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## Breadcrumb

            -  Evidence and Innovation 
            -  Teen Pregnancy Prevention Evidence Review 
            -  Programs 
            -           Project IMAGE      

# Project IMAGE

- Program Information
- Program Overview
- Program Description
- Program Component Table
- Program Implementation

- Research Evidence
- Reviewed Studies
- Study Characteristics
- Study Findings

Jane Dimmitt Champion, Ph.D., D.N.P., R.N., F.N.P., A.H.-P.M.H.-C.N.S., F.A.A.N.

Project IMAGE is a cognitive behavioral intervention intended to reduce subsequent STIs among ethnic minority adolescent women with a history of sexual or physical abuse and STIs. It is delivered through small group workshops and individual counseling sessions and draws on health-promoting elements of African- and Mexican-American culture.

The program was designed for African- and Mexican-American adolescents aged 14-18 who have a history of STIs and physical or sexual abuse.

The program was designed for and evaluated in a health clinic setting.

Nancy Gonzalez-Caro, MPHEvidence-Based Product SpecialistETR100 Enterprise Way, Suite G300Scotts Valley, CA 95066Ph: 800-321-4407 x237Website: http://www.etr.org/ebi/programs/project-image/

http://www.etr.org/ebi/programs/project-image/

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Project IMAGE seeks to reduce HIV/STI high-risk behaviors and STIs among ethnic minority adolescent women by helping them recognize the risk of STI transmission, learn strategies to reduce sexual risk behavior, and improve communication and decision-making skills. The intervention stresses contraceptive use and choice of sexual partner.

Project IMAGE is an adaptation of Project SAFE, an intervention for ethnic minority women based on the AIDS Risk Reduction Model. It consists of three main components: workshops, support groups, and individual counseling sessions.

**Component 1 - Workshop Sessions**:  Two small group sessions are conducted using the principles of motivational interviewing and focus on the following topics: 
                        - Awareness and Perception of Risk . The first session helps participants recognize the risks of STIs. They receive information on disease transmission and protection methods and strategies.
                        - Commitment to Change: Strategies to Reduce Risk Behavior.  In the second session, participants receive information on sex, drugs, STIs, HIV, contraception, and how to prevent infection and unintended pregnancy. They also learn how to make decisions about sex and improve communication skills.

**Component 2 - Support Group Sessions**:  Support groups are led by a trained facilitator who uses principles of motivational interviewing to discuss topics such as interpersonal relationships, contraceptive use, and health risk behaviors. The topics and discussion are tailored to the particular needs of each group.

**Component 3 - Individual Counseling Sessions**:  The individual sessions are initiated by the participant and conducted by a trained facilitator. Each session focuses on the expressed needs of the participant and may include referral to other services.

                        - Two small group workshop sessions
                        - Three to five support group sessions
                        - Two or more individual counseling sessions.

**The small group workshop sessions **

**Support group sessions **

**Individual counseling sessions **

http://www.etr.org/ebi/programs/project-image/

It is recommended that clinic staff selected to implement Project IMAGE receive research-based professional development to prepare them to effectively implement the curriculum with its intended target group. Training on Project IMAGE is available through ETR’s Professional Learning Services. Training options include:
                        - Two-day Training of Educators (TOE)— the learning process includes pre-work, skill-based instruction and post-training follow-up support.
                        - Four-day Training of Trainers (TOT)— available for seasoned trainers who have experience in delivering the intervention. Completion entitles participants to use ETR’s research-based training designs to conduct TOEs for their organization or designated affiliate group. TOT attendees who have completed the four-day TOT are eligible to attend a condensed TOT course on additional EBIs.

### Evidence by Outcome Domain and Study

#### Notes

*Some study entries may include more than one citation because each citation examines a different follow-up period from the same study sample, or because each citation examines a different set of outcome measures on the same study sample. A blank cell indicates the study did not examine any outcome measures within the particular outcome domain or the findings for the outcome measures within that domain did not meet the review evidence standards.*

*Information on evidence of effectiveness is available only for studies that received a high or moderate rating. Read the description of the review process for more information on how these programs are identified.*