Delivering Adolescent Pregnancy Prevention Services to High-Risk Youth in Alternative School Settings

Publication Date: April 18, 2018
Delivering Adolescent Pregnancy Prevention Services to High-Risk Youth in Alternative School Settings Cover

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  • Published: 2018


Research Questions

  1. Did Inwood House implement Teen Choice as intended?
  2. What implementation challenges arose and how were they addressed?
  3. What was the level of youth engagement and receptiveness to the curriculum?

This brief summarizes key findings from a study of the implementation of the Teen Choice curriculum, a 12-session program that uses interactive exercises and guided discussions to deliver information to groups of 8 to 12 students on abstinence, contraception, sexually transmitted infections, and healthy relationships. With funding from a Personal Responsibility Education Program (PREP) grant, Inwood House—a nonprofit agency that developed the curriculum—implemented the program in New York City-area alternative schools for youth with emotional, behavioral, and academic challenges. The implementation study was conducted in conjunction with a rigorous impact study, in which students who agreed to take part in the study were randomly assigned to receive Teen Choice or their regular programming.


Documenting the implementation of Teen Choice will aid in interpreting findings from the study of the curriculum’s impacts on key participant outcomes.

Key Findings and Highlights

As intended, Inwood House enrolled a set of highly at-risk youth in Teen Choice, reflecting the characteristics of the students that the five schools included in the study serve. Poor session attendance was a substantial challenge for the program, despite sustained efforts to boost attendance; across all study schools, youth attended 53 percent of the Teen Choice sessions offered. Youth who did attend were generally engaged and willing to participate in group discussions.


These findings are based on data collected by the PREP implementation study team during site visits and telephone interviews conducted from summer 2014 through fall 2016. During these visits and telephone calls, the team interviewed Inwood House staff, school staff, and the state PREP coordinator; asked facilitators to complete self-administered surveys concerning their experiences with delivering the program; conducted focus group discussions with groups of participating students; and observed Teen Choice sessions.

The team analyzed the data collected during the site visits and telephone interviews, as well as service use data recorded by facilitators in program logs. The analysis also used information from self-administered baseline surveys the students completed when they enrolled in the study.

Related Documents

This brief summarizes findings from the full report on Inwood House’s implementation of Teen Choice:

Delivering Adolescent Pregnancy Prevention Services to High-Risk Youth: Implementing Teen Choice in New York


Shapiro, Rachel, Robert G. Wood, Jean Knab, and Lauren Murphy (2018). “Delivering Adolescent Pregnancy Prevention Services to High-Risk Youth in Alternative School Settings.” OPRE Brief #2018-XX. Washington, DC: Office of Planning, Research and Evaluation, Administration for Children and Families, U.S. Department of Health and Human Services.


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