Reducing the Risk - · PDF fileETR (Education, Training and Research) is a nonprofit...
18
Reducing the Risk Logic Model
Transcript of Reducing the Risk - · PDF fileETR (Education, Training and Research) is a nonprofit...
Reducing the Risk
Logic Model
ETR (Education, Training and Research) is a nonprofit organization committed to providing science-based innovative solutions in health and education designed to achieve transformative change in individuals, families and communities. We invite health professionals, educators and consumers to learn more about our high-quality programs, publications and applied research, evaluation and professional development services by contacting us at 100 Enterprise Way, Suite G300, Scotts Valley, CA 95066, 1-800-321-4407, www.etr.org.
©2011 ETR Associates. Updated 2015. All Rights Reserved.
Published by ETR 100 Enterprise Way, Suite G300 Scotts Valley, CA 95066-3248
Title No. C018
Reducing the Risk Logic Model | ©2011 ETR Associates. All Rights Reserved. | 1
Logic models are graphic depictions that show clearly and concisely the causal mechanisms through which specific interventions can affect behavior and thereby achieve a health goal. They should be based in part upon theory and thus portray the “theories of change” that underlie an intervention.
While there are many types of logic models, some logic models specify (1) the health goal to be achieved, (2) the behaviors a person needs to change to achieve a health goal, (3) the risk or protective factors that affect those behaviors, and (4) the intervention components or activities designed to change each selected risk and protective factor.
In the figures below, first is a snapshot of a logic model for Reducing the Risk. That model simply specifies all the activities, all the risk and protective factors and all the behaviors designed to affect the two health goals of Reducing the Risk. Second is a more detailed model that specifies which particular activities affect which specific risk and protective factors, which in turn affect specific behaviors that affect teen pregnancy and sexually transmitted diseases.
These models can:
♦ Provide a clear rationale for each program activity by specifying the risk and protective factors each activity is designed to change. These rationales can help curriculum implementers understand the importance of each activity.
♦ Serve as a map to guide adaptations so that changes or additions are consistent with the logic and factors presented in the model.
♦ Specify the risk and protective factors and behaviors that should be measured in an impact evaluation.
Reducing the Risk
Logic Model
2 | ©2011 ETR Associates. All Rights Reserved. | Reducing the Risk Logic Model
Redu
cing
the
Ris
k Lo
gic
Mod
el: S
naps
hot
RTR
Inte
rven
tion
Clas
ses
Des
igne
d to
Cha
nge
R
isk
& P
rote
ctiv
e Fa
ctor
sa
Ris
k &
Pro
tect
ive
Fact
ors
Affe
ctin
g Se
xual
B
ehav
iors
Add
ress
ed in
RTR
aSe
xual
Beh
avio
rs
Dire
ctly
Aff
ectin
g
RTR’s
Hea
lth G
oala
RTR’s
H
ealth
Goa
l
PAR
ENT-
CHIL
D C
OM
MU
NIC
ATIO
NCl
ass
1A: A
bstin
ence
, Sex
and
Pro
tect
ion:
Pr
egna
ncy
Prev
entio
n Em
phas
is
Clas
s 1B
: Abs
tinen
ce, S
ex a
nd P
rote
ctio
n: H
IV
Prev
entio
n Em
phas
isCl
ass
2: A
bstin
ence
: Not
Hav
ing
Sex
Clas
s 3:
Ref
usal
sCl
ass
4: U
sing
Ref
usal
Ski
llsCl
ass
5: D
elay
Tac
tics
Clas
s 6:
Avo
idin
g H
