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## Breadcrumb

            -  Evidence and Innovation 
            -  Teen Pregnancy Prevention Evidence Review 
            -  Programs 
            -           Safer Sex Intervention (SSI)      

# Safer Sex Intervention (SSI)

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

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

Lydia A. Shrier, M.D., M.P.H.

The program is designed for and was tested in health clinics.

Sociometrics Corporation1580 W. El Camino Real, Suite 8Mountain View, CA 94040Ph: 650-949-3282Email: socio@socio.com

https://www.socio.com/products/pasha-safer-sex-intervention

Dr. Lydia ShrierBoston Children's Hospital333 Longwood Avenue, 5th FloorBoston, Massachusetts 02115Ph:  617-355-8306Email: Lydia.shrier@childrens.harvard.edu

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SSI draws upon Social Cognitive Theory, the Transtheoretical Model of Behavior Change, and motivational interviewing models. The sessions are designed to be conducted at the time of an STI diagnosis or treatment, when the participant is most likely to be thinking about her diagnosis relative to sexual risk behaviors.

There are two SSI curricula - Precontemplation Stage and Contemplation Stage. The Precontemplation version focuses on risk perception, motivation, education, and skills building. The Contemplation version focuses on education, skills, self-efficacy, and self-esteem. The participant self-assesses her level of risk using a Wheel of Change assessment, which helps the facilitator determine which curriculum to deliver.

Although the education sessions are tailored based on the participant's feedback and stated priorities, all consist of discussion on the consequences of sexual risk behaviors and methods for preventing pregnancy and STIs such as secondary abstinence and consistent condom use. The sessions teach condom use and negotiation skills.

After the initial session, there are three booster sessions to:
                        - Reassess the participant's risk level
                        - Discuss sexual history
                        - Review the video
                        - Review program materials

Participants are given condoms, a condom key chain, a Proud Pete booklet, and written materials.

Sessions are conducted by a female health educator who is trained in motivational interviewing techniques.

The following program materials are available through the distributor:
                        - Safer Sex Intervention User's Guide
                        - Safer Sex Intervention Curriculum Manual
                        - Private Lives, HIV and STI Education  DVD
                        - Photocopy Masters: Handouts and Booster Session
                        - Proud Pete Flipbook
                        - Condom Keychains
                        - Each of the following six brochures:  STD Facts,  	Birth Control Choices, Condoms: How to Use Them, 101 Ways of Saying No, 101 Ways of Making Love without Doin' It, and Safer Sex: Talking with Your Partner.
                        - Fidelity toolkit
                        - Set of Original Evaluation Instruments
                        - Prevention Minimum Evaluation Data Set (PMEDS)
                        - Local Evaluator Consultant Network Directory

While a free sample curriculum is not available, providers may purchase an automatic digital download of the user’s guide to review program components, core competencies for facilitators, and scientific evidence of effectiveness. If providers decide to purchase the program, the price of the download is deducted.

The program requires a video/DVD player, male and female anatomical models, condoms, personal lubricants, and a private space for sessions.

SSI has a fidelity toolkit/checklist, and tools for monitoring program implementation. These may be accessed on the Sociometrics website**:**https://www.socio.com/products/pasha-safer-sex-intervention

Lydia.shrier@childrens.harvard.edu

Sociometrics provides telephone technical support on implementation and evaluation for one year with purchase of the program materials.

                        - Updating or customizing statistics and facts about youth sexual behavior, pregnancy risk, STIs, and the effectiveness of condoms and other contraception in order to keep the program up-to-date and accurate.
                        - Using different information in materials or brochures that is more up-to-date or relevant for a particular community's population, as long as the new material covers the same information and delivers the same messages.
                        - Adding or replacing incentives/giveaways, such as pens, condoms, bracelets, or Post-it pads, particularly with the clinic's contact information or with messages such as "use protection" or "it's never too late to abstain."
                        - Providing additional resources, such as referrals to other clinics or educational activities or a list of places to get condoms, as long as they are consistent with the intervention's messages and/or promote other clinic sessions.

### 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.*