# Presentation: 653151

## Scott & White

***Developed and Directed by***
**Patricia J. Sulak, M.D.**
**Professor, Texas A&M Health Science Center**
**Director, Division of Ambulatory Care**
**Director, Sex Education Program**
**Department of Obstetrics and Gynecology**
**Scott & White Memorial Hospital & Clinic**
**Temple, Texas**

**Scott & White**

**Notes:**
Slide 3 – WORTH THE WAIT - Scott & White Sex Education Program
Slide Prompt:  Slide as Background
Speaker Notes:
Dr. Patricia J. Sulak developed and directs the Scott & White Sex Education Program.  She is not only involved in academic medicine and research but has a large clinical OB/GYN practice at Scott & White Clinic in Temple, Texas, the teaching hospital for Texas A&M Health Science Center College of Medicine.  She founded the Scott & White Sex Education Program in 1996 with the goal of educating adolescents, healthcare professionals, parents, and other adults on the medical, legal, and socioeconomic ramifications of adolescent sexual activity.  Her philosophy regarding adolescent sexual activity is the same as her clinical research and clinical medicine approach:  present the facts so people will be more apt to make educated decisions regarding their health.  

## History of  Scott and White Sex Education Program

- Started in 1996 in one middle school in Temple, Texas at the request of a principal
- Review of sex ed. programs revealed:
- outdated, inaccurate, incomplete curriculums
- no adequate teacher training
- no components for parents/community
- Review of medical literature revealed information not commonly known

## Scott and White Worth the Wait®

- Doctors at Scott & White, teachers, and local attorneys put together a curriculum based on _facts_:
- Medical
- Legal
- Socioeconomic
- Program was unanimously approved by the Temple School Board in 1996

## Scott & White Worth the Wait® Program Expansion

- Awarded state and federal grants
- Serving 100,000 students and adults in Texas and other states
- Continued expansion within the state and beyond
- Building a support system for teens by involving parents, healthcare professionals, educators, and the community

## Scott & White Worth the Wait® Awards Received

- 2004 American College of OB/GYN Community Service Award
- 2000 Texas Young Lawyers Association Award
- 2000 American Bar Association Award
- 1999 Heroes for Children Award from the     Texas State Board of Education

## Scott and White Worth the Wait Program Focus

- Helping adolescents make informed decisions about sexual behavior and promoting abstinence as the healthiest choice for teens.
- Creating a community wide approach to sex education that can be replicated throughout the state and country

## Scott & White Worth the Wait® Program Philosophy

**EDUCATE** everyone
- Provide **SKILLS**
- Develop** SUPPORT **systems
**EMPOWER **teens to remain abstinent

## Program Components

**Media**

**Program Components**

## Program Components

- Curriculum: 6th, 7th, 8th, & High School
- Creative Arts Contest Promoting Abstinence
- Teacher Training Conferences
- District-wide Training Seminars
- Healthcare Professional Seminars
- Community Involvement
- Media Outreach
- Research

## Central Texas Location of Middle Schools

**Central Texas Location of Middle Schools**

## Scott & White Worth the Wait® Adult Research Elements

- Pre- and post-survey: immediately before and after a S&W WTW**®** presentation / seminar
**Demographics**: age, race, marital status, gender,
- 	# and ages of children, educational level
**Knowledge**: 10 questions regarding published data on adolescent sexual activity and sequelae
**Attitude**: 5 questions regarding adolescent sexual activity and sex education

## Scott & White Worth the Wait® Adult Programs

**Training Conferences** (2 - 3 day programs)
- Teacher training
- Healthcare professional
**Educational Sessions** (1 - 3 hour presentations)
- Parent presentations
- Healthcare professional lectures at CME meetings
- School district-wide presentations to all employees
- Community presentations: organizations, clubs, businesses

## Scott & White Worth the Wait® Adult Participants: 2002-2003

| Group | # Sessions | # Pre- | # Post- |
| --- | --- | --- | --- |
| Parent presentations | 26 | 1082 | 1016 |
| School district employee presentations | 9 | 1495 | 1550 |
| Community presentations | 12 | 364 | 353 |
| Teacher training | 5 | 214 | 214 |
| Healthcare professional lectures | 7 | 393 | 367 |
| Healthcare professional training | 3 | 113 | 105 |
| Total | 62 | 3661 | 3605 |

