Reducing the Risk. Logic Model
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1 Reducing the Risk Logic Model
2 ETR (Eduction, Trining nd Reserch) is nonprofit orgniztion committed to providing science-bsed innovtive solutions in helth nd eduction designed to chieve trnsformtive chnge in individuls, fmilies nd communities. We invite helth professionls, eductors nd consumers to lern more bout our high-qulity progrms, publictions nd pplied reserch, evlution nd professionl development services by contcting us t 100 Enterprise Wy, Suite G300, Scotts Vlley, CA 95066, , ETR Assocites. Updted All Rights Reserved. Published by ETR 100 Enterprise Wy, Suite G300 Scotts Vlley, CA Title No. C018
3 Reducing the Risk Logic Model Logic models re grphic depictions tht show clerly nd concisely the cusl mechnisms through which specific interventions cn ffect behvior nd thereby chieve helth gol. They should be bsed in prt upon theory nd thus portry the theories of chnge tht underlie n intervention. While there re mny types of logic models, some logic models specify (1) the helth gol to be chieved, (2) the behviors person needs to chnge to chieve helth gol, (3) the risk or protective fctors tht ffect those behviors, nd (4) the intervention components or ctivities designed to chnge ech selected risk nd protective fctor. In the figures below, first is snpshot of logic model for Reducing the Risk. Tht model simply specifies ll the ctivities, ll the risk nd protective fctors nd ll the behviors designed to ffect the two helth gols of Reducing the Risk. Second is more detiled model tht specifies which prticulr ctivities ffect which specific risk nd protective fctors, which in turn ffect specific behviors tht ffect teen pregnncy nd sexully trnsmitted diseses. These models cn: Provide cler rtionle for ech progrm ctivity by specifying the risk nd protective fctors ech ctivity is designed to chnge. These rtionles cn help curriculum implementers understnd the importnce of ech ctivity. Serve s mp to guide dpttions so tht chnges or dditions re consistent with the logic nd fctors presented in the model. Specify the risk nd protective fctors nd behviors tht should be mesured in n impct evlution. Reducing the Risk Logic Model 2011 ETR Assocites. All Rights Reserved. 1
4 RTR Intervention Clsses Designed to Chnge Risk & Protective Fctors Clss 1A: Abstinence, Sex nd Protection: Pregnncy Prevention Emphsis Clss 1B: Abstinence, Sex nd Protection: HIV Prevention Emphsis Clss 2: Abstinence: Not Hving Sex Clss 3: Refusls Clss 4: Using Refusl Skills Clss 5: Dely Tctics Clss 6: Avoiding High-Risk Situtions Clss 7: Getting nd Using Protection I Clss 8: Getting nd Using Protection II Clss 9: Knowing nd Tlking About Protection: Skills Integrtion I Clss 10: Skills Integrtion II Clss 11: Skills Integrtion III Clss 12: HIV nd Other STD Clss 13: HIV Risk Behviors Clss 14: Implementing Protection from STD nd Pregnncy Clss 15: Sticking with Abstinence nd Protection Clss 16: Skills Integrtion IV Reducing the Risk Logic Model: Snpshot Risk & Protective Fctors Affecting Sexul Behviors Addressed in RTR PARENT-CHILD COMMUNICATION KNOWLEDGE/AWARENESS of: Situtions tht led to unprotected sex, pregnncy nd HIV or other STD Consequences of hving sex Pregnncy incidence, risk nd prevention HIV risks, trnsmission, consequences STD prevention, trnsmission, tretment Abstinence Methods of protection Successful reltionships Personl chllenges to bstining Refusls nd dely tctics Prentl vlues bout sex