igh-
Risk
Situ
atio
ns
Clas
s 7:
Get
ting
and
Usin
g Pr
otec
tion—
I Cl
ass
8: G
ettin
g an
d Us
ing
Prot
ectio
n—II
Clas
s 9:
Kno
win
g an
d Ta
lkin
g Ab
out P
rote
ctio
n:
Skill
s In
tegr
atio
n—I
Clas
s 10
: Ski
lls In
tegr
atio
n—II
Clas
s 11
: Ski
lls In
tegr
atio
n—III
Cl
ass
12: P
reve
ntin
g H
IV a
nd O
ther
STD
Cl
ass
13: H
IV R
isk
Beha
vior
sCl
ass
14: I
mpl
emen
ting
Prot
ectio
n fro
m S
TD a
nd
Preg
nanc
y Cl
ass
15: S
ticki
ng w
ith A
bstin
ence
and
Pro
tect
ion
Clas
s 16
: Ski
lls In
tegr
atio
n—IV
a
KNOW
LEDG
E/AW
AREN
ESS
of:
•
Situ
atio
ns th
at le
ad to
unp
rote
cted
sex
, pre
gnan
cy a
nd H
IV o
r ot
her S
TD
•
Cons
eque
nces
of h
avin
g se
x•
Pr
egna
ncy
inci
denc
e, ri
sk a
nd p
reve
ntio
n•
H
IV ri
sks,
tran
smis
sion
, con
sequ
ence
s•
ST
D p
reve
ntio
n, tr
ansm
issi
on, t
reat
men
t•
Ab
stin
ence
•
Met
hods
of p
rote
ctio
n•
Su
cces
sful
rela
tions
hips
•
Pe
rson
al c
halle
nges
to a
bsta
inin
g•
Re
fusa
ls a
nd d
elay
tact
ics
•
Pare
ntal
val
ues
abou
t sex
and
con
trace
ptio
nPE
RCE
PTIO
N O
F R
ISK
of:
•
Preg
nanc
y•
H
IV•
Be
ing
in a
risk
y si
tuat
ion
VALU
ES a
bout
:•
Se
xual
act
ivity
•
Unpr
otec
ted
sex
•
Prot
ectio
nAT
TITU
DES
abo
ut:
•
Abst
inen
ce•
H
avin
g se
x•
Us
ing
prot
ectio
n •
H
IV•
Pr
egna
ncy
SOCI
AL/P
EER
NO
RM
S ar
ound
:•
Se
x an
d ab
stin
ence
•
Cond
om u
seSK
ILL
AND
SEL
F-EF
FICA
CY to
:•
Re
cogn
ize,
avo
id o
r get
out
of s
ituat
ions
that
mig
ht le
ad to
sex
•
Say
no to
sex
or u
npro
tect
ed s
ex
•
Talk
with
par
tner
abo
ut s
ex a
nd p
rote
ctio
nEM
OTI
ON
S ab
out:
•
Talk
ing
abou
t and
obt
aini
ng p
rote
ctio
nIN
TEN
TIO
NS
to:
•
Use
refu
sal/
dela
y ta
ctic
s •
Be
abs
tinen
t•
Us
e co
ndom
s an
d/or
con
trace
ptio
n•
Av
oid
preg
nanc
y•
Av
oid
HIV
and
oth
er S
TDPA
REN
T-CH
ILD
CO
MM
UN
ICAT
ION
abo
ut:
•
Sexu
al a
ctiv
ity a
nd p
rote
ctio
n
a
Redu
ce th
e on
set o
f se
xual
inte
rcou
rse
Incr
ease
use
of c
on-
dom
s an
d co
ntra
cept
ion
a
To p
reve
nt te
en
preg
nanc
y
To p
reve
nt H
IV
and
othe
r STD
s
Reducing the Risk Logic Model | ©2011 ETR Associates. All Rights Reserved. | 3
Redu
cing
the
Ris
k Lo
gic
Mod
el: D
etai
led
Vers
ion
Activ
ities
Des
igne
d to
Cha
nge
R
isk
& P
rote
ctiv
e Fa
ctor
sa
Ris
k &
Pro
tect
ive
Fact
ors
That
Af
fect
Sex
ual B
ehav
iors
aB
ehav
iors
Tha
t Af
fect
Hea
lth
Goa
lsa
Hea
lth
Goa
ls
KN
OW
LED
GE
Clas
s 1A
: Mod
el R
ole
Play
, Ver
sion
1
Clas
s 1B
: Mod
el R
ole
Play
, Ver
sion
1Cl
ass
3: In
trodu
ce R
efus
als
Clas
s 3:
Dem
onst
rate
Rol
e Pl
ays
Clas
s 4:
Dem
onst
rate
Rol
e Pl
ayCl
ass
4: R
ole-
Play
in S
mal
l Gro
ups
Clas
s 5:
Dem
onst
rate
and
Pra
ctic
e Ro
le P
lay
Clas
s 5:
Qui
z an
d Sk
ills
Revi
ewCl
ass
6: S
igns
of S
ex a
nd C
autio
n M
ini-L
ectu
reCl
ass
6: H
andl
ing
Cris
is S
ituat
ions
Clas
s 10
: Gen
erat
ing
Alte
rnat
ives
Clas
s 10
: Rol
e-Pl
ay in
Sm
all G
roup
s
a
Awar
enes
s of
situ
atio
ns th
at le
ad to
un
prot
ecte
d se
x, p
regn
ancy
and
HIV
or
othe
r STD
s
a
Abst
aini
ng fr
om
sexu
al in
terc
ours
e (b
y ei
ther
del
ayin
g se
x or
retu
rnin
g to
ab
stin
ence
)
a
Prev
entin
g un
inte
nded
pr
egna
ncy
Prev
entin
g H
IV a
nd o
ther
ST
Ds
Clas
s 12
: Fac
ts A
bout
STD
, Inc
ludi
ng H
IVa
Know
ledg
e of
STD
, inc
ludi
ng H
IVa
aCl
ass
2: R
easo
ns T
hat M
any
Teen
s D
on’t
Hav
e Se
xa
Know
ledg
e of
neg
ativ
e co
nseq
uenc
es
of h
avin
g se
xa
aCl
ass
8: H
ow Is
HIV
Pre
vent
ed?
