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Promoting Health Among Teens! Abstinence-Only Intervention

Implementation Requirements and Guidance

Program Structure and Timeline

PHAT-AO consists of eight 1-hour modules delivered to groups of six to ten youth. The program can be delivered to larger groups as long as additional facilitators are used.



Facilitators should be well-trained in the model and have experience working with teens and using participatory and interactive methods. The staffing model is flexible, but should consist of one facilitator for 8 to 10 youth and support staff to assist when implementing the program in larger class settings.   


Program Materials and Resources

ETR offers an Implementation Kit that includes the following resources:

  • Facilitator Curriculum 
  • Activity Set (hand-outs, role-plays, posters)
  • Four curriculum DVDs: Tanisha & Shay, The Subject Is: HIV (Abstinence-Only), The Subject Is: STDs (Abstinence-Only), The Subject Is: Puberty (Abstinence-Only)
  • Student workbooks (classroom set of 30)

The distributor also provides access to a table of contents and sample lesson on their website:   


Additional Needs for Implementation

The program requires the use of audiovisual equipment for viewing DVDs.



All curriculum modules are required and must be completed in order. Monitoring and evaluation tools, such as fidelity checklists to be completed by facilitators and a logic model, and additional adaptation guidance can be found on ETR’s Program Success Center website:


Training and Staff Support

Staff Training:

It is highly recommended that educators who plan to teach Promoting Health Among Teens! receive research-based professional development to prepare them to effectively implement and replicate the curriculum with fidelity for the intended target group.
Training on Promoting Health Among Teens! is available through ETR's Professional Learning Services. Visit for more information or submit a Training & TA Request Form (

Technical Assistance and Ongoing Support:

ETR provides in-person and web- or phone-based technical assistance before, during and/or after program implementation. TA is tailored to the needs of the site and is designed to support quality assurance, trouble-shoot adaptation issues, and boost implementation. Contact ETR’s Professional Learning Services through the Program Support Help Desk ( or visit


Allowable Adaptations

The developer has noted several allowable adaptations:

  • The eight modules can be delivered in different ways (e.g. two modules per day for four days, one module per day for eight days). The entire intervention should be completed within two weeks.
  • The program can be used with youth older than 14, as long as the group sessions are separated by age.
  • Groups can be larger than 6 to 10 youth as long as additional facilitators are used.
  • Groups can be single gender or mixed gender.
  • Facilitators of different ethnic and professional backgrounds are appropriate, so long as the facilitators have strong facilitation skills and experience working with teens.
  • Peer educators are allowed, as long as they are paired with an adult.
  • If integrating the curriculum into the school classrooms and not having enough time to implement the program, providers should consider using the Promoting Health Among Teens! In School Curriculum version. It is divided into shorter sessions, but maintains the fidelity of the curriculum.
  • Teens of different racial and ethnic groups may participate.
  • Changing the names and settings of the situations in the role plays to reflect the culture of the participants is appropriate.