Developing a Video Intervention to Prevent Unplanned Pregnancies and Sexually Transmitted Infections Among Older Adolescents

Health Promot Pract. 2019 Jul;20(4):593-599. doi: 10.1177/1524839918778832. Epub 2018 Jun 15.


Older adolescent African American and Latina females have disproportionately high rates of unintended pregnancies and sexually transmitted infections (STIs). This article describes the development of a new video intervention for this population, modeled on Safe in the City (SITC), an evidence-based STI prevention video. Plan A was created from 2015 to 2016, using a systematic process similar to SITC. This included forming a project team with reproductive health experts, hiring a video production company and screenwriter, conducting a clinic staff survey (n = 8), and soliciting priority population input using three focus groups (n = 41) followed by a review panel (n = 9). The expert input, clinic staff survey, focus groups, and review panel informed the content and format of Plan A. The 23-minute video includes three interconnected stories with relatable characters and two animated sequences. Topics covered include condoms, long-acting reversible contraception, emergency contraception, STI prevention and testing, and patient-provider communication. SITC provided a model to create a new entertainment-education intervention for a different audience and to address pregnancy prevention as well as STIs. Sustained priority population involvement, input from stakeholders, and a highly iterative process were vital to developing Plan A, which is currently being evaluated in a randomized controlled trial.

Keywords: child/adolescent health; sexual health; social marketing/health communication.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Black or African American / education*
  • Communication
  • Condoms
  • Contraception, Postcoital / methods
  • Female
  • Focus Groups
  • Health Education / methods*
  • Hispanic or Latino / education*
  • Humans
  • Long-Acting Reversible Contraception / methods
  • Male
  • Pregnancy
  • Pregnancy, Unplanned*
  • Professional-Patient Relations
  • Sexually Transmitted Diseases / prevention & control*
  • Videotape Recording
  • Young Adult