Cl
ass
12: F
acts
Abo
ut S
TD, I
nclu
ding
HIV
aKn
owle
dge
of n
egat
ive
cons
eque
nces
of
hav
ing
sex
aa
Clas
s 2:
Rea
sons
Tha
t Man
y Te
ens
Don
’t H
ave
Sex
aAw
aren
ess
of p
erso
nal c
halle
nges
to
abst
aini
nga
a
Clas
s 6:
Dis
cuss
Hom
ewor
k
Clas
s 3:
Tal
k to
You
r Par
ents
aUn
ders
tand
ing
of p
aren
tal v
alue
s ab
out h
avin
g se
x an
d us
ing
prot
ectio
na
a
4 | ©2011 ETR Associates. All Rights Reserved. | Reducing the Risk Logic Model
Activ
ities
Des
igne
d to
Cha
nge
R
isk
& P
rote
ctiv
e Fa
ctor
sa
Ris
k &
Pro
tect
ive
Fact
ors
That
Af
fect
Sex
ual B
ehav
iors
aB
ehav
iors
Tha
t Af
fect
Hea
lth
Goa
lsa
Hea
lth
Goa
ls
PER
CEPT
ION
S O
F R
ISK
Clas
s 1A
: Pre
gnan
cy R
isk
Activ
ity
aPe
rcep
tion
of c
hanc
es o
f be
com
ing
preg
nant
and
co
nseq
uenc
es o
f chi
ldbe
arin
ga
Abst
aini
ng fr
om
sexu
al in
terc
ours
e (b
y ei
ther
del
ayin
g se
x or
retu
rnin
g to
ab
stin
ence
)
aPr
even
ting
unin
tend
ed
preg
nanc
y
Prev
entin
g H
IV a
nd o
ther
ST
Ds
Clas
s 1B
: HIV
Ris
k Ac
tivity
Clas
s 12
: Fac
ts A
bout
STD
, Inc
ludi
ng H
IV
Clas
s 13
: Ris
k Co
ntin
uum
Clas
s 13
: Per
sona
l Ris
ks
aPe
rcep
tion
of c
hanc
es o
f con
tract
ing
HIV
and
oth
er S
TDs
aa
Clas
s 1B
: Per
sona
lizin
g Ri
sks
Clas
s 12
: Fac
ts A
bout
STD
, Inc
ludi
ng H
IV
Clas
s 12
: Ass
ign
Hom
ewor
k
Clas
s 16
: Rev
iew
HIV
Hom
ewor
k
a
Perc
eptio
n of
con
sequ
ence
s of
co
ntra
ctin
g H
IV a
nd o
ther
STD
s
aa
Reducing the Risk Logic Model | ©2011 ETR Associates. All Rights Reserved. | 5
Activ
ities
Des
igne
d to
Cha
nge
R
isk
& P
rote
ctiv
e Fa
ctor
sa
Ris
k &
Pro
tect
ive
Fact
ors
That
Af
fect
Sex
ual B
ehav
iors
aB
ehav
iors
Tha
t Af
fect
Hea
lth
Goa
lsa
Hea
lth
Goa
ls
VALU
ES A
ND
ATT
ITU
DES
Clas
s 2:
Rea
sons
Tha
t Man
y Te
ens
Don
’t H
ave
Sex
Clas
s 3:
Tal
k to
You
r Par
ents
Clas
s 6:
Dis
cuss
Hom
ewor
k Cl
ass
11: M
y Ki
d Si
ster
Clas
s 15
: Stic
king
with
Abs
tinen
ce a
nd P
rote
ctio
nCl
ass
16: C
hris
and
Pat
a
Valu
es/a
ttitu
des
tow
ard
havi
ng s
ex
vers
us a
bsta
inin
g (re
ason
s no
t to
have
sex
)a
Abst
aini
ng fr
om
sexu
al in
terc
ours
e (b
y ei
ther
del
ayin
g se
x or
retu
rnin
g to
ab
stin
ence
)a
Prev
entin
g un
inte
nded
pr
egna
ncy
Prev
entin
g H
IV a
nd o
ther
ST
Ds
Clas
s 1A
: Mod
el R
ole
Play
Ver
sion
2a
Attit
ude
tow
ard
havi
ng u
npro
tect
ed
sex
aa
Clas
s 3:
Tal
k to
You
r Par
ents
Clas
s 6:
Dis
cuss
Hom
ewor
ka
Valu
es a
bout
usi
ng p
rote
ctio
na
a
6 | ©2011 ETR Associates. All Rights Reserved. | Reducing the Risk Logic Model
Activ
ities
Des
igne
d to
Cha
nge
R
isk
& P
rote
ctiv
e Fa
ctor
sa
Ris
k &
Pro
tect
ive
Fact
ors
That
Af
fect
Sex
ual B
ehav
iors
aB
ehav
iors
Tha
t Af
fect
Hea
lth
Goa
lsa
Hea
lth
Goa
ls
PER
CEPT
ION
OF
PEER
NO
RM
SCl
ass
2: F
acts
Abo
ut A
