Evaluation

Evaluation

Findings from the most recent evaluation of El Camino, conducted by Child Trends, demonstrate that this culturally relevant program helps students, in high schools with large Latino populations develop the knowledge, attitudes, behaviors, and relationships that support their ability to make informed decisions about sex and pregnancy and achieve their goals.

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El Camino is a positive youth development-focused sexual health education program designed for Latino youth.

For Latino Young People

Implemented in schools & communities, especially those with large Latino populations

11, 45-Minute Lessons, in 3 Sections

Consists of eleven, 45-minute lessons, organized in 3 sections

Set Goals

Promotes youth academic & career setting; young people develop plans to achieve positive life goals

Make Informed Sexual & Reproductive Health Choices

Learn about how a pregnancy occurs and effective contraception methods to help avoid unintended pregnancy and STIs

Have Healthy Relationships

Learn about healthy relationships; practice communication skills, how to ask and give consent, and set limits

Evaluation Findings, 2024

El Camino is an adolescent sexual health program that employs a positive youth development approach to encourage youth to define their personal goals and think about how they will attain them. Interactive lessons explore links between goal setting and sexual health decisions and provide information about sex, pregnancy, and healthy relationships.

Designed by Child Trends, this culturally relevant program helps students in high schools with large Latino populations develop the knowledge, attitudes, behaviors, and relationships that support their ability to make informed decisions about sex and pregnancy and achieve their goals.

To evaluate El Camino, Child Trends partnered with Identity, Inc. to implement El Camino during lunch, elective classes, or after school at 11 high schools in Maryland with large Latino populations. Researchers at the University of Maryland evaluated El Camino’s effectiveness: classrooms at each school were randomly selected to receive either El Camino or an alternative life skills program. This resource summarizes the demographic characteristics of student participants, their perceptions of the program, and pre- and post-test findings that highlight the need for sexual health education and the positive impacts of El Camino.

El Camino Program Reach

Students
0
Spanish Classrooms
0
English Classrooms
0

Alternative Life Skills Program

Students
0
Spanish Classrooms
0
English Classrooms
0

Demographics & Background of Students

Age

Age

Average Age: 16.3

Time in the United States

Time in the United States

Born outside of the U.S.: 75%

Age came to the U.S.: 14.1 (average)

Language Spoken at Home

Language Spoken at Home

68% Mostly Spanish

11% Mostly English

19% Spanish & English

2% Other

Race/Ethnicity

Race/Ethnicity

Hispanic, Latino, or Spanish-Origin: 84%

Black or African American: 9%

American Indian or Alaska Native: 2%

Asian: 2%

White: 2%

Other: 4%

Grade in School

Grade in School

9th: 34%

10th: 39%

11th: 17%

12th: 8%

Gender Identity

Gender Identity

Male: 43%

Female: 54%

Other/Missing: 3%

Students’ Pre-Program Survey Responses

Mental health at baseline

Percent of students who reported feeling each emotion some of the time, most of the time, or all of the time in the past 30 days.

Nervous
53%
Like everything was an effort
44%
Hopeless
35%
Depressed
28%
Worthless
22%

Need for sexual health and positive youth development curricula

Students reported that they had had penis-vagina sex
26%
Sexually active students who had sex without any contraceptive method in the 3 months prior
53%

Students’ Pre-Program Survey Responses

Self Efficacy

Students who definitely know where to go to get birth control

Pre-Test
21%
Post-Test
51%

Students who are completely confident in stating and asking for consent

Pre-Test
58%
Post-Test
75%

Students who are completely confident talking to their partner about sex

Pre-Test
33%
Post-Test
46%

Students who are completely confident in talking to their partner about condoms

Pre-Test
44%
Post-Test
54%

Knowledge of Questions Answered Correctly

Condoms

Pre-Test
59%
Post-Test
78%

Birth Control

Pre-Test
24%
Post-Test
39%

Consent

Pre-Test
31%
Post-Test
40%

Awareness of contraceptive methods (average number of methods aware of)

Attitudes & Intentions

Students with positive attitudes towards condoms

Pre-Test
75%
Post-Test
81%

Students with the intention to use condoms

Pre-Test
64%
Post-Test
76%

Students rated El Camino highly at the post-test.