nd contrception PERCEPTION OF RISK of: Pregnncy HIV Being in risky sitution VALUES bout: Sexul ctivity Unprotected sex Protection ATTITUDES bout: Abstinence Hving sex Using protection HIV Pregnncy SOCIAL/PEER NORMS round: Sex nd bstinence Condom use SKILL AND SELF-EFFICACY to: Recognize, void or get out of situtions tht might led to sex Sy no to sex or unprotected sex Tlk with prtner bout sex nd protection EMOTIONS bout: Tlking bout nd obtining protection INTENTIONS to: Use refusl/dely tctics Be bstinent Use condoms nd/or contrception Avoid pregnncy Avoid HIV nd other STD PARENT-CHILD COMMUNICATION bout: Sexul ctivity nd protection Sexul Behviors Directly Affecting RTR s Helth Gol Reduce the onset of sexul intercourse Increse use of condoms nd contrception RTR s Helth Gol To prevent teen pregnncy To prevent HIV nd other ETR Assocites. All Rights Reserved. Reducing the Risk Logic Model
5 Reducing the Risk Logic Model: Detiled Version Activities Designed to Chnge Risk & Protective Fctors Risk & Protective Fctors Tht Affect Sexul Behviors Behviors Tht Affect Helth Gols Helth Gols Clss 1A: Model Role Ply, Version 1 Clss 1B: Model Role Ply, Version 1 Clss 3: Introduce Refusls Clss 3: Demonstrte Role Plys Clss 4: Demonstrte Role Ply Clss 4: Role-Ply in Smll Groups Clss 5: Demonstrte nd Prctice Role Ply Clss 5: Quiz nd Skills Review Clss 6: Signs of Sex nd Cution Mini-Lecture Clss 6: Hndling Crisis Situtions Clss 10: Generting Alterntives Clss 10: Role-Ply in Smll Groups KNOWLEDGE Awreness of situtions tht led to unprotected sex, pregnncy nd HIV or other Abstining from sexul intercourse (by either delying sex or returning to bstinence) pregnncy HIV nd other Clss 12: Fcts About STD, Including HIV Knowledge of STD, including HIV Clss 2: Resons Tht Mny Teens Don t Hve Sex Knowledge of negtive consequences of hving sex Clss 8: How Is HIV Prevented? Clss 12: Fcts About STD, Including HIV Knowledge of negtive consequences of hving sex Clss 2: Resons Tht Mny Teens Don t Hve Sex Awreness of personl chllenges to bstining Clss 6: Discuss Homework Clss 3: Tlk to Your Prents Understnding of prentl vlues bout hving sex nd using protection Reducing the Risk Logic Model 2011 ETR Assocites. All Rights Reserved. 3
6 Activities Designed to Chnge Risk & Protective Fctors Clss 1A: Pregnncy Risk Activity Clss 1B: HIV Risk Activity Clss 12: Fcts About STD, Including HIV Clss 13: Risk Continuum Clss 13: Personl Risks Clss 1B: Personlizing Risks Clss 12: Fcts About STD, Including HIV Clss 12: Assign Homework Clss 16: Review HIV Homework Risk & Protective Fctors Tht Affect Sexul Behviors Behviors Tht Affect Helth Gols PERCEPTIONS OF RISK Perception of chnces of becoming pregnnt nd Abstining from consequences of childbering Perception of chnces of contrcting HIV nd other sexul intercourse (by either delying sex or returning to bstinence) Perception of consequences of contrcting HIV nd other Helth Gols pregnncy HIV nd other ETR Assocites. All Rights Reserved. Reducing the Risk Logic Model
7 Activities Designed to Chnge Risk & Protective Fctors Risk & Protective Fctors Tht Affect Sexul Behviors Behviors Tht Affect Helth Gols Helth Gols Clss 2: Resons Tht Mny Teens Don t Hve Sex Clss 3: Tlk to Your Prents Clss 6: Discuss Homework Clss 11: My Kid Sister Clss 15: Sticking with Abstinence nd Protection Clss 16: Chris nd Pt Clss 1A: Model Role Ply Version 2 VALUES AND ATTITUDES Vlues/ttitudes towrd hving sex versus bstining (resons not to hve sex) Abstining from sexul intercourse (by either delying sex or returning to bstinence) Attitude towrd hving unprotected sex pregnncy HIV nd other Clss 3: Tlk to Your Prents Clss 6: Discuss Homework Vlues bout using protection Reducing the Risk Logic Model 2011 ETR Assocites. All Rights Reserved. 5