bstin
ence
Clas
s 2:
Rea
sons
Tha
t Man
y Te
ens
Don
’t H
ave
Sex
Clas
s 3:
Dem
onst
rate
Rol
e Pl
ays
Clas
s 4:
Diffi
cult
Refu
sals
Clas
s 4:
Dem
onst
rate
Rol
e Pl
ay
Clas
s 4:
Rol
e-Pl
ay in
Sm
all G
roup
s
Clas
s 5:
Dem
onst
rate
and
Pra
ctic
e Ro
le P
lay
Clas
s 5:
Qui
z an
d Sk
ills
Revi
ew
Clas
s 6:
Han
dlin
g Cr
isis
Situ
atio
ns
Clas
s 10
: Gen
erat
ing
Alte
rnat
ives
Clas
s 10
: Rol
e-Pl
ay in
Sm
all G
roup
s
Clas
s 11
: My
Kid
Sist
er
Clas
s 15
: Stic
king
with
Abs
tinen
ce a
nd P
rote
ctio
n
a
Perc
eptio
n of
pee
r nor
ms
abou
t ha
ving
sex
(ver
sus
abst
aini
ng)
a
Abst
aini
ng fr
om
sexu
al in
terc
ours
e (b
y ei
ther
del
ayin
g se
x or
retu
rnin
g to
ab
stin
ence
)
a
Prev
entin
g un
inte
nded
pr
egna
ncy
Prev
entin
g H
IV a
nd o
ther
ST
Ds
Clas
s 16
: Rol
e-Pl
ay in
Sm
all G
roup
sa
Perc
eptio
n of
pee
r nor
ms
abou
t ha
ving
unp
rote
cted
sex
aa
Reducing the Risk Logic Model | ©2011 ETR Associates. All Rights Reserved. | 7
Activ
ities
Des
igne
d to
Cha
nge
R
isk
& P
rote
ctiv
e Fa
ctor
sa
Ris
k &
Pro
tect
ive
Fact
ors
That
Af
fect
Sex
ual B
ehav
iors
aB
ehav
iors
Tha
t Af
fect
Hea
lth
Goa
lsa
Hea
lth
Goa
ls
SKIL
LSCl
ass
1B: M
odel
Rol
e Pl
ay V
ersi
on 2
Cl
ass
2: C
omm
unic
atin
g Ab
out A
bstin
ence
Clas
s 3:
Intro
duce
Ref
usal
sCl
ass
3: D
emon
stra
te R
ole
Play
sCl
ass
4: R
efus
als
Quiz
Clas
s 4:
Diffi
cult
Refu
sals
Clas
s 4:
Dem
onst
rate
Rol
e Pl
ayCl
ass
4: R
ole-
Play
in S
mal
l Gro
ups
Clas
s 5:
Rev
iew
Cla
ss 4
Clas
s 5:
Intro
duce
Del
ay T
actic
sCl
ass
5: D
emon
stra
te a
nd P
ract
ice
Role
Pla
yCl
ass
5: Q
uiz
and
Skill
s Re
view
Clas
s 10
: Rev
iew
Ref
usal
sCl
ass
10: R
ole-
Play
in S
mal
l Gro
ups
Clas
s 11
: My
Kid
Sist
erCl
ass
16: C
hris
and
Pat
Clas
s 16
: Rol
e-Pl
ay in
Sm
all G
roup
s
a
Skill
and
sel
f-effi
cacy
to s
ay n
o to
sex
or
unp
rote
cted
sex
or t
o av
oid
havi
ng
sex
a
Abst
aini
ng fr
om
sexu
al in
terc
ours
e (b
y ei
ther
del
ayin
g se
x or
retu
rnin
g to
ab
stin
ence
)
a
Prev
entin
g un
inte
nded
pr
egna
ncy
Prev
entin
g H
IV a
nd o
ther
ST
Ds
Clas
s 6:
Sig
ns o
f Sex
and
Cau
tion
Min
i-Lec
ture
Clas
s 6:
Han
dlin
g Cr
isis
Situ
atio
ns
Clas
s 10
: Gen
erat
ing
Alte
rnat
ives
Clas
s 15
: Stic
king
with
Abs
tinen
ce a
nd P
rote
ctio
na
Skill
and
sel
f-effi
cacy
to re
cogn
ize,
av
oid
or g
et o
ut o
f situ
atio
ns th
at
mig
ht le
ad to
sex
aa
8 | ©2011 ETR Associates. All Rights Reserved. | Reducing the Risk Logic Model
Activ
ities
Des
igne
d to
Cha
nge
R
isk
& P
rote
ctiv
e Fa
ctor
sa
Ris
k &
Pro
tect
ive
Fact
ors
That
Af
fect
Sex
ual B
ehav
iors
aB
ehav
iors
Tha
t Af
fect
Hea
lth
Goa
lsa
Hea
lth
Goa
ls
PAR
ENT-
CHIL
D C
OM
MU
NIC
ATIO
NCl
ass
3: T
alk
to Y
our P
aren
tsCl
ass
6: D
iscu
ss H
omew
ork
a
Incr
ease
par
ent/
child
