Sister to Sister TEEN Implementation Kit

Includes:

• Facilitator Curriculum
• Teen Participant Brochures (25 qty)
• 4 Posters
• 1 Handout
• Required Curriculum DVD

  
  With two video clips - “Wrap it Up” and
  “He Said He Loved Me”

Individual items sold separately, click to see catalog.

Authors

Loretta Sweet Jemmott Ph.D., R.N., F.A.A.N. and John Jemmott III, Ph.D.

Overview of the Curriculum

The overall purpose of the Sister To Sister TEEN HIV Risk Reduction Intervention Project one-on-one 20-minute skill and safer sex intervention is to provide teens with the knowledge, beliefs, motivation, and confidence necessary to help them change their behavior in ways that will reduce their risk for STIs, especially HIV. It is also designed to build self-efficacy and skills to practice these behaviors.

Goal of the Curriculum

The goal of Sister To Sister TEEN is to increase participants’ knowledge of their vulnerability regarding the impact of engaging in risky sexual behavior and to provide information to reduce those risks. Additional goals are to increase participants’ confidence and skills in negotiating condom use and to insure that condoms are used correctly and consistently.

Specifically, this curriculum emphasizes that participants can reduce their risk for STDs by engaging in safer sex behaviors.

Curriculum Objectives

At the completion of Sister to Sister TEEN participants will be able to:

1. Identify the correct information regarding the transmission, etiology and prevention of HIV
2. Identify their feelings about how to integrate STI prevention in the context of their lives
3. Identify and demonstrate the correct steps to using a condom and show the steps on an anatomically correct penis model
4. Describe ways that condoms can be made to be a pleasurable part of the sexual experience
5. Negotiate with a partner about using condoms and/or abstaining from sex in a role play situation
6. Demonstrate a stronger sense of pride, responsibility and intentions in practicing safer sex strategies

Content Outline

• Activity A: Introduction and Overview

  Goals and Objectives: To provide the young woman with a general overview and foster excitement and enthusiasm about their participation.

• Activity B: Video Clip

  Goals and Objectives: To reinforce information on Teens and AIDS and to increase perceived risk of HIV infection.

• Activity C: The Risk Assessment Inventory

  Goals and Objectives: To assess their personal risk of HIV infection.

• Activity D: Teach Content Using Teaching Guide

  Goals and Objectives: To teach and reinforce information on HIV/AIDS.

• Activity E: Condom Information and Condom Use

  Goals and Objectives: To build self-efficacy and skills by teaching and reinforcing information on the correct ways to use a condom and how to make them fun and pleasurable.

• Activity F: Negotiation Skills and Video Clip

  Goals and Objectives: To build self-efficacy through teaching negotiation strategies and skills for talking to their partner about using condoms.

• Activity G: Role Play

  Goals and Objectives: To build self-efficacy and skills by helping women practice discussing condom use with a partner.

• Activity H: HIV and Injection Drug Use

  Goals and Objectives: To provide correct information about HIV and injection drug use to enhance and reinforce participants’ knowledge.

• Activity I: Closing

  Goals and Objectives: To build self-efficacy to engage in safer sex behaviors.

Special Considerations

The curriculum requires the use of equipment that can play a DVD.

Types of Activities

The Sister To Sister TEEN curriculum involves a review of the Sister To Sister TEEN Behavioral Skills Participant Pamphlet, 2 videos, “He Said He Loved Me” and “Wrap It Up”, a condom demonstration, practice with an anatomically correct penis model, and role-playing. Curriculum activities are also designed to help teens recognize that faulty reasoning and decision-making can increase their risk of HIV infection. The activities help the participant understand the adverse consequences of participating in unsafe sexual activity and the positive consequences of safer sexual practices, including abstinence.

The teens engage in activities to increase comfort with condom use and to allay common concerns about the negative effects of condom use on sexual enjoyment and spontaneity. Participants handle condoms and learn to use condoms correctly. Two brief video clips evoke feelings, thoughts, attitudes, and beliefs about HIV infection, AIDS, and sexual risk behavior while highlighting prevention skills.
The teens also participate in role-playing scenarios that allow them to observe, analyze, and practice the skills of negotiating abstinence or condom use in a variety of circumstances.

Theoretical Framework

Research shows that curriculum are more effective when based on sound theoretical frameworks. The Sister To Sister TEEN HIV Risk Reduction Intervention Project draws upon the Social Cognitive Theory (Bandura, 1982, 1986, 1989). Three theoretical components of the social cognitive theory–perceived self-efficacy, outcome expectancies, and modeling–have utility in the reduction of HIV transmission related sexual behaviors. Self efficacy is a participant’s belief that they have the confidence to engage in the behavior proposed (ex. using condoms). Outcome expectancy is the belief that the outcome of the behavior the participant is trained to engage in will be positive. Modeling is acquiring skills needed to implement the behavior the participant is trained to engage in.

• Effects on Sexual Behaviors

  Women who received the one-on-one and group skill-building interventions reported a greater proportion of condom use during sexual intercourse in the previous 3 months compared with women who received the information interventions at 3-month follow up and compared with women who had received either the information interventions or the health control intervention at 12-month follow up. When asked specifically about the last time they had sexual intercourse, women who received the skill-building interventions were more likely to report using a condom compared with those who received the health control intervention at 3-month and compared with either the health-control intervention at 12-month follow-up. Skill-building intervention or the information intervention participants also reported less unprotected sexual intercourse than did the information intervention or health-control intervention participants at 3-month follow-up and information intervention participants at 12-month follow-up. None of the contrasts were statistically significant at 6-month follow-up.

• Effects on STI Rates

  Although there were no differences at 6-month follow-up, women who had received the skill-building interventions were significantly less likely to test positive for an STI at 12-month follow-up than were those who received the health control intervention. In addition, the women who received the one-on-one skill intervention were less likely to test positive for an STI than were health control women at the 12-month follow up.

• Core Elements

  Implementation by specially trained female health care staff that provides direct service to teens.

Recommended Intervention Training

It is recommended for clinic staff administering the intervention to have completed a six-hour Sister To Sister TEEN HIV Risk Reduction Intervention training session. Training sessions may be conducted via webinar or at our offices in New York City. Please contact us for further details.

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