Document 1142 DOCN M94A1142 TI Assessing effectiveness of school-based HIV prevention. DT 9412 AU Rugg D; Collins J; Sogolow E; Banspach S; Gilliam A; Kirby D; CDC, Atlanta, GA 30341-3724. SO Int Conf AIDS. 1994 Aug 7-12;10(2):20 (abstract no. 371D). Unique Identifier : AIDSLINE ICA10/94371433 AB OBJECTIVE: Since 1987, CDC has conducted evaluation research to determine what works in school-based programs designed to reduce HIV risk behaviors. METHODS: Assessing intervention effectiveness involves three components: 1) short and long-term randomized studies, 2) synthesis of research literature using expert consensus, and 3) meta-analysis of an HIV education database. HIV-related risk behaviors are measured as the primary outcome. Subjects are youth ages 10-19 from various racial/ethnic groups who participate in school HIV programs across the U.S. RESULTS: Data summarized across all three components show that well-designed programs: 1) do not hasten onset nor increase frequency of sexual intercourse, 2) can delay onset of intercourse among previously abstinent youth, and 3) can increase condom use among intervention youth compared to youth in comparison conditions (p < .05). Characteristics of effective programs include: 1) basis in social learning theory, 2) narrow focus on a specific behavior, 3) experiential activities to personalize risk information, 4) instruction on resisting negative social influences, 5) reinforcement of positive peer norms and values, and 6) activities to increase skills and confidence. CONCLUSIONS: Scientific evidence from multiple sources shows that school-based programs can be effective in reducing behaviors that result in HIV infection. It is essential that such findings inform the design of HIV prevention programs for youth. DE Adolescence *Adolescent Behavior Adult Centers for Disease Control and Prevention (U.S.) Child *Child Behavior Condoms/*UTILIZATION Databases, Factual *Health Education *Health Promotion Human HIV Infections/*PREVENTION & CONTROL Meta-Analysis Outcome and Process Assessment (Health Care) Program Evaluation Randomized Controlled Trials School Health Services Sex Behavior/*STATISTICS & NUMER DATA United States MEETING ABSTRACT SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).