8 Activities Designed to Chnge Risk & Protective Fctors Risk & Protective Fctors Tht Affect Sexul Behviors Behviors Tht Affect Helth Gols Helth Gols Clss 2: Fcts About Abstinence Clss 2: Resons Tht Mny Teens Don t Hve Sex Clss 3: Demonstrte Role Plys Clss 4: Difficult Refusls Clss 4: Demonstrte Role Ply Clss 4: Role-Ply in Smll Groups Clss 5: Demonstrte nd Prctice Role Ply Clss 5: Quiz nd Skills Review Clss 6: Hndling Crisis Situtions Clss 10: Generting Alterntives Clss 10: Role-Ply in Smll Groups Clss 11: My Kid Sister Clss 15: Sticking with Abstinence nd Protection PERCEPTION OF PEER NORMS Perception of peer norms bout hving sex (versus bstining) Abstining from sexul intercourse (by either delying sex or returning to bstinence) pregnncy HIV nd other Clss 16: Role-Ply in Smll Groups Perception of peer norms bout hving unprotected sex ETR Assocites. All Rights Reserved. Reducing the Risk Logic Model
9 Activities Designed to Chnge Risk & Protective Fctors Clss 1B: Model Role Ply Version 2 Clss 2: Communicting About Abstinence Clss 3: Introduce Refusls Clss 3: Demonstrte Role Plys Clss 4: Refusls Quiz Clss 4: Difficult Refusls Clss 4: Demonstrte Role Ply Clss 4: Role-Ply in Smll Groups Clss 5: Review Clss 4 Clss 5: Introduce Dely Tctics Clss 5: Demonstrte nd Prctice Role Ply Clss 5: Quiz nd Skills Review Clss 10: Review Refusls Clss 10: Role-Ply in Smll Groups Clss 11: My Kid Sister Clss 16: Chris nd Pt Clss 16: Role-Ply in Smll Groups Clss 6: Signs of Sex nd Cution Mini-Lecture Clss 6: Hndling Crisis Situtions Clss 10: Generting Alterntives Clss 15: Sticking with Abstinence nd Protection Risk & Protective Fctors Tht Affect Sexul Behviors Behviors Tht Affect Helth Gols Helth Gols SKILLS Skill nd self-efficcy to sy no to sex or unprotected sex or to void hving sex Abstining from sexul intercourse (by either delying sex or returning to bstinence) pregnncy HIV nd other Skill nd self-efficcy to recognize, void or get out of situtions tht might led to sex Reducing the Risk Logic Model 2011 ETR Assocites. All Rights Reserved. 7
10 Activities Designed to Chnge Risk & Protective Fctors Risk & Protective Fctors Tht Affect Sexul Behviors Clss 3: Tlk to Your Prents Clss 6: Discuss Homework PARENT-CHILD COMMUNICATION Increse prent/child communiction bout sex, condoms nd contrception Activities Designed to Chnge Risk & Protective Fctors Risk & Protective Fctors Tht Affect Sexul Behviors Clss 15: Sticking with Abstinence nd Protection INTENTIONS Intentions to be bstinent Behviors Tht Affect Helth Gols Helth Gols Abstining from sexul intercourse (by either delying sex or returning to bstinence) pregnncy HIV nd other Behviors Tht Affect Helth Gols Helth Gols Abstining from sexul intercourse (by either delying sex or returning to bstinence) pregnncy HIV nd other ETR Assocites. All Rights Reserved. Reducing the Risk Logic Model