0%

Rated program “excellent” or “very good”

0%

Learned a lot from El Camino

0%

Liked facilitators

0%

Discussions helped them learn

Curriculum Update and Multi-Year Evaluation Study, 2020-2023

In 2020, Child Trends was awarded a three-year grant from the Office of Population Affairs to implement and rigorously evaluate El Camino. As part of this grant, Child Trends conducted a review of all project-related materials to ensure that materials are medically accurate, age-appropriate, trauma-informed, and user-centered. Based on feedback from trauma and medical experts, Child Trends revised materials to strengthen trauma-informed approaches.

These revisions include the following:

  • Changed how we refer to the program from “teen pregnancy prevention” to “sexual health promotion” to better reflect that the program focuses on setting goals, increasing knowledge and motivation to make informed sexual and reproductive health decisions, and enjoying healthy relationships
  • Added language and strategies to curriculum instructions on how to present sensitive information, such as sex, gender, consent, relationships, and verbal and nonverbal communication
  • Added norms around dealing with trauma responses, including content and trigger warnings for lessons and individual activities and discussions around the difference between feeling uncomfortable talking about a topic versus having a trauma reaction
  • Added acknowledgement that young people may have been forced or coerced into having sex in discussions around making decisions about having sex, and that the abuse is never the fault of the person being abused/raped
  • Added guidance for facilitators on discussing sexual identity and sexual orientation in an affirming way
  • Removed gendered language wherever possible, added information about how to prevent STIs for people who may not engage in penile-vaginal sexual intercourse, and provided additional resources and tips for facilitators on how to create more inclusive

Past publications and related resources described the El Camino curriculum as a teen pregnancy prevention program. We now refer to El Camino as a sexual health promotion program. This phrasing more accurately describes El Camino’s goals of providing tools for high school-age young people to set their own goals, feel empowered to make their own decisions about their sexual health, and enjoy healthy relationships by learning about communication and consent.

Preliminary Research & Outcomes, 2018

Preliminary research on El Camino’s implementation suggests that young people responded well to the curriculum and that participation led to changes in their attitudes and knowledge. For example, 91% of students reported that El Camino had made them less likely to have sex, more likely to use contraception, or more likely to use a condom. Completion of the curriculum increased students’ contraceptive knowledge and led participants to feel more comfortable talking about sex and consent with their partners.

Child Trends surveyed students before and after their participation in El Camino. At the post-test survey, Child Trends asked students whether they thought El Camino had made them more or less likely to have sex and whether, if they were to have sex, the program had made them more or less likely to use contraception or a condom.

Results were very encouraging, with the vast majority of students (91%) reporting that El Camino had made them either less likely to have sex, more likely to use contraception, or more likely to use a condom. Students reported high satisfaction with the program, and about three quarters said it was “excellent” or “very good.”

From pre-test to post-test, students who participated in El Camino also reported significant changes in important attitudes and knowledge.

  • Confidence about discussing sex and consent. Students reported feeling more confident in talking about sex and consent with their partners at the end of the program.
  • Contraceptive knowledge. When given three questions about contraceptives, at the beginning and end of the program, students improved from getting 49 percent correct, on average, to getting 74 percent correct—a 25 percentage-point increase.
  • Setting goals. Before El Camino, 64 percent of students agreed they had goals to accomplish before having a child. This increased to 80 percent of students at the end of El Camino.

Get It Now: Curriculum Materials

El Camino is available to download in English and in Spanish, at no cost. Materials include:

  • Front Matter: Key Background Information for Implementing El Camino
  • El Camino Curriculum
  • Student Workbook
  • El Camino Adaptation Guide
  • Texto Preliminar: Información clave para implementar El Camino
  • Curriculo de El Camino
  • Cuaderno de Trabajo del Estudiante
  • El Camino Guía de Adaptación

Learn More

Check out these resources, briefs, reports, and presentations about El Camino.

Comparing Virtual and In-Person Implementation of a School-Based Sexual Health Promotion Program in High Schools with Large Latino Populations

Many sexual health programs transitioned to virtual implementation during the COVID-19 pandemic, providing an opportunity to learn about how virtual implementation of El Camino—a sexual health education program that focuses on Latino adolescents—compares to in-person implementation.