co
mm
unic
atio
n ab
out s
ex,
cond
oms
and
cont
race
ptio
n
a
Abst
aini
ng fr
om
sexu
al in
terc
ours
e (b
y ei
ther
del
ayin
g se
x or
retu
rnin
g to
ab
stin
ence
)a
Prev
entin
g un
inte
nded
pr
egna
ncy
Prev
entin
g H
IV a
nd o
ther
ST
Ds
Activ
ities
Des
igne
d to
Cha
nge
R
isk
& P
rote
ctiv
e Fa
ctor
sa
Ris
k &
Pro
tect
ive
Fact
ors
That
Af
fect
Sex
ual B
ehav
iors
aB
ehav
iors
Tha
t Af
fect
Hea
lth
Goa
lsa
Hea
lth
Goa
ls
INTE
NTI
ON
SCl
ass
15: S
ticki
ng w
ith A
bstin
ence
and
Pro
tect
ion
a
Inte
ntio
ns to
be
abst
inen
t
a
Abst
aini
ng fr
om
sexu
al in
terc
ours
e (b
y ei
ther
del
ayin
g se
x or
retu
rnin
g to
ab
stin
ence
)a
Prev
entin
g un
inte
nded
pr
egna
ncy
Prev
entin
g H
IV a
nd o
ther
ST
Ds
Reducing the Risk Logic Model | ©2011 ETR Associates. All Rights Reserved. | 9
Activ
ities
Des
igne
d to
Cha
nge
R
isk
& P
rote
ctiv
e Fa
ctor
sa
Ris
k &
Pro
tect
ive
Fact
ors
That
Af
fect
Sex
ual B
ehav
iors
aB
ehav
iors
Tha
t Af
fect
Hea
lth
Goa
lsa
Hea
lth
Goa
ls
KN
OW
LED
GE
Clas
s 12
: Fac
ts A
bout
STD
, Inc
ludi
ng H
IVa
Know
ledg
e of
STD
, inc
ludi
ng H
IVa
Usin
g
cont
race
ptio
n (to
pr
even
t pre
gnan
cy)
Usin
g co
ndom
s (to
pr
even
t HIV
and
ot
her S
TDs)
aPr
even
ting
unin
tend
ed
preg
nanc
y
Prev
entin
g H
IV a
nd o
ther
ST
Ds
Clas
s 2:
Rea
sons
Tha
t Man
y Te
ens
Don
’t H
ave
Sex
aKn
owle
dge
of n
egat
ive
co
nseq
uenc
es o
f hav
ing
sex
aa
Clas
s 1A
: Mod
el R
ole
Play
, Ver
sion
1
Clas
s 1B
: Mod
el R
ole
Play
, Ver
sion
1
Clas
s 6:
Sig
ns o
f Sex
and
Cau
tion
Min
i-Lec
ture
Clas
s 6:
Han
dlin
g Cr
isis
Situ
atio
ns
Clas
s 10
: Gen
erat
ing
Alte
rnat
ives
a
Awar
enes
s of
situ
atio
ns th
at le
ad to
un
prot
ecte
d se
x, p
regn
ancy
and
HIV
or
oth
er S
TDs
aa
Clas
s 6:
Pro
tect
ion:
Myt
hs a
nd T
ruth
s, R
ound
1
Clas
s 7:
Sho
ppin
g In
form
atio
n H
omew
ork
Clas
s 8:
Con
dom
Dem
onst
ratio
n
Clas
s 8:
How
Is S
TD/H
IV P
reve
nted
?
Clas
s 9:
Pro
tect
ion:
Myt
hs a
nd T
ruth
s, R
ound
2
Clas
s 9:
Dem
onst
rate
and
Pra
ctic
e Ro
le P
lay
Clas
s 12
: Fac
ts A
bout
STD
, Inc
ludi
ng H
IV
Clas
s 15
: Rev
iew
“Sh
oppi
ng In
form
atio
n” a
nd “
Visi
t or
Call
a Cl
inic
” H
omew
ork
a
Know
ledg
e of
met
hods
to p
rote
ct
agai
nst c
ontra
ctin
g H
IV a
nd o
ther
ST
Ds,
incl
udin
g ab
stai
ning
, life
long
m
utua
lly m
onog
amou
s pa
rtne
r and
co
ndom
s (h
ow th
ey w
ork,
whe
re to
ob
tain
them
and
how
to u
se th
em)
aa
Clas
s 7:
Way
s to
Pre
vent
Pre
gnan
cy—
Lect
ure
Clas
s 8:
Vis
it or
Cal
l a C
linic
Clas
s 9:
Pro
tect
ion:
Myt
hs a
nd T
ruth
s, R
ound
2
Clas
s 9:
Dem
onst
rate
and
Pra
ctic
e Ro
le P
lay
Clas
s 15
: Rev
iew
“Sh
oppi
ng In
form
atio
n” a
nd “
Visi
t or
Call
a Cl
inic
” H
omew
ork
a
Know
ledg
e of
met
hods
of
cont
race
ptio
n, lo
cal c
linic
s an
