All4You!

Length | Elements | Staffing | Notification

Length of Program

The program consists of 14 sessions and a pre-session to prepare for implementation. The program is about 26 hours total.

• 9 classroom sessions range from 70 to 90 minutes each and focus on skill development (13.5 hours total).
• 5 sessions involve service learning in the community and require about 140 minutes. This includes travel time to and from the service learning site (12.5 hours total).

Sessions should be scheduled 2 to 3 times per week.

Program Elements

The All4You! Basic Set includes the teacher’s guide in a 3-ring binder that includes an informative introduction, full set of teacher instructions, teacher background materials, and appendixes with additional background information; student workbooks and required pamphlets (STD Facts for Teens and Birth Control Facts for Teens) for one classroom of 30 students; and a DVD on STD.

Student workbooks are required for every student. Additional classroom workbook sets of 5 and 30 are available.

An optional LGBTQ Supplement helps teachers build a supportive environment for LBGTQ students. It includes a lesson that can be taught before implementing the intervention as well as suggestions for acceptable adaptations to make program activities more inclusive of LGBTQ youth.

An enhanced set of materials is also available that includes supplemental materials to augment student learning, including DVDs, pamphlets and posters. The enhanced set includes the LGBTQ Supplement.

ETR also provides free downloads of pre- and post-tests and Adaptation Tools.

Staffing Requirements

This curriculum can be used by either classroom teachers or community-based educators, with participation of the classroom teacher during service learning visits. Individuals implementing All4You! should be knowledgeable about the content, be comfortable discussing the material and answering sensitive questions about sexual risk taking, have experience using interactive teaching strategies such as roleplaying, have good rapport with youth, and, ideally, have experience using service learning with youth. Ideally, all educators implementing the program should be trained on its contents and teaching strategies.

Peer leaders are also used to facilitate some of the activities.

Parent/Guardian Notification

It is essential to inform parents and guardians regarding the nature and scheduling of this or any sexual health education program. Prior to implementation of the curriculum, families should receive written notice describing the goals of All4You! and the nature of the content to be covered. Parents also should be given an opportunity to view the curriculum and related materials if they wish. The vast majority of parents want their children to receive appropriate instruction and be given the information and skills they need to protect their sexual health, but parents/guardians also must be allowed the chance to opt out or exclude their children from participating in the program, if they wish.

Theory | Logic Model | Evidence Summary | References

Theory

All4You! is based on Social Cognitive Theory, the Theory of Planned Behavior and Social Development Theory, all of which have been used in other evidence-based prevention programs.

Key content covered by the program consists of:

• HIV, STIs, and pregnancy prevention risk factors
• Negotiation and refusal skills
• Contraception and condom use skills
• Handling risky situations
• Attitudes and beliefs regarding perceived risk of STIs/pregnancy and barriers to condom use
• Development of positive norms
• Community engagement through service-learning visits

Logic Model

The program logic model can be found here:

Logic Model (pdf)

Evidence Summary

Research Design

The initial All4You! study was implemented during 2000-2001, with data collection follow-up extending through 2003 for the last cohort of youth enrolled in the study. The evaluation featured a randomized trial involving 24 alternative schools (specifically community day schools) located in 4 large urban areas with diverse populations in Northern California. Schools ranged in size from approximately 12 to 62 students, with an average enrollment of 28 students. Thirteen of the schools were randomly assigned to receive the All4You! intervention. The remaining 11 schools served as control sites.

Data Gathering

To assess the effectiveness of the intervention, paper-pencil self-report surveys were collected from students four times during the study period: baseline, and 6, 12, and 18 months after baseline.

Findings

In general, youth receiving All4You! reduced the frequency of unprotected sex, reduced the frequency of sex and increased their use of condoms (Coyle et al., 2006) at the initial follow-up.

Six months after the baseline survey:

• Students taking part in All4You! were less likely to have intercourse without a condom in the previous 3 months than were students in the control group, and they were more likely to use condoms during last intercourse.
• Students taking part in All4You! reported having sex less frequently than did students in the control group.
• Youth receiving All4You! had greater HIV and condom knowledge than did students in the control group, and this effect was still significant up to 18 months after the baseline survey.

References

Coyle, K., D. Kirby, L. Robin, S. Banspach, E. Baumler and J. Glassman. 2006. All4You! A randomized trial of an HIV, other STD and pregnancy prevention intervention for alternative school students. AIDS Education & Prevention 18 (3): 187-203.