This study assessed differences in program attendance, engagement, and measures of quality for virtual versus in-person implementation of El Camino. Attendance was higher during in-person implementation and in schools where the organization implementing El Camino had a strong presence before the pandemic. Student perceptions of the program and facilitators were positive in both the virtual and in-person cohorts.

Impacts of El Camino on Latino Youth’s Sexual Health: A Cluster Randomized Controlled Trial

2025

Rates of unintended teen pregnancy remain high among Latino youth. This cluster randomized controlled trial evaluates the long-term impacts of El Camino, a sexual health education program for Latino youth based on the principles of positive youth development, on students’ sexual behavior and related outcomes. This randomized controlled trial of El Camino demonstrates favorable impacts on sexual behavioral precursors for all students and long-term sexual behavioral impacts among an important subsample of students.

Comparing Virtual and In-Person Implementation of a School-Based Sexual Health Promotion Program in High Schools with Large Latino Populations

2023

Many sexual health programs transitioned to virtual implementation during the COVID-19 pandemic, providing an opportunity to learn about how virtual implementation of El Camino—a sexual health education program that focuses on Latino adolescents—compares to in-person implementation. This study assessed differences in program attendance, engagement, and measures of quality for virtual versus in-person implementation of El Camino. Attendance was higher during in-person implementation and in schools where the organization implementing El Camino had a strong presence before the pandemic. Student perceptions of the program and facilitators were positive in both the virtual and in-person cohorts.

Teen Parenthood Matters: Let’s Talk About Prevention

2023

This webinar  from the Dibble Institute provided an overview of how wisdom about preventing teen births has accumulated over time. The presentation describes how intervention approaches have evolved and outlines considerations for future research and programs, including an overview of El Camino, a research-based sexual health promotion program developed by Child Trends.

Comparing Virtual and In-Person Implementation of a School-Based Health Promotion Program in High Schools with Large Latino Populations

2022

This poster presents the experiences of—and preliminary findings from—three implementation cohorts during the COVID-19 pandemic (Spring, Summer, and Fall 2021) using pre- and post-test surveys with participants.

El Camino: A Goal-Setting Teen Pregnancy Prevention Program

2022

This brief describes El Camino, its structure and format, and preliminary results from a pilot testing of the program in seven schools and community-based organizations across six cities.

Lessons for Developing Effective Program Curricula that Serve Youth

2019

This resource presents four key takeaways from the process of developing El Camino—which included reviews of research literature, analyses of nationally representative datasets, and interviews and focus groups with Latino parents and youth and with program developers and implementers—that can be applied to other youth-serving programs.

El Camino: A Road to Education and Teen Pregnancy Prevention

2019

This webinar describes the El Camino program’s background, focus, structure, and findings, and incorporates interactive virtual demonstrations of some of its activities.

El Camino, a Goal-setting Teen Pregnancy Prevention Program, Finds Promising Results

2018

This resource provides an overview of the El Camino curriculum and early data from the pilot test and plans to scale up El Camino with new schools and classrooms.

Preventing Teen Pregnancy Among Latinos: Recommendations from Research, Evaluation, and Practitioner Experience

2014

This brief highlights ways that adolescents’ individual attitudes and beliefs—as well as those of their family and parents, peers, and romantic partners—can help or hinder their desires to avoid teen pregnancy. Based on the findings outlined in this brief, Child Trends developed eight key recommendations for consideration in future intervention efforts.

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Facilitation Resources & Training

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Partners & Collaborators

From 2015 to 2018, Child Trends developed and tested El Camino with more than 300 students in Washington, DC; East Chicago, IN; Tacoma, WA; Baltimore, MD; Los Angeles, CA; and Philadelphia, PA.  The curriculum development and field testing was funded by The JPB Foundation.

Child Trends staff—Kristin Anderson Moore, Jennifer Manlove, Jenita Parekh, Bianca Faccio, Samuel Beckwith, and Lina Guzman—developed the curriculum in partnership with external advisors and curriculum writers Lori Rolleri and Linda Kaljee.

From 2020-2024, Child Trends conducted a multi-year evaluation of El Camino in Montgomery County, MD, in partnership with Identity, Inc. and the University of Maryland with funding from the U.S. Health and Human Services Office of Population Affairs.

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