PMID- 35932196 OWN - NLM STAT- MEDLINE DCOM- 20221116 LR - 20230110 IS - 1746-1561 (Electronic) IS - 0022-4391 (Print) IS - 0022-4391 (Linking) VI - 92 IP - 12 DP - 2022 Dec TI - The Impact of a High School-Based Positive Youth Development Program on Sexual Health Outcomes: Results from a Randomized Controlled Trial. PG - 1155-1164 LID - 10.1111/josh.13216 [doi] AB - BACKGROUND: Although positive youth development (PYD) programs have demonstrated effectiveness in improving adolescent reproductive health outcomes, there is a lack of evidence on effective school-based interventions designed especially for high school settings. This study examined the efficacy of Peer Group Connection (PGC-HS), a school-based PYD program, in improving sexual health outcomes for high school participants. METHODS: A total of 1523 ninth-grade students at 18 schools were randomly assigned to be offered PGC-HS or a classes-as-usual control condition during 2016 to 2017 and 2017 to 2018 school years. Impacts were assessed on three confirmatory and 6 exploratory outcomes via self-reported participant questionnaire data collected at the beginning of 10th grade. RESULTS: Although the offer of PGC-HS had no statistically detectable effect on confirmatory behavioral outcomes (sexual initiation, frequency of sex, and number of sexual partners) at 10th grade follow-up, causal impact estimates indicate that PGC-HS participants were less likely than control participants to ever have had vaginal sex. PGC-HS participants also scored higher on decision-making skills and perceived connection to peer connectedness. CONCLUSIONS: Results suggest that by building social and emotional skills and helping students form supportive peer relationships, PGC-HS may encourage students to make healthier choices and avoid risky behaviors during a critical period in high school, thus, reducing the risk of pregnancy. CI - (c) 2022 The Authors. Journal of School Health published by Wiley Periodicals LLC on behalf of American School Health Association. FAU - Walsh, Sarah AU - Walsh S AD - The Policy & Research Group, 8434 Oak Street, New Orleans, LA, 70118. FAU - Jenner, Eric AU - Jenner E AD - The Policy & Research Group, 8434 Oak Street, New Orleans, LA, 70118. FAU - Qaragholi, Noor AU - Qaragholi N AUID- ORCID: 0000-0001-5198-540X AD - The Policy & Research Group, 8434 Oak Street, New Orleans, LA 70118; Johns Hopkins Bloomberg School of Public Health, Baltimore. FAU - Henley, Catherine AU - Henley C AD - The Policy & Research Group, 8434 Oak Street, New Orleans, LA 70118; Department of Epidemiology, University of Washington, Seattle, WA. FAU - Demby, Hilary AU - Demby H AD - The Policy & Research Group, 8434 Oak Street, New Orleans, LA, 70118. FAU - Leger, Rebekah AU - Leger R AD - The Policy & Research Group, 8434 Oak Street, New Orleans, LA, 70118. FAU - Burgess, Kelly AU - Burgess K AD - The Policy & Research Group, 8434 Oak Street, New Orleans, LA, 70118. LA - eng PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, U.S. Gov't, Non-P.H.S. DEP - 20220806 PL - United States TA - J Sch Health JT - The Journal of school health JID - 0376370 SB - IM MH - Pregnancy MH - Female MH - Adolescent MH - Humans MH - *Sexual Health MH - Schools MH - Sexual Behavior MH - Risk-Taking MH - *Adolescent Behavior/psychology PMC - PMC9804765 OTO - NOTNLM OT - child & adolescent health OT - evaluation OT - public health OT - reproductive health OT - research OT - risk behaviors COIS- No potential competing interest to report. EDAT- 2022/08/07 06:00 MHDA- 2022/11/18 06:00 PMCR- 2022/12/31 CRDT- 2022/08/06 05:32 PHST- 2022/06/28 00:00 [revised] PHST- 2021/12/03 00:00 [received] PHST- 2022/07/08 00:00 [accepted] PHST- 2022/08/07 06:00 [pubmed] PHST- 2022/11/18 06:00 [medline] PHST- 2022/08/06 05:32 [entrez] PHST- 2022/12/31 00:00 [pmc-release] AID - JOSH13216 [pii] AID - 10.1111/josh.13216 [doi] PST - ppublish SO - J Sch Health. 2022 Dec;92(12):1155-1164. doi: 10.1111/josh.13216. Epub 2022 Aug 6.