PMID- 28971273
OWN - NLM
STAT- MEDLINE
DCOM- 20190620
LR  - 20231112
IS  - 1573-6695 (Electronic)
IS  - 1389-4986 (Print)
IS  - 1389-4986 (Linking)
VI  - 19
IP  - 4
DP  - 2018 May
TI  - A Cluster-Randomized Trial of Getting To Outcomes' Impact on Sexual Health 
      Outcomes in Community-Based Settings.
PG  - 437-448
LID - 10.1007/s11121-017-0845-6 [doi]
AB  - The USA has high teen pregnancy rates compared to other developed nations. Many 
      community-based organizations need assistance conducting evidence-based teen 
      pregnancy prevention programs (EBPs) appropriately. This study evaluated the 
      impact of an implementation support intervention called Getting To Outcomes (GTO) 
      designed to help such organizations. This cluster randomized controlled trial 
      compared 16 Boys and Girls Clubs (BGCs) implementing a teen pregnancy prevention 
      EBP called Making Proud Choices for two years, with 16 BGCs implementing MPC 
      augmented with GTO training, tools, and technical assistance. Participating 
      middle school youth were compared on proximal outcomes (knowledge, attitudes, and 
      intentions about sex and condoms from baseline to post) and sexual behaviors 
      (frequency of sex and condom use, from baseline to 6-month follow-up). In year 1, 
      there were no significant effects of GTO for any proximal outcome. After 
      GTO-stimulated quality improvement in year 2, the GTO group improved 
      significantly more on condom attitudes and use intentions. Frequency of sex and 
      condom use did not differ between the two groups in either year; however, base 
      rates of these behaviors in the sample were very low. Findings suggest that in 
      typical community-based settings, detailed manuals and training common to 
      structured EBPs may be sufficient to yield some improvement in key proximal 
      outcomes, but that more systematic implementation support is needed to achieve 
      greater improvement in these outcomes. Using GTO with many communities, as 
      currently supported by various federal agencies, could yield public health impact 
      via improvements in condom attitudes and use intentions.
FAU - Chinman, Matthew
AU  - Chinman M
AUID- ORCID: 0000-0001-5390-8723
AD  - RAND Corporation, 4570 Fifth Avenue, Pittsburgh, PA, 15213, USA. 
      Chinman@rand.org.
FAU - Acosta, Joie
AU  - Acosta J
AD  - RAND Corporation, 4570 Fifth Avenue, Pittsburgh, PA, 15213, USA.
FAU - Ebener, Patricia
AU  - Ebener P
AD  - RAND Corporation, 4570 Fifth Avenue, Pittsburgh, PA, 15213, USA.
FAU - Malone, Patrick S
AU  - Malone PS
AD  - RAND Corporation, 4570 Fifth Avenue, Pittsburgh, PA, 15213, USA.
FAU - Slaughter, Mary E
AU  - Slaughter ME
AD  - RAND Corporation, 4570 Fifth Avenue, Pittsburgh, PA, 15213, USA.
LA  - eng
GR  - R01 HD069427/HD/NICHD NIH HHS/United States
GR  - 5R01HD069427/Eunice Kennedy Shriver National Institute of Child Health and Human 
      Development/International
PT  - Journal Article
PT  - Randomized Controlled Trial
PT  - Research Support, N.I.H., Extramural
PL  - United States
TA  - Prev Sci
JT  - Prevention science : the official journal of the Society for Prevention Research
JID - 100894724
SB  - IM
MH  - Adolescent
MH  - Child
MH  - Cluster Analysis
MH  - Condoms
MH  - Female
MH  - *Health Promotion
MH  - Humans
MH  - Male
MH  - Pregnancy
MH  - Pregnancy in Adolescence/*prevention & control
MH  - *Program Evaluation
MH  - Safe Sex
MH  - Sexual Behavior
MH  - United States
PMC - PMC5880746
MID - NIHMS910353
OTO - NOTNLM
OT  - Condom
OT  - Evidence-based program
OT  - Implementation support
EDAT- 2017/10/04 06:00
MHDA- 2019/06/21 06:00
PMCR- 2019/05/01
CRDT- 2017/10/04 06:00
PHST- 2017/10/04 06:00 [pubmed]
PHST- 2019/06/21 06:00 [medline]
PHST- 2017/10/04 06:00 [entrez]
PHST- 2019/05/01 00:00 [pmc-release]
AID - 10.1007/s11121-017-0845-6 [pii]
AID - 10.1007/s11121-017-0845-6 [doi]
PST - ppublish
SO  - Prev Sci. 2018 May;19(4):437-448. doi: 10.1007/s11121-017-0845-6.