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Area of Science:

  • Public Health
  • Adolescent Health
  • Sexual Health Education

Background:

  • Affirmative sexual consent education is critical for violence prevention and health promotion among adolescents.
  • Existing consent education for adolescents is often inadequate, highlighting a significant gap in public health initiatives.
  • Understanding and practicing affirmative consent are essential skills for healthy sexual development.

Purpose of the Study:

  • To evaluate the acceptability and preliminary efficacy of a brief online program, Promoting Affirmative Consent among Teens (PACT).
  • To assess PACT's impact on adolescents' knowledge, attitudes, and self-efficacy regarding affirmative sexual consent.
  • To examine the long-term effects of the PACT program on consent knowledge at 3-month follow-up.

Main Methods:

  • A randomized controlled trial involving 833 U.S. adolescents (ages 14-16) was conducted.
  • Participants were assigned to either the PACT online program or a control program.
  • Data were collected at baseline, immediate posttest, and 3-month follow-up to measure consent cognitions.

Main Results:

  • The PACT program was generally found to be acceptable among adolescent participants.
  • PACT demonstrated efficacy in improving knowledge, attitudes, and self-efficacy related to affirmative consent immediately post-intervention.
  • Participants in the PACT group showed more accurate affirmative consent knowledge at the 3-month follow-up compared to the control group.

Conclusions:

  • The PACT online program is an acceptable and effective tool for enhancing adolescent understanding and skills in affirmative sexual consent.
  • PACT's positive effects on consent cognitions were consistent across diverse gender, racial/ethnic, and sexual identity groups.
  • Further development and tailoring of PACT could expand its reach and address specific needs within adolescent populations.