Evidence map›Paper›PMID 41717554›Full record

ArticlePublic health in practice (Oxford, England)2026

Project RUSH: Implementing and evaluating a community-based teen pregnancy prevention program among Hispanic youth in rural South Texas.

Gerardo J Pacheco, Howaida Werfelli, Ramalingam Shanmugam, Jose Betancourt, Alison Johnson

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Article in Public health in practice (Oxford, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

5 authors.

Gerardo J PachecoSchool of Health Administration, Texas State University, San Marcos, TX, USA.
Howaida WerfelliSALVERE, San Antonio, TX, USA.
Ramalingam ShanmugamSchool of Health Administration, Texas State University, San Marcos, TX, USA.
Jose BetancourtSchool of Health Administration, Texas State University, San Marcos, TX, USA.
Alison JohnsonCoastal Bend Wellness Foundation, Corpus Christi, TX, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: The burden of sexually transmitted infections, HIV, and unintended pregnancies is disproportionate among Hispanic youth (ages 15-19) in Texas as compared to other groups nationally. A community intervention, Project Realistic Understanding of Sexual Health (RUSH) was developed using the Making Proud Choices, an evidence-based teen pregnancy program (TPP). This study aimed to present the use of a community-based participatory research (CBPR) framework in designing and implementing a sexual health intervention for rural Hispanic youth and participant outcomes (knowledge, attitudes, and behaviors). Study design: Single group Pre/Post Design employing a CPBR approach. Methods: A CBPR approach and programmatic evaluation were utilized to design and deliver an evidence-based teen pregnancy prevention program (TPP). A pre-post questionnaire was self-administered to eligible and consenting participants who were recruited via convenience sampling. Project RUSH was delivered over 8-week sessions in community centers throughout the 5-county service area. Results: In total, 160 youth were recruited, and 112 participants completed the intervention with the pre-and-post assessments. The majority self-identified as Hispanic/Latino (76%). Increased knowledge of pregnancy, sexually transmitted infections (STIs), and HIV/AIDS were statistically significant after the intervention. Respondents' feedback demonstrated satisfaction in the program (setting, facilitators, curriculum). Conclusion: Input and engagement from community stakeholders helped refine the implementation of RUSH. Although a group change was observed, additional research, community engagement, and further analyses are needed to assess long term and support positive sexual behaviors among the youth in rural South Texas. Implications and contributions: The findings support the continued need to develop tailored sexual education community interventions for youth in rural communities.

Indexed as

Hispanic healthSexual educationTeen pregnancy prevention program

Identifiers

PMID41717554
PMCPMC12914447

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