d th
eir
repr
oduc
tive
heal
th s
ervi
ces
aa
10 | ©2011 ETR Associates. All Rights Reserved. | Reducing the Risk Logic Model
Activ
ities
Des
igne
d to
Cha
nge
R
isk
& P
rote
ctiv
e Fa
ctor
sa
Ris
k &
Pro
tect
ive
Fact
ors
That
Af
fect
Sex
ual B
ehav
iors
aB
ehav
iors
Tha
t Af
fect
Hea
lth
Goa
lsa
Hea
lth
Goa
ls
KN
OW
LED
GE
con
tinu
edCl
ass
12: F
acts
Abo
ut S
TD, I
nclu
ding
HIV
aKn
owle
dge
of S
TD te
stin
g an
d
treat
men
ta
Usin
g co
ntra
cep-
tion
(to p
reve
nt
preg
nanc
y)
Usin
g co
ndom
s (to
pr
even
t HIV
and
ot
her S
TDs)
aPr
even
ting
unin
tend
ed
preg
nanc
y
Prev
entin
g H
IV a
nd o
ther
ST
Ds
Clas
s 3:
Tal
k to
You
r Par
ents
Clas
s 6:
Dis
cuss
Hom
ewor
k
a
Unde
rsta
ndin
g of
par
enta
l val
ues
abou
t hav
ing
sex
and
usin
g
prot
ectio
na
a
Reducing the Risk Logic Model | ©2011 ETR Associates. All Rights Reserved. | 11
Activ
ities
Des
igne
d to
Cha
nge
R
isk
& P
rote
ctiv
e Fa
ctor
sa
Ris
k &
Pro
tect
ive
Fact
ors
That
Af
fect
Sex
ual B
ehav
iors
aB
ehav
iors
Tha
t Af
fect
Hea
lth
Goa
lsa
Hea
lth
Goa
ls
PER
CEPT
ION
S O
F R
ISK
Clas
s 1A
: Pre
gnan
cy R
isk
Activ
ity, P
arts
1 a
nd 2
aPe
rcep
tion
of c
hanc
es o
f be
com
ing
preg
nant
and
co
nseq
uenc
es o
f chi
ldbe
arin
ga
Usin
g c
ontra
cep-
tion
(to p
reve
nt
preg
nanc
y)
Usin
g co
ndom
s (to
pr
even
t HIV
and
ot
her S
TDs)
aPr
even
ting
unin
tend
ed
preg
nanc
y
Prev
entin
g H
IV a
nd o
ther
ST
Ds
Clas
s 1B
: STD
/HIV
Ris
k Ac
tivity
Clas
s 12
: Fac
ts A
bout
STD
, Inc
ludi
ng H
IV
Clas
s 13
: Ris
k Co
ntin
uum
Clas
s 13
: Per
sona
l Ris
ksa
Perc
eptio
n of
cha
nces
of c
ontra
ctin
g H
IV a
nd o
ther
STD
s
aa
Clas
s 1B
: Per
sona
lizin
g Ri
sks
Clas
s 12
: Fac
ts A
bout
STD
, Inc
ludi
ng H
IV
Clas
s 12
: Ass
ign
Hom
ewor
k
Clas
s 16
: Rev
iew
HIV
Hom
ewor
k
a
Perc
eptio
n of
con
sequ
ence
s of
co
ntra
ctin
g H
IV a
nd o
ther
STD
s
aa
12 | ©2011 ETR Associates. All Rights Reserved. | Reducing the Risk Logic Model
Activ
ities
Des
igne
d to
Cha
nge
R
isk
& P
rote
ctiv
e Fa
ctor
sa
Ris
k &
Pro
tect
ive
Fact
ors
That
Af
fect
Sex
ual B
ehav
iors
aB
ehav
iors
Tha
t Af
fect
Hea
lth
Goa
lsa
Hea
lth
Goa
ls
VALU
ES A
ND
ATT
ITU
DES
Clas
s 1A
: Mod
el R
ole
Play
Ver
sion
2a
Attit
ude
tow
ard
havi
ng u
npro
tect
ed
sex
aUs
ing
cont
race
p-tio
n (to
pre
vent
pr
egna
ncy)
Usin
g co
ndom
s (to
pr
even
t HIV
and
ot
her S
TDs)
aPr
even
ting
unin
tend
ed
preg
nanc
y
Prev
entin
g H
IV a
nd o
ther
ST
Ds
Clas
s 3:
Tal
k to
You
r Par
ents
Clas
s 6:
Dis
cuss
Hom
ewor
k
Clas
s 9:
Dem
onst
rate
and
Pra
ctic
e Ro
le P
lay
Clas
s 11
: Rol
e-Pl
ay in
Sm
all G
roup
s
Clas
s 15
: Stic
king
with
Abs
tinen
ce a
nd P
rote
ctio
n
a
Attit
udes
abo
ut u
sing
con
dom
s an
d co
ntra
cept
ion
aa
Activ
ities
Des
igne
d to
Cha
nge
R
isk
& P
rote
ctiv
e Fa
