Purpose
’ contraceptive
NEUMANN
This article presents findings from the RCT that assessed the efficacy of a low-burden, scalable 23-min SRH EE video intervention known as Plan A (Plan A was developed specifically for Hispanic and black female adolescents to promote equitable access to SRH information and reduce disparities in adolescent sexual health risk and birth rates across these racial and ethnic groups. The main characters featured in the film all identify as either black and/or Hispanic. The video is intended to be shown immediately before an appointment with a SRH provider and aims to motivate behavior change. It provides facts about contraceptive and sexual protection options to create awareness, demonstrates risk reduction strategies for unwanted pregnancy and HIV/STIs, and models effective communication with sexual partners and SRH providers. Plan A was built upon previous health EE videos, which have some evidence of motivating positive behavior change (Neumann et al., SCT posits that people learn, can be motivated to change, and develop a belief about their ability to change, by observing others (Bandura, Confirmatory research questions of the RCT asked whether the offer to view Plan A differentially impacted treatment participants’ use of LARC, frequency of condomless sex, and receipt of STI testing 3 months after being assigned to watch the video as compared to control participants and were prespecified in a statistical analysis plan registered on clinicaltrials.gov. Exploratory research questions asked whether the offer to watch Plan A impacted participants’ contraceptive knowledge, pregnancy and HIV/STI risk perception, and HIV/STI testing. Each of these outcomes was investigated because they are central to the intervention’s theory of change and are salient in the video content. The video incorporates medically accurate contraceptive information as part of the dialogue in the narrative (knowledge). Plan A also emphasizes the importance of both routine STI and HIV testing and dramatizes the risks associated with unprotected sex (risk perceptions and testing behavior). We also investigated the impact of Plan A on LARC use for first-time SRH users because the developer of Plan A was particularly interested in this outcome for this group, and evidence suggests that contraceptive use behaviors are persistent and may be more resistant to change than other SRH decisions (Demaria et al., 