## Knowledge Questions: ~500 HCP

| Questions | Pre | Post |
| --- | --- | --- |
| Condoms decrease transmission...  HIV | 11 | 70 |
| Most common STD...  HPV | 64 | 90 |
| # H.S. student’s having sex has...decreased | 31 | 95 |
| Age to consent to sex in TX... 17  | 34 | 91 |
| Age for statutory rape in TX... 13 and under | 7 | 88 |
| Positive HSV-2 w/o symptoms... 90% | 47 | 95 |
| Factors assoc. with delaying sex...  all | 45 | 82 |
| Teen pregnancy rate has... decreased | 38 | 97 |
| Infected with HSV-2 in U.S. ...  1 in 5 | 43 | 81 |
| Most with HPV have...  no problems | 58 | 86 |

## Knowledge Questions: ~3100 other adults

| Questions | Pre | Post |
| --- | --- | --- |
| Condoms decrease transmission...  HIV | 10 | 41 |
| Most common STD...  HPV | 49 | 89 |
| # H.S. student’s having sex has... decreased | 18 | 93 |
| Age to consent to sex in TX...  17 | 33 | 90 |
| Age for statutory rape in TX... 13 and under | 5 | 86 |
| Positive HSV-2 w/o symptoms... 90% | 45 | 68 |
| Factors assoc. with delaying sex...  all | 40 | 64 |
| Teen pregnancy rate has...  decreased | 24 | 92 |
| Infected with HSV-2 in U.S. ...  1 in 5 | 47 | 86 |
| Most with HPV have...  no problems | 31 | 49 |

## All types of adult groups demonstrate increased knowledge.

## Middle School Participants: 2002-2003

| Group | Before |  | After |  |
| --- | --- | --- | --- | --- |
|  | Schools | Students | Schools | Students |
| 6th graders | 52 | 8728 | 51 | 8126 |
| 7th graders | 49 | 8885 | 48 | 8442 |
| 8th graders  | 49 | 8512 | 48 | 7982 |
| Total | 150 groups | 26,125 | 147 groups | 24,550 |
| Enrollment | 150 | 27,218 | 147 | 26,544 |
| % of Enrolled |  | 96.0 |  | 92.5 |

## Slide 18

| 8 Question Set | 8th grade |  |
| --- | --- | --- |
|  | Pre | Post |
| Some sexual activities are LEGAL for adults, but ILLEGAL for teens. TRUE | 66 | 84 |
| At age 17 a person can legally consent to sex.  | 11 | 84 |
| Children of teen mothers are more likely to grow up in a home without a father. | 87 | 89 |
| Fertilization occurs in the fallopian tube. | 24 | 38 |
| The number of high School students in the U.S. having sexual intercourse in the 1990’s has decreased. | 9 | 47 |
| Most people get STDs from someone who has no symptoms. | 40 | 69 |
| The STD that can cause cancer in females is human papillomavirus (HPV). | 26 | 50 |
| Pelvic Inflammatory Disease (PID) can cause infertility. | 30 | 43 |

## Knowledge Scores Improve

## Attitude Question: I think people should ______.

**A****. ****have sex at whatever age they want. **
**B. wait until after high school to have sex. **
**C. wait until after college/trade school to have sex. **
**D. wait until marriage to have sex. **

**%**

- For 2002-3 N~25,000

## Attitude that people should delay sex until marriage. (Means with 95% CI)

| Group | Pre-survey response | Post-survey response |
| --- | --- | --- |
| Parent | 80 (74-86) | 94 (91-98) |
| School District | 79 (69-89) | 92 (87-98) |
| Community | 82 (74-91) | 94 (89-98) |
| Teachers | 73 (60-87) | 88 (81-95) |
| HCP lectures | 53 (42-65) | 76 (70-83) |
| HCP training | 83 (66-100) | 95 (86-100) |
| P-level | < 0.0001 | <0.0001 |

## Challenge to teaching curriculum: Students with lower academic achievement have lower knowledge scores.

## Knowledge and Attitude are Related

## SEX is . . .Worth the Wait®

**SEX is . . .****Worth the Wait****®**

## Scott & White “Worth the Wait®” 

- _[www.worththewait.org](http://www.worththewait.org/)_
**Scott and White Sex Education Program**

- (254)724-7359