ctor
sa
Ris
k &
Pro
tect
ive
Fact
ors
That
Af
fect
Sex
ual B
ehav
iors
aB
ehav
iors
Tha
t Af
fect
Hea
lth
Goa
lsa
Hea
lth
Goa
ls
PER
CEPT
ION
OF
PEER
NO
RM
SCl
ass
10: G
ener
atin
g Al
tern
ativ
es
Clas
s 16
: Rol
e-Pl
ay in
Sm
all G
roup
sa
Perc
eptio
n of
pee
r nor
ms
abou
t ha
ving
unp
rote
cted
sex
aUs
ing
cont
race
p-tio
n (to
pre
vent
pr
egna
ncy)
Usin
g co
ndom
s (to
pr
even
t HIV
and
ot
her S
TDs)
aPr
even
ting
unin
tend
ed
preg
nanc
y
Prev
entin
g H
IV a
nd o
ther
ST
Ds
Clas
s 14
: Rol
e Pl
ays
Clas
s 15
: Stic
king
with
Abs
tinen
ce a
nd P
rote
ctio
na
Perc
eptio
n of
pee
r nor
ms
abou
t us
ing
cond
oms
and
foam
aa
Reducing the Risk Logic Model | ©2011 ETR Associates. All Rights Reserved. | 13
Activ
ities
Des
igne
d to
Cha
nge
R
isk
& P
rote
ctiv
e Fa
ctor
sa
Ris
k &
Pro
tect
ive
Fact
ors
That
Af
fect
Sex
ual B
ehav
iors
aB
ehav
iors
Tha
t Af
fect
Hea
lth
Goa
lsa
Hea
lth
Goa
ls
SKIL
LSCl
ass
6: H
andl
ing
Cris
is S
ituat
ions
Clas
s 10
: Gen
erat
ing
Alte
rnat
ives
aSk
ill a
nd s
elf-e
ffica
cy to
reco
gniz
e,
avoi
d an
d ge
t out
of s
ituat
ions
that
m
ight
lead
to u
npro
tect
ed s
exa
Usin
g co
ntra
cep-
tion
(to p
reve
nt
preg
nanc
y)
Usin
g co
ndom
s (to
pr
even
t HIV
and
ot
her S
TDs)
aPr
even
ting
unin
tend
ed
preg
nanc
y
Prev
entin
g H
IV a
nd o
ther
ST
Ds
Clas
s 8:
Con
dom
Dem
onst
ratio
n
Clas
s 14
: The
Ste
ps to
Pro
tect
ion
Clas
s 14
: Rol
e Pl
ays
Clas
s 15
: Stic
king
with
Abs
tinen
ce a
nd P
rote
ctio
na
Skill
and
sel
f-effi
cacy
to o
btai
n an
d us
e co
ndom
s an
d fo
am c
orre
ctly
aa
Clas
s 8:
Vis
it or
Cal
l a C
linic
aSk
ill a
nd s
elf-e
ffica
cy to
con
tact
a
loca
l clin
ic a
nd o
btai
n re
prod
uctiv
e he
alth
ser
vice
s th
ere
aa
Clas
s 11
: Rol
e-Pl
ay in
Sm
all G
roup
s
Clas
s 14
: The
Ste
ps to
Pro
tect
ion
Clas
s 14
: Rol
e Pl
ays
aSk
ill a
nd s
elf-e
ffica
cy to
talk
with
pa
rtne
r abo
ut u
sing
con
dom
s an
d fo
ama
a
14 | ©2011 ETR Associates. All Rights Reserved. | Reducing the Risk Logic Model
Activ
ities
Des
igne
d to
Cha
nge
R
isk
& P
rote
ctiv
e Fa
ctor
sa
Ris
k &
Pro
tect
ive
Fact
ors
That
Af
fect
Sex
ual B
ehav
iors
aB
ehav
iors
Tha
t Af
fect
Hea
lth
Goa
lsa
Hea
lth
Goa
ls
EMO
TIO
NS
Clas
s 9:
Dem
onst
rate
and
Pra
ctic
e Ro
le P
lay
aCo
mfo
rt ta
lkin
g ab
out c
ondo
ms
and
cont
race
ptio
n w
ith fr
iend
sa
Usin
g co
ntra
cep-
tion
(to p
reve
nt
preg
nanc
y)
Usin
g co
ndom
s (to
pr
even
t HIV
and
ot
her S
TDs)
aPr
even
ting
unin
tend
ed
preg
nanc
y
Prev
entin
g H
IV a
nd o
ther
ST
Ds
Clas
s 7:
Sho
ppin
g In
form
atio
n H
omew
ork
Clas
s 15
: Rev
iew
“Sh
oppi
ng In
form
atio
n” a
nd “
Visi
t or
Call
a Cl
inic
” H
omew
ork
aCo
mfo
rt o
btai
ning
con
dom
s an
d fo
ama
a
Clas
s 15
: Stic
king
with
Abs
tinen
ce a
nd P
rote
ctio
na
Com
