Table 5.

IYG -Tech final lesson learning objectives by outcome behaviors and mediators.

Mediator	Learning objectives covered in IYG-Tech
1. Students will not have sex
Knowledge of…	Reproductive system (functional anatomy)/Types of sex (oral, anal, vaginal)/Consequences of sex (physical, emotional, social)/“Personal limits or rules”/Situations (places, peers, times) & signs (loss of “control”, pressure, feelings) that may make it hard to say no to sex;/Characteristics of clear refusal skills/Abstinence as being the only 100% effective way of avoiding HIV, STD, or getting pregnant./Pressures/influences (social, peer, partner, media) to have and not have sex/Communicating your rules to friends &/or partner & reasons why this is important/Alternate activities (e.g. movies, pizza, meet friends) and ways to suggest these/Avoidance strategies/Signs as cues to use refusal strategies/Personal rules regarding sex & intimate behaviors.
Skills and self-efficacy to…	Decide to not have sex/Identify signs & situations that may make it hard to say no to sex (e.g., peer pressure, social situations, when you really like the person) & use refusal skills/Communicate your personal rules to friends &/or partner/Identify & listen to signs and situations that may make it hard to say no to sex & avoid those situations (e.g. physically avoid the situation; use refusal/negotiation skills)/Suggest an appropriate alternative activity to sex.
Outcome expectations that…	The decision to not have sex will reduce the risk of getting HIV, STDs or becoming pregnant/Communicating your personal intentions and limits will lead to a better relationship with your partner/Communicating personal rules & intentions will decrease risk of HIV/STD & pregnancy/A healthy relationship is not predicated on sexual activity/Avoiding a high risk situation, alternative activities, &/or use of appropriate refusal skills will lead to successful abstinence without jeopardizing interpersonal relationships & reduce the risk of getting HIV, STDs or becoming pregnant./Deciding to not have sex will lead to increased self-respect/Use of refusal skills will keep you from doing things you don’t want to do (non-sex related) without jeopardizing friendships.
Perceived norms that…	Teens communicate their personal limits to friends/Teens communicate their personal limits regarding sex to their partners/Most middle school students do not have sex/Most middle school students feel it is important to not have sex.
Normative beliefs that…	Significant others approve and respect your refusing to have sex/People may have different personal rules regarding different behaviors/Friends approve of you communicating your personal rules/Your partner approves of you communicating your limits/Others approve of you recommending alternate activities to sex/Significant others approve and respect you refusing to do things that you choose not to do (non-sex related behaviors)/Significant others approve and respect your decision to avoid situations that may make it hard to say no to sex/Most parents feel it is important to practice refusal strategies to not have sex.
Social support to…	Use alternate activities/Decide to not have sex/Establish and communicate your personal intentions and limits/Avoid and/or help identify signs of risky situations/Use refusal strategies to not have sex.
2. Students Will Have Healthy Relationships With Their Friends, Girlfriends, or Boyfriends
Knowledge of…	Characteristics of healthy & unhealthy relationships/Healthy & unhealthy ways you behave in a relationship/Pressures & influences (social, peer, media) to have and not have healthy relationships/Expectations about healthy relationships/Ways to communicate expectations about relationships to friends & partner/Relationships with friends & partners that are not healthy/Situations where you come in contact with friends or partners that are not healthy/Strategies to avoid friends or partners that are not healthy/Alternative activities to being in unhealthy relationships.
Skills and self-efficacy to…	Evaluate relationships/Recognizing signs of unhealthy relationships/Have healthy relationships/Listen to your friends’ or partner’s expectations in relationships/Avoid unhealthy relationships/Communicate expectations in relationships/Engage in alternative activities to being in unhealthy relationships.
Perceived norms that…	Most peers can have healthy relationships.
Social support to…	Set and communicate expectations for healthy relationships./Evaluate relationships/Decide to have a healthy relationship/Avoid unhealthy relationships.

