Trial reportAmerican journal of public health2018
Sexual Assertiveness Skills and Sexual Decision-Making in Adolescent Girls: Randomized Controlled Trial of an Online Program.
Trial report in American journal of public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02579135 (Reducing HIV Risk Among Adolescents), which is not on this map. Cited by 34 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.
Reducing HIV Risk Among Adolescents: Evaluating Project HEART
Who cites it
34 citing papers in PubMed, 5 syntheses or guidelines pooled it, 76 citations in OpenAlex.
- Web-based sexual and reproductive health education for adolescents aged 10-17 years: a systematic review and meta-analysis.BMJ paediatrics open · 2025Pooled it
- Use of Behavior Change Techniques in Digital HIV Prevention Programs for Adolescents and Young People: Systematic Review.JMIR public health and surveillance · 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
- The Effectiveness of Web-Based Interventions to Promote Health Behaviour Change in Adolescents: A Systematic Review.Nutrients · 2022Pooled 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
- Effectiveness of an online sexual and reproductive health educational program on knowledge, attitudes, and behaviours among senior primary school students: a cluster randomized controlled trial.Reproductive health · 2025Trial
- A Media Literacy Education Approach to Sexual Health Promotion: Immediate Effects ofJournal of health communication · 2024Trial
- Evaluation of a Brief Online Sexual Health Program for Adolescents: A Randomized Controlled Trial.Health promotion practice · 2024Trial
- Computer- vs. nurse practitioner-delivered brief intervention for adolescent marijuana, alcohol, and sex risk behaviors in school-based health centers.Drug and alcohol dependence · 2021Trial
- Randomized Trial of a Single-Session Growth Mind-Set Intervention for Rural Adolescents' Internalizing and Externalizing Problems.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53Trial
- School-based interventions for sexual education and sexual violence prevention in adolescence: systematic review.Psicologia, reflexao e critica : revista semestral do Departamento de Psicologia da UFRGS · 2026Review
- Identifying Barriers and Facilitators of Implementing a Sexual and Relationship Health Intervention within the Child Welfare System: A Mixed Methods Study.Journal of sex research · 2025Article
- Sexual health literacy and education programs for culturally and linguistically diverse young people living in Australia, Canada, New Zealand, and the United Kingdom: a scoping review of content evaluations.Health education research · 2025Article
- Life orientation teachers' perspectives on intersectoral collaboration management of sexuality education.African journal of primary health care & family medicine · 2024Article
- Cocreating First Steps, a Toolkit to Improve Adolescent Sexual and Reproductive Health Services: Qualitative Human-Centered Design Study With Hispanic and Black Adolescent Mothers in New York City.JMIR pediatrics and parenting · 2024Article
- Adapting the Tackling Teenage Training Sex Education Program for Autistic Adults in the US: A Pilot Study.Journal of autism and developmental disorders · 2024Article
- Are mHealth Interventions Effective in Improving the Uptake of Sexual and Reproductive Health Services among Adolescents? A Scoping Review.International journal of environmental research and public health · 2024Article
- Young Adult Women and Sexual Awareness in the Digital Age: Examining Pathways Linking Online Dating Debut and Mindfulness with Sexual and Mental Health.Archives of sexual behavior · 2023Article
- Sexual education for university students and the community in a european project: study protocol.BMC nursing · 2023Article
- National trends and disparate access to formal and informal sex education among youth involved with the child welfare system in the USA.Sex education · 2023Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
objectivesTo evaluate the efficacy of an interactive, Web-based sexual health program (Health Education and Relationship Training [HEART]) for developing sexual assertiveness skills and enhancing sexual decision-making in adolescent girls.
methodsParticipants were 222 tenth-grade girls (mean age = 15.2; 38% White, 29% Hispanic, 25% Black) in the Southeastern United States who were randomized in fall 2015 to the HEART intervention or an attention-matched control. We assessed participants at pretest, immediate posttest, and 4-month follow-up.
resultsBoth groups had similar demographic and sexual behavior characteristics at pretest. At immediate posttest, girls who completed the HEART program demonstrated better sexual assertiveness skills measured with a behavioral task, higher self-reported assertiveness, intentions to communicate about sexual health, knowledge regarding HIV and other sexually transmitted diseases (STDs), safer sex norms and attitudes, and condom self-efficacy compared with the control condition. At 4-month follow-up, group differences remained in knowledge regarding HIV and other STDs, condom attitudes, and condom self-efficacy.
conclusionsThis brief online sexual health program can improve short-term outcomes among adolescent girls and offers an exciting new option in the growing array of digital health interventions available to youths. TRIAL REGISTRATION NUMBER: NCT02579135.
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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.