fort
usi
ng a
con
dom
aa
Clas
s 8:
Vis
it or
Cal
l a C
linic
Clas
s 8:
Alte
rnat
ive
to “
Visi
t or C
all a
Clin
ic”
Hom
ewor
k
Clas
s 15
: Rev
iew
“Sh
oppi
ng In
form
atio
n” a
nd “
Visi
t or
Call
a Cl
inic
” H
omew
ork
a
Com
fort
goi
ng to
a c
linic
offe
ring
repr
oduc
tive
heal
th s
ervi
ces
aa
Reducing the Risk Logic Model | ©2011 ETR Associates. All Rights Reserved. | 15
Activ
ities
Des
igne
d to
Cha
nge
R
isk
& P
rote
ctiv
e Fa
ctor
sa
Ris
k &
Pro
tect
ive
Fact
ors
That
Af
fect
Sex
ual B
ehav
iors
aB
ehav
iors
Tha
t Af
fect
Hea
lth
Goa
lsa
Hea
lth
Goa
ls
PAR
ENT-
CHIL
D C
OM
MU
NIC
ATIO
NCl
ass
3: T
alk
to Y
our P
aren
tsCl
ass
6: D
iscu
ss H
omew
ork
a
Pare
nt-c
hild
com
mun
icat
ion
abou
t se
x, c
ondo
ms
and
cont
race
ptio
n
a
Usin
g co
ntra
cep-
tion
(to p
reve
nt
preg
nanc
y)
Usin
g co
ndom
s (to
pr
even
t HIV
and
ot
her S
TDs)
a
Prev
entin
g un
inte
nded
pr
egna
ncy
Prev
entin
g H
IV a
nd o
ther
ST
Ds
Activ
ities
Des
igne
d to
Cha
nge
R
isk
& P
rote
ctiv
e Fa
ctor
sa
Ris
k &
Pro
tect
ive
Fact
ors
That
Af
fect
Sex
ual B
ehav
iors
aB
ehav
iors
Tha
t Af
fect
Hea
lth
Goa
lsa
Hea
lth
Goa
ls
COM
MU
NIC
ATIO
N W
ITH
FR
IEN
DS
Clas
s 9:
Dem
onst
rate
and
Pra
ctic
e Ro
le P
lay
a
Com
mun
icat
ion
with
frie
nds
abou
t co
ntra
cept
ion
a
Usin
g co
ntra
cep-
tion
(to p
reve
nt
preg
nanc
y)
Usin
g co
ndom
s (to
pr
even
t HIV
and
ot
her S
TDs)
a
Prev
entin
g un
inte
nded
pr
egna
ncy
Prev
entin
g H
IV a
nd o
ther
ST
Ds
16 | ©2011 ETR Associates. All Rights Reserved. | Reducing the Risk Logic Model
Activ
ities
Des
igne
d to
Cha
nge
R
isk
& P
rote
ctiv
e Fa
ctor
sa
Ris
k &
Pro
tect
ive
Fact
ors
That
Af
fect
Sex
ual B
ehav
iors
aB
ehav
iors
Tha
t Af
fect
Hea
lth
Goa
lsa
Hea
lth
Goa
ls
COM
MU
NIC
ATIO
N W
ITH
PAR
TNER
Clas
s 11
: Rol
e-Pl
ay in
Sm
all G
roup
sCl
ass
14: T
he S
teps
to P
rote
ctio
nCl
ass
14: R
ole
Play
s
a
Com
mun
icat
ion
with
par
tner
abo
ut
cond
oms
and
foam
a
Usin
g co
ntra
cep-
tion
(to p
reve
nt
preg
nanc
y)
Usin
g co
ndom
s (to
pr
even
t HIV
and
ot
her S
TDs)
a
Prev
entin
g un
inte
nded
pr
egna
ncy
Prev
entin
g H
IV a
nd o
ther
ST
Ds
Activ
ities
Des
igne
d to
Cha
nge
R
isk
& P
rote
ctiv
e Fa
ctor
sa
Ris
k &
Pro
tect
ive
Fact
ors
That
Af
fect
Sex
ual B
ehav
iors
aB
ehav
iors
Tha
t Af
fect
Hea
lth
Goa
lsa
Hea
lth
Goa
ls
INTE
NTI
ON
SCl
ass
8: H
ow W
ill Y
ou A
void
Pre
gnan
cy?
Clas
s 8:
How
Is H
IV P
reve
nted
?a
Inte
ntio
ns to
abs
tain
or u
se
prot
ectio
na
Usin
g co
ntra
cep-
tion
(to p
reve
nt
preg
nanc
y)
Usin
g co
ndom
s (to
pr
even
t HIV
and
ot
her S
TDs)
aPr
even
ting
unin
tend
ed
preg
nanc
y
Prev
entin
g H
IV a
nd o
ther
ST
Ds
Clas
s 14
: The
Ste
ps to
Pro
tect
ion
Clas
s 15
: Stic
king
with
Abs
tinen
ce a
nd P
rote
ctio
na
Inte
ntio
ns to
use
a c
ondo
m
aa