11 Activities Designed to Chnge Risk & Protective Fctors Risk & Protective Fctors Tht Affect Sexul Behviors Behviors Tht Affect Helth Gols Helth Gols KNOWLEDGE Clss 12: Fcts About STD, Including HIV Knowledge of STD, including HIV Using contrception (to prevent pregnncy) Clss 2: Resons Tht Mny Teens Don t Hve Sex Knowledge of negtive consequences of hving sex pregnncy Clss 1A: Model Role Ply, Version 1 Clss 1B: Model Role Ply, Version 1 Clss 6: Signs of Sex nd Cution Mini-Lecture Clss 6: Hndling Crisis Situtions Clss 10: Generting Alterntives Awreness of situtions tht led to unprotected sex, pregnncy nd HIV or other prevent HIV nd other ) HIV nd other Clss 6: Protection: Myths nd Truths, Round 1 Clss 7: Shopping Informtion Homework Clss 8: Condom Demonstrtion Clss 8: How Is STD/HIV Prevented? Clss 9: Protection: Myths nd Truths, Round 2 Clss 9: Demonstrte nd Prctice Role Ply Clss 12: Fcts About STD, Including HIV Clss 15: Review Shopping Informtion nd Visit or Cll Clinic Homework Knowledge of methods to protect ginst contrcting HIV nd other, including bstining, lifelong mutully monogmous prtner nd condoms (how they work, where to obtin them nd how to use them) Clss 7: Wys to Prevent Pregnncy Lecture Clss 8: Visit or Cll Clinic Clss 9: Protection: Myths nd Truths, Round 2 Clss 9: Demonstrte nd Prctice Role Ply Clss 15: Review Shopping Informtion nd Visit or Cll Clinic Homework Knowledge of methods of contrception, locl clinics nd their reproductive helth services Reducing the Risk Logic Model 2011 ETR Assocites. All Rights Reserved. 9
12 Activities Designed to Chnge Risk & Protective Fctors Risk & Protective Fctors Tht Affect Sexul Behviors Behviors Tht Affect Helth Gols Helth Gols KNOWLEDGE continued Clss 12: Fcts About STD, Including HIV Knowledge of STD testing nd tretment Clss 3: Tlk to Your Prents Clss 6: Discuss Homework Understnding of prentl vlues bout hving sex nd using protection Using contrception pregnncy) prevent HIV nd other ) pregnncy HIV nd other ETR Assocites. All Rights Reserved. Reducing the Risk Logic Model
13 Activities Designed to Chnge Risk & Protective Fctors Risk & Protective Fctors Tht Affect Sexul Behviors Behviors Tht Affect Helth Gols Helth Gols Clss 1A: Pregnncy Risk Activity, Prts 1 nd 2 PERCEPTIONS OF RISK Perception of chnces of becoming pregnnt nd Using contrception consequences of childbering pregnncy) pregnncy Clss 1B: STD/HIV Risk Activity Clss 12: Fcts About STD, Including HIV Clss 13: Risk Continuum Clss 13: Personl Risks Perception of chnces of contrcting HIV nd other prevent HIV nd other ) HIV nd other Clss 1B: Personlizing Risks Clss 12: Fcts About STD, Including HIV Clss 12: Assign Homework Clss 16: Review HIV Homework Perception of consequences of contrcting HIV nd other Reducing the Risk Logic Model 2011 ETR Assocites. All Rights Reserved. 11
14 Activities Designed to Chnge Risk & Protective Fctors Risk & Protective Fctors Tht Affect Sexul Behviors Behviors Tht Affect Helth Gols Helth Gols Clss 1A: Model Role Ply Version 2 VALUES AND ATTITUDES Attitude towrd hving unprotected sex Using contrception pregnncy) pregnncy Clss 3: Tlk to Your Prents Clss 6: Discuss Homework Clss 9: Demonstrte nd Prctice Role Ply Clss 11: Role-Ply in Smll Groups Clss 15: Sticking with Abstinence nd Protection Attitudes bout using condoms nd contrception prevent HIV nd other ) HIV nd other Activities Designed to Chnge Risk & Protective Fctors Risk & Protective Fctors Tht Affect Sexul Behviors Behviors Tht Affect Helth Gols Helth Gols Clss 10: Generting Alterntives Clss 16: Role-Ply in Smll Groups PERCEPTION OF PEER NORMS Perception of peer norms bout hving unprotected sex Using contrception pregnncy) pregnncy Clss 14: Role Plys Clss 15: Sticking with Abstinence nd Protection Perception of peer norms bout prevent HIV nd other ) using condoms nd fom HIV nd other ETR Assocites. All Rights Reserved. Reducing the Risk Logic Model
