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## Breadcrumb

            -  Evidence and Innovation 
            -  Teen Pregnancy Prevention Evidence Review 
            -           PPRER000340      

# PPRER000340

Tortolero, S. R., Markham, C. M., Fleschler Peskin, M., Shegog, R., Addy, R. C., Escobar-Chavez, S. L., et al. (2009). It's Your Game: Keep It Real: Delaying sexual behavior with an effective middle school program. Journal of Adolescent Health, 46(2), 1-11.

It's Your Game: Keep It Real (IYG)

Moderate
Random assignment study with high attrition that that did not meet the criteria for a high rating but met all criteria for a moderate rating; findings show a positive, statistically significant impact for at least one behavioral outcome

### Program Information

### Evaluation Setting

### Study Sample

### Research Design

3007

2

12

### Study Findings

The program's evidence of effectiveness was first established in a cluster randomized trial involving ten middle schools in Southeast Texas. Five schools were randomly selected to implement the two-year program in 7th and 8th grades. Five other schools were randomly selected for a control group that continued its regular health classes.The study found that, a year after the program ended, in spring of 9th grade, students in the treatment schools were significantly less likely to report having initiated sexual activity (odds ratio = 0.78, confidence interval = 0.61 to 0.98). The study also examined program impacts on measures of contraceptive use and number of sexual partners. Findings for these outcomes were not considered for the review because they did not meet the review evidence standards. Specifically, findings were reported only for subgroups of youth defined by sexual activity at follow-up.

NA = Not available. This means the authors did not report the information in the manuscripts associated with the studies we reviewed.

a This information was not available whenever authors did not report information for the treatment and comparison groups separately on outcome means, standard deviations, and/or sample sizes.

b Authors reported that the program effect (impact) estimate is statistically significant with a p-value of less than 0.05 based on a two-tailed test.

c For some outcomes, having less of that outcome is favorable. In those cases, an effect with a negative sign is favorable to the treatment group (that is, the treatment group had a more favorable outcome than the comparison group, on average).

d An effect meets the review standards for credible evidence whenever it is statistically significant with a p-value of less than 0.05 based on a two-tailed test, includes the appropriate adjustment for clustering (if applicable), and it is not based on an endogenous subgroup.