Denner, J., K. Coyle, L. Robin and S. Banspach. 2005. Integrating service learning into a curriculum to reduce health risks at alternative high schools. Journal of School Health 75 (5): 151-156.

Adaptation Guidelines | Other Tools | Pre/Post Tests | Policy

Adaptation Guidelines

ETR is a leader in developing adaptation guidelines to enable professionals to adapt evidence-based intervention programs for implementation in underserved communities, while maintaining fidelity to the intervention's core components. To produce the best adaptation tools, ETR works directly with the developer of each intervention to ensure that these tools are of the highest quality and meet the different needs of the field and end users, e.g., teachers, trainers, program mangers/staff, research teams, and funders.

Click the links below to view adaptation Guidelines for All4You!

Adaptation Green/Yellow/Red Guidelines (pdf)

Core Components (pdf)

For answers to Frequently Asked Questions about program adaptations, please visit our Program Support Help Desk.

Read ETR's Adaptations Policy.

Other Implementation Tools

ETR also produces other tools to facilitate implementation. Click the link to view.

Fidelity Log (pdf)

Pre/Post Tests

Classroom teachers can use pre/post tests to examine whether short-term knowledge learning objectives have been met. A simple pretest-posttest assessment design can be used to measure pre-instruction levels and post-instruction changes in student learning.

Your ability to detect student change using this survey may vary and can be affected by numerous factors (e.g., number and content of lessons students receive, student scores at pretest, student motivation and interest in topic and survey, etc.) Improvement on the All4You! Knowledge Survey between pretest and posttest can be viewed as supportive, but not definitive, evidence of the curriculum's impact on short-term knowledge learning objectives. A well-designed evaluation study (e.g., using a strong experimental design with a well-matched comparison group and adequate sample size) with more extensive measurement would be needed to provide stronger evidence of curriculum impact.

Survey (pdf)

Survey Answer Key (pdf)

Learn more about how ETR can help with your evaluation needs >>

Training & TA

For over 30 years, ETR has been building the capacity of community-based organizations, schools, school districts, and state, county and local agencies in all 50 states and 7 U.S. territories to implement and replicate evidenced-based programs (EBPs) to prevent teen pregnancy, STD/STI and HIV. Our nationally recognized training and research teams work in partnership with clients to customize training and technical assistance (TA) to address the needs of their agencies and funding requirements.

Training

Educators interested in implementing All4You! should be skilled in using interactive teaching methods and guiding group discussions. It is highly recommended that educators who plan to teach All4You! receive research-based professional development to prepare them to effectively implement and replicate the curriculum with fidelity for the intended target group.
Training on All4You! is available through ETR's Professional Learning Services. Training options include:

• Three-day Training of Educators (TOE)—ETR’s TOE is a professional learning process that builds the knowledge and skills required of adult learners to implement All4You! with fidelity and, when applicable, germane adaptations. The learning process includes pre-work, skill-based instruction and post-training follow-up support. The TOE is designed intentionally to be outcome based by boosting skills that lead to quality implementation.

Technical assistance (TA), coaching and ongoing support

ETR provides in-person and web- or phone-based TA before, during and/or after program implementation. TA is tailored to the needs of the site and is designed to support quality assurance, trouble-shoot adaptation issues, and boost implementation.

Enrichment Training

To support a holistic approach to teen pregnancy and HIV prevention programs, ETR offers a number of additional training and technical assistance opportunities, including content-specific workshops, skill-based trainings, organizational development consultation and much more. To learn more about these opportunities, visit our Training & TA pages >>

Adaptation

Adaptation suppport materials, training and/or TA are available to assist educators in meeting the needs of individual communities by implementing EBPs effectively and consistently with core components. All adaptation support is based on ETR's groundbreaking, widely disseminated adaptation guidelines and kits for effective adaptations.

Evaluation

ETR also provides evaluation support for EBP implementation. ETR uses well-established tools for measuring fidelity and outcomes. ETR's evaluation support blends participatory approaches with cutting-edge evaluation science. Services address process and outcome evaluation and include assistance with evaluation planning, instrument design and development, implementation fidelity, data management and analysis, performance measurement, continuous quality improvement (CQI) protocols, and effective tools and strategies for reporting results.

Pricing Packages | Product Budget Calculator

All4You! Pricing