15 Activities Designed to Chnge Risk & Protective Fctors Clss 6: Hndling Crisis Situtions Clss 10: Generting Alterntives Clss 8: Condom Demonstrtion Clss 14: The Steps to Protection Clss 14: Role Plys Clss 15: Sticking with Abstinence nd Protection Clss 8: Visit or Cll Clinic Clss 11: Role-Ply in Smll Groups Clss 14: The Steps to Protection Clss 14: Role Plys Risk & Protective Fctors Tht Affect Sexul Behviors Behviors Tht Affect Helth Gols Helth Gols SKILLS Skill nd self-efficcy to recognize, void nd get out of situtions tht Using contrception might led to unprotected sex pregnncy) pregnncy Skill nd self-efficcy to obtin nd use condoms nd fom correctly prevent HIV nd other ) HIV nd other Skill nd self-efficcy to contct locl clinic nd obtin reproductive helth services there Skill nd self-efficcy to tlk with prtner bout using condoms nd fom Reducing the Risk Logic Model 2011 ETR Assocites. All Rights Reserved. 13
16 Activities Designed to Chnge Risk & Protective Fctors Risk & Protective Fctors Tht Affect Sexul Behviors Behviors Tht Affect Helth Gols Helth Gols Clss 9: Demonstrte nd Prctice Role Ply Clss 7: Shopping Informtion Homework Clss 15: Review Shopping Informtion nd Visit or Cll Clinic Homework EMOTIONS Comfort tlking bout condoms nd contrception with friends Comfort obtining condoms nd fom Using contrception pregnncy) prevent HIV nd other ) Clss 15: Sticking with Abstinence nd Protection Comfort using condom pregnncy HIV nd other Clss 8: Visit or Cll Clinic Clss 8: Alterntive to Visit or Cll Clinic Homework Clss 15: Review Shopping Informtion nd Visit or Cll Clinic Homework Comfort going to clinic offering reproductive helth services ETR Assocites. All Rights Reserved. Reducing the Risk Logic Model
17 Activities Designed to Chnge Risk & Protective Fctors Risk & Protective Fctors Tht Affect Sexul Behviors Clss 3: Tlk to Your Prents Clss 6: Discuss Homework PARENT-CHILD COMMUNICATION Prent-child communiction bout sex, condoms nd contrception Activities Designed to Chnge Risk & Protective Fctors Risk & Protective Fctors Tht Affect Sexul Behviors Clss 9: Demonstrte nd Prctice Role Ply COMMUNICATION WITH FRIENDS Communiction with friends bout contrception Behviors Tht Affect Helth Gols Using contrception pregnncy) prevent HIV nd other ) Behviors Tht Affect Helth Gols Using contrception pregnncy) prevent HIV nd other ) Helth Gols pregnncy HIV nd other Helth Gols pregnncy HIV nd other Reducing the Risk Logic Model 2011 ETR Assocites. All Rights Reserved. 15
18 Activities Designed to Chnge Risk & Protective Fctors Risk & Protective Fctors Tht Affect Sexul Behviors Clss 11: Role-Ply in Smll Groups Clss 14: The Steps to Protection Clss 14: Role Plys COMMUNICATION WITH PARTNER Communiction with prtner bout condoms nd fom Activities Designed to Chnge Risk & Protective Fctors Risk & Protective Fctors Tht Affect Sexul Behviors Clss 8: How Will You Avoid Pregnncy? Clss 8: How Is HIV Prevented? INTENTIONS Intentions to bstin or use protection Clss 14: The Steps to Protection Clss 15: Sticking with Abstinence nd Protection Intentions to use condom Behviors Tht Affect Helth Gols Using contrception pregnncy) prevent HIV nd other ) Behviors Tht Affect Helth Gols Using contrception pregnncy) prevent HIV nd other ) Helth Gols pregnncy HIV nd other Helth Gols pregnncy HIV nd other ETR Assocites. All Rights Reserved. Reducing the Risk Logic Model
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