoreP30AI036211 · NIAID · BAYLOR COLLEGE OF MEDICINE · PI BUTEL, JANET S · 1994 to 2015
$21.7M
Center for Clinical and Translational Sciences (CCTS)UL1TR000371 · NCATS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI MCPHERSON, DAVID D · 2012 to 2016
$13.4M
Web-Based Middle School HIV Prevention Curricula: Aspiring for Reach and ImpactR01MH085594 · NIMH · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI PESKIN, MELISSA, SHEGOG, ROSS · 2010 to 2012
$2.1M
NCATS NIH HHS UL1 TR000371NIAID NIH HHS P30 AI036211NIMH NIH HHS 5 R01 MH085594NIMH NIH HHS R01 MH085594
6 · The paper itself

Abstract

purposeFew computer-based HIV, sexually transmitted infection (STI), and pregnancy prevention programs are available, and even fewer target early adolescents. In this study, we tested the efficacy of It's Your Game (IYG)-Tech, a completely computer-based, middle school sexual health education program. The primary hypothesis was that students who received IYG-Tech would significantly delay sexual initiation by ninth grade.

methodsWe evaluated IYG-Tech using a randomized, two-arm nested design among 19 schools in a large, urban school district in southeast Texas (20 schools were originally randomized). The target population was English-speaking eighth-grade students who were followed into the ninth grade. The final analytic sample included 1,374 students. Multilevel logistic regression models were used to test for differences in sexual initiation between intervention and control students, while adjusting for age, gender, ethnicity, time between measures, and family structure.

resultsThere was no significant difference in the delay of sexual activity or in any other sexual behavior between intervention and control students. However, there were significant positive between-group differences for psychosocial variables related to STI and condom knowledge, attitudes about abstinence, condom use self-efficacy, and perceived norms about sex. Post hoc analyses conducted among intervention students revealed some significant associations: "full exposure" (completion of all 13 lessons) and "mid-exposure" (5-8 lessons) students were less likely than "low exposure" (1-4 lessons) students to initiate sex.

conclusionsCollectively, our findings indicate that IYG-Tech impacts some determinants of sexual behavior, and that additional efficacy evaluation with full intervention exposure may be warranted.

Indexed as

Health Knowledge, Attitudes, PracticeSchool Health ServicesSoftwareAdolescentAdolescent BehaviorChildFemaleHIV InfectionsHumansMalePregnancyPregnancy in AdolescenceProgram EvaluationSex EducationSexually Transmitted DiseasesStudentsAdolescentsHIVPreventionSexual healthSexually transmitted infectionsTechnologyTeen pregnancy

Identifiers

PMID25739520
PMCPMC4409535

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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.