For students who ARE sexually active OR considering having sex.
Mediator	Learning objectives covered in IYG-Tech
3: Students will use condoms correctly and consistently when having sex.
Knowledge of…	Reproductive system (functional anatomy)/HIV/STDs (Transmission & symptoms)/Consequences of not using a condom if you have sex/Condoms in reducing the risk of HIV, STDs, & pregnancy/Types of condoms and relative pros & cons/Condom evaluation, application, & safe removal/Pressures & influences (peer, media, social) for condom use & none use/Places to obtain or buy condoms/Reasons for, and importance of, communication of intentions to use a condom to a partner/Protected and unprotected sex/Legality of condom purchase/Ways to purchase, carry, & protect a condom/Communication about intentions & negotiation to use condoms/Personal rules about condom use/Reasons that condoms are important with regular as well as casual partners.
Skills and self-efficacy to…	Evaluate, apply, and safely remove a condom/Decide to use condoms/Buy or obtain a free condom/Carry a condom/Negotiating condom use: Communicate intentions to use condoms, hear partner’s intentions, negotiate condom use, agree on condom use or to not have sex/Apply a condom correctly/Use a condom with regular partners as well as with casual partners.
Outcome expectations that…	Deciding to use condoms & using them correctly reduces the risk of getting HIV, STIs, pregnancy/A-priori agreements about using condoms (or not having sex) will increase the chances that these occur/Condom negotiation increases condom use with sex/Communicating intentions to use condoms with sex increases their use/Using condoms every time you have sex (even with regular partners) reduces the risk of getting HIV, STD’s, & pregnancy/Carrying a condom increases the chances of using one when having sex.
Perceived norms that…	Most sexually active teens buy or obtain free condoms, carry condoms, feel it is important to carry condoms, communicate their intentions to use condoms with their partners, & choose to not have sex if a condom is not used/Most sexually active teens who decide to use condoms are more likely to use them & to successfully negotiate their use/Partners should be willing to use condoms/Teens use condoms with regular & casual partners and feel this is important.
Perceived barriers to…	Recognizing that the benefits of using condoms outweigh the risks and side effects of not using condoms/Buying or obtaining a free condom (e.g., money, transportation), carrying a condom, and using condoms consistently over time.
Social support to…	Buy or obtain a free condom/Support your decision to use condoms/Support your decision to carry a condom, negotiate the use of a condom, making an agreement to use condoms or not have sex, & use condoms consistently over time.
4: Students will use birth control correctly and consistently when having sex.
Knowledge of…	Birth control options & methods (including advantages and disadvantages)/Guidelines for effective and consistent use of chosen birth control (plan ahead, take every day)/Both partners being responsible for use of non-hormonal birth control when sexually active.
Outcome expectations that…	Making an informed choice about birth control will decrease risk of pregnancy/Effective use of birth control along with condoms decreases risk of pregnancy.

For students who ARE sexually active.
Mediator	Learning objectives covered in IYG-Tech
5: Students will get tested and counseled for HIV, STDs, and Pregnancy
Knowledge of…	Types of STDs & modes of transmission/Types of tests available (different procedures; home/clinic)/Time taken to get test results./Limitations of tests (e.g., timing premature to detect HIV, pregnancy; false negative/positive; no counseling with home tests)./Places to get testing & counseling (incl. business hours, phone numbers)/Healthcare needs addressed & appropriate provider/Making an appointment (time & date)/Obtaining results (e.g. phone, in person)/Way to contact partners you have had (e.g. phone #, address).
Skills and self-efficacy to…	Decide to get tested and rationale for decision./Make and keep an appointment/Obtain test results/Cope with results/Engage in conversation w/your healthcare provider & get healthcare/Notify partner(s)/Plan ahead (use reminders)/Maintain testing behavior.
Perceived susceptibility that…	Any sexually active teen can get HIV/STD or become pregnant/impregnate partner/Current absence of symptoms does not ensure that you are not infected or pregnant/If you continue to be sexually active, you need to maintain testing behavior/Teens have a certain prevalence of HIV/STD & pregnancy.
Perceived severity of…	Consequences of teen pregnancy, STDs, & HIV/Consequences of particular STDs if you don’t obtain healthcare follow up.
Perceived norms that…	It is normal, expected, and responsible for teens who have sex to get tested for HIV/STD and pregnancy/People who are sexually active maintain testing behavior over time./Individuals who have HIV/STD or who are pregnant obtain healthcare/It is an individual’s responsibility to make past & future partners aware of their status.
Perceived benefits of…	The importance of knowing your status (& overcoming barriers such as denial or not wanting to know)/That getting tested outweighs barriers/That knowing your status is beneficial for health & peace of mind of self & partner, can result in early treatment (if positive results), & helps to reduce progression of symptoms (HIV/STD) or to have a healthier baby (if pregnant)/That taking responsibility for health of self & partner by getting tested over time is helpful, worthwhile, useful, the mature thing to do./Feeling mature and responsible for keeping the appointment, getting the test results, and notifying partner(s).
Perceived barriers to…	Getting tested that include cost, access, confidentiality, type of test, stigma, and embarrassment/Develop mitigating strategies/List free or low-cost testing sites (cost)/Recognize that testing is not a one-time occurrence/List your available times for testing/Be aware of your schedule (don’t double book)/Notify past and future partners/Identify ways to overcome barriers.
Social support to…	Your decision to get tested/Helping you make appointment, keep the appointment, and accompany you to get the results/Accompanying you to get treatment/Help you cope with treatment/Help and support you to notify partners/Help